Don't Retract Pack

Could it be Restless Legs Syndrome?

By Susun S. Weed

Legs that twitch and tremble. Legs that shake and ache. Creepy, crawly, tingly, burning, tugging, itching, prickling sensations that make you want to move your legs. It could be restless leg syndrome (RLS), especially if it strikes when you try to go to sleep and wakes you in the night. (Yes, it can include your arms.)

Also called Ekbon syndrome, hereditary acromelalgia, anxietas tibialis, or leg jitters, RLS is a fairly common problem. It affects 20% of all pregnant women and 15% of all Americans over the age of 50.

RLS frequently puts in a brief appearance during menopause, so the figures may be higher among menopausal women, but is most likely to bother women after menopause. RLS is both a movement and a sleep disorder, and tends to run in families.

Modern medicine has little understanding of RLS, and few ways to ease it. (It may be related to kidney function - half of all those with kidney failure have RLS as a consequence.) The Woman Ways gathered here have been passed from grandmother to granddaughter for generations, offering relief and aiding sleep. They are listed in order of increasing harm. The first remedy is the safest; the last one is the most dangerous. This article is a condensed version of the restless legs syndrome chapter in New Menopausal Years the Wise Woman Way: Alternative Approaches for Women 30-90.

~ Simply observe the feelings and movements in your legs. Remain the observer. No need to change anything. Nothing to do. Mind serene. Emotions at peace.

~ The movement of chi (life force energy) through the body is variously described as the flowing of water, the flaring of a fire, the pushing of the wind, the pulling of the earth. These are also descriptions of the sensations of RLS. Energy flow notably (and sometimes uncomfortably) increases in the body after menopause. It is possible that what you are experiencing is "merely" that (and chi, according to Traditional Chinese Medicine, is stored in the kidneys). Channel the energy up out of your legs and into creative or healing endeavors.

~ Ann Landers says putting a bar of soap in bed with you will calm those crampy, restless legs down fast. She offers no scientific explanation, but claims it is harmless if it doesn't work, and effective if it does.

~ Muscles that lack minerals - especially calcium and magnesium - go into spasms and quiver. If this sounds like your legs, reach for a big glass of nourishing oatstraw infusion. Make it by placing one ounce by weight (a cup by volume) of dried oatstraw into a quart jar, which is then filled to the top with boiling water and tightly lidded. Brew for four or more hours, then strain and refrigerate for no more than two days. Drink hot or cold, sweetened or not. I regularly drink mellow oatstraw, 2-4 cups a day, several times a week.

~ Work those legs, and they're more likely to stay quiet at night. So exercise it is. If you are stuck behind a desk, run in place sitting in your chair for several minutes every hour and take a walk during your lunch break.

~ Low blood levels of iron, with or without anemia, are strongly linked to onset and worsening of RLS. Boost iron by consuming lots of molasses or by drinking nourishing nettle infusion. (Prepare the same as oatstraw infusion, using a full ounce of dried nettle to a quart of boiling water and steeping for at least four hours.) If you have RLS due to end-stage kidney failure, nettle is an exceptional ally for you. I was told by a student that she avoided a kidney transplant by drinking nettle infusion daily. Nettle not only builds iron but it strengthens the kidneys, too.

~ RLS is also associated with folic acid anemia and a B vitamin deficiency. Red clover infusion is rich in both, as are oatstraw and nettle.

~ Losing sleep because of RLS: A dropperful/1 ml of St. Joan's wort (Hypericum) tincture, taken 5-10 minutes before lying down, can help prevent spasms all night. Sleep-inducing herbs, such as valerian, may worsen the problem, but a cup of chamomile tea or a mug of warm milk will encourage sound sleep without side-effects.

~ A warm bath before bed can keep your limbs quiet all night. Massage definitely helps too.

~ When RLS wakes you in the night: Stretchhhhhhhh those muscles by pointing your toes away from you and imagining that someone is pulling on your leg.

~ Eliminate coffee and alcohol for a month. Sometimes this effects a complete "cure."

~ Alternate hot and cold packs on your legs for a half-hour before bedtime.

~ A cup or two of kava kava with dinner will relax your legs by bedtime and give you giggles in your dreams. (Warning: Avoid capsules or pills of kava kava.)

~ The grandmothers' favorite remedy for cranky legs is a sip of tonic water before bed. Its quinine content is no doubt responsible, but the refined sugar you also get is not healthy, so use this remedy is moderation.

