Restless Leg Syndrome, involuntary twitching and tingling in the legs, can be a problem during pregnancy and a particular problem for Mamas on Bedrest. The increased weight as a result of pregnancy and the increased stress on the circulatory system are the major reasons that the symptoms occur. Restless Leg Syndrome is primarily relieved by changing positions and/or getting up and moving around-both options that are limited or non-existent for Mamas on Bedrest. Conditions such as pregnancy induced hypertension and pre-eclampsia often require that Mamas on Bedrest lay on their left sides to increase blood flow back to the heart from the lower extremities, relieving stress on the circulatory system. With this requirement, leg discomfort may be exacerbated with few options for relief. Restless Leg Syndrome can progress and become quite uncomfortable, limiting Mamas’ ability to rest. So how can Mamas on Bedrest manage this non-life-threatening but very annoying problem?
Massage. As previously stated in other posts, prenatal massage is an excellent way for mamas to relax tired, aching muscles during pregnancy. Because of the additional weight, mamas’ bodies shift to accommodate the weight and as a result, the musculoskeletal system shifts out of alignment creating stress on muscles, ligaments and tendons. Prenatal massage therapists are able to rub and soothe these tired, achy tissues and relieve tension, fatigue and pain.
Relaxation. Meditation, hypnosis and deep breathing can also help relieve the symptoms of restless leg syndrome. Calming the nervous system, relaxing the mind and relieving worry, stress and anxiety often relieve the tingling and twitching associated with restless leg syndrome.
Support your legs. Adequate support and positioning will go far to relieve leg pain and restless leg syndrome. A Must have for Mamas on Bedrest is a Body Pillow, and positioning that pillow to properly support and align Mama’s body is essential. View our video on pillow positioning for a better bed rest.
Stretch. As previously stated, movement is essential to helping relieve symptoms of restless leg syndrome, yet movement for Mamas on Bedrest is limited. There are several simple stretches that mamas can do while on bed rest and we provide them on our free video channel for easy access.
Water. One reason that leg cramps and other symptoms of restless leg syndrome occur is due to dehydration. Adequate water intake is a must for all pregnant women, but especially for pregnant women with restless leg syndrome. Adequate hydration ensures that circulation flows that muscles and soft tissues are well lubricated and that muscle wastes are properly flushed away. But staying hydrated can present an additional problem for Mamas on Bedrest in that the increased fluid intake will result in increased urination. Many mamas try to limit fluid intake which only increases leg cramps, symptoms of restless leg syndrome and can increase the risk of developing a urinary tract infection. Its a delicate balance, but mamas, be sure to drink plenty of water while on bed rest.
Vitamins and Minerals. Most pregnant women are prescribed prenatal vitamins, but many of these vitamins only provide the minimum amounts of vital nutrients necessary to sustain pregnancy and mama and baby may need more. There have recently been several studies and articles published documenting the functional amounts of vitamins and nutrients that are needed to ensure that mama is getting all that she needs to remain healthy, for healthy development of the fetus and to sustain the pregnancy. Mamas with restless leg syndrome may be low on potassium or calcium. While it is not advised that mamas take mega doses of vitamins, ensuring that there is adequate, functional levels of vitamins and minerals will help prevent some of the twitching and discomfort of restless leg syndrome. In addition to prenatal vitamins, mamas may want to add or increase bananas-a good source of potassium-and calcium fortified orange juice and green leafy vegetable (also good sources of calcium) to their diets.
Restless Leg Syndrome can be an annoyance, but it needn’t incapacitate Mamas on Bedrest. Implementing the few tips above can go along way to relief and a bed rest free from leg cramps, twitching and tingling.
Mamas on Bedrest & Beyond would like to thank Tammy Mahan for sharing the perils and pearls of Restless Leg Syndrome with us.
It’s Video Wednesday!
This week, I am taking a look at the HealthTap App. As you will recall from the last blog entry, HealthTap is a health information website that provides health information, tips and breaking health information. The site boasts some 40,000 physician experts from all 50 states and 128 specialties. HealthTap has just rolled out its new App and now consumers can have the convenience of health information at their fingertips.
The App is more than just an encyclopedia of health information. It is a way for consumers to store and track their own health information. This morning, I downloaded the app onto my iPad. The App then guided me through the registration process and enabled me to input personal information and preferences. I was able to “follow” doctors whose work I highly respect and often cite in my blogs and other educational information. I can contact my own gynecologist (who is a participating physician), ask questions of other physicians and get feedback on lab information, tests and other health inquiries.
I have to say that I barely scratched the surface of the HealthTap App. I am sure that it has many more functions that I have yet to discover. But I found it really easy to use, easy to read and easy to input and save my information. I think that this app may be a handy way for Mamas on Bedrest to chart their bed rest progress. In particular, when I think of mamas with cervical insufficiency, each time you go to the OB, you can chart your cervical measurements and keep track. If you have pregnancy induced hypertension or pre-eclampsia, you can track your blood pressures and/or urine proteins (if your OB has you doing urine dip sticks). And this tool is useful after your pregnancy as well; helping you to chart breastfeeding, weight loss, exercise, sleep, and other health indices.
Give it a shot. It’s free and fun (The Geek in Me was quite giddy playing with this!!).
When you have medical questions, where do you go for answers? Do you ask your OB? Do you ask a friend? Relatives? How do you handle those pressing medical questions that plague you late at night?
Nagging questions can be burdensome, and often times a simple answer can put your mind to rest. But who do you call when it’s 2 am and your mind is running amok with all sorts of scenarios and “what ifs”? Which websites should you view? How should you search? And how reputable is the information that you find?
Mamas, I’d like to introduce you to HealthTap. HealthTap is a health information website with over 40,000 physicians in 3000 cities in all 50 states and 128 specialties. You can post a question and several physicians will answer, or, you can search the archives for answers to similar questions. According to Forbes and The New York Times, this immediate access to health information is the wave of the future.
I had the opportunity to hear the founder and CEO, Ron Gutman, speak at Austin’s South by Southwest a couple of years ago when HealthTap was in its development phase. It’s really an interesting concept. For patients, there is an incredible amount of information available right at your fingertips, anytime, day or night. For physicians, there is a wide reaching platform from which to share expertise nationwide and with consumers otherwise out of reach. HealthTap has the potential to catapult a physician onto the worldwide stage; a physician shares his/her expertise, a syndication or publication sees them and boom-overnight fame, success, the potential to be the next “Dr. Oz. It truly is the interactive wave of the future.
However, there are limitations. While you can ask “personal” questions, most of the physicians cannot offer specific medical advice as they are unable to see you and learn the specific nuances of your situation. So much of the information you’ll receive is general in nature. But at 2 am to be able to calm feelings of anxiety, its a good thing! Also, the information provided is strictly medical in nature. I don’t believe that you are going to get a lot of holistic advice. These are board certified physicians and as is customary, the psycho-social aspects of medicine are left to the consumer.
On May 30, 2013, HealthTap rolled out its app, AppRx. AppRx is an app that recommends the most helpful health apps-per the