~ Some drugs may trigger the onset or worsen already existing RLS. They include: calcium channel blockers, anti-nausea drugs, tricyclic antidepressants, serotonin re-uptake inhibitors (SSRIs), lithium, some cold and allergy medications, and the anticonvulsant drug phenytoin.

~ Drugs used to control (there is no known cure) RLS include: Dopaminergic agents (such as levodopa), which can worsen symptoms over the long run. Dopamine agonists, whose long-term effects remain unknown. Opiates, which are addictive, but incredibly effective. And, when all else fails, anticonvulsants and benzodiazepines. Needless to say, there are severe side-effects and little guarantee of improvement with these drugs.

Whether you have a diagnosis or simply suspect you have Restless Legs Syndrome, Wise Woman Ways offer simple, safe, accessible remedies to ease your legs and build your health/wholeness/holiness.

The Restless Legs Syndrome Foundation for further information.

Susun Weed began studying herbal medicine in 1965 while living in Manhattan and pregnant with her daughter, Justine. In addition to authoring several renowned books, Weed's worldwide teaching and training includes information on herbal medicine, ethnobotany, pharmacognosy, psychology of healing, ecoherbalism, nutrition, and women's health issues. Venues that welcome her include medical schools, hospital wellness centers, breast cancer centers, midwifery schools, naturopathic colleges, and shamanic training centers, as well as many conferences.

Visit Weed’s new site, Childbearing Year, dedicated to her excellent book, Wise Woman Herbal for the Childbearing Year, now in its 29th printing, where you can read reviews, excerpts and articles. Wise Woman has helped three generations of women conceive, carry and give birth naturally. Chapters cover herbal fertility agents and herbs for birth control; safe, simple home remedies for the common complaints of pregnancy; alternative medicines for complications of labor and delivery; and effective remedies for the distresses of newborns and new moms. Complete instructions make using this book easy and fun.

Additional information and resources from Susun Weed can also be found at Wise Woman Web and Herbs Healing.



  1. I went to my chiropractor (my only doctor) telling him about uneasiness in my legs and arms - especially in the evening when I was tired. He told me I have RLS and that my minerals were low. I have to take alfalfa everyday, and it's gone! If I stop taking it for a couple of days it comes back. So for me, it's just a lack of minerals.

  2. That's great Jennifer. I am 24 weeks pregnant and have this occur every now and then, the only thing that helps me is getting adjusted by my chiropractor husband right before bed. (He's also my only doctor)

  3. I also wanted to add that DHA has been a lifesaver with my 2nd pregnancies. With both I have experienced RLS, but when taking the DHA this time, I have virtually no RLS symptoms. (Unless I forget to take it.)

  4. Thanks for this, its a really helpful article, will try these tips

  5. My son had awful RLS at age 3. He was waking up all through the night, exhausted and upset, because his legs couldn't stay still. His doc at the time tested him for iron deficiency, saying this was a frequent cause of RLS. His iron was extremely low and the RLS disappeared after a week of supplements, and reappeared whenever we got lax on giving him extra iron. He was on iron supplements for somewhere like 4-6 months but has been off it for a long time. I just have to make sure he has enough iron in his diet and he's good :)

  6. I've kept a bar of soap under my fitted sheet since college - that's worked like a miracle for me!

  7. My RLS is closely linked to my chronic anemia. When my iron levels drop too far, the RLS gets to the point that it severely impacts my sleep. Definitely keep an eye on those minerals! (My anemia requires IV infusions, but definitely seek out oral supplementation if your care provider thinks this is an issue!).

  8. I have suffered from RLS since I was a kid. While not constant it does still bother me. I find that for me it is a matter of balancing magnesium and calcium. When I was pregnant I was definitely lacking in magnesium and it lead to high blood pressure problems. For some reason my body requires more magnesium. As long as I keep up the magnesium levels all is fine for me.

  9. Very informative post. Thank you! I started having RLS during pregnancy, but it is still not gone (my daughter is 18 months old now). There are some good nights (I had an almost 6 months break actually), but when is bad IS REALLY BAD! Let me so upset and depressed... I will try some of your suggestions, and see what happens! I just would like to confirm it is OK to feel that during so long after pregnancy, in my 30's. Thank you!

  10. I'm pretty sure that I have RSL. I find that at the end of the day I get it bad if I am watching a movie or reading SITTING UP. I think that's the key. My legs also don't like to be bunched. If I feel it coming on I will lay on my stomach and POOF! it goes away completely. Try this yourself and see if it works. Or if you want to stay sitting upright or on your butt, stretch your legs out in front of you, and don't have any bend to them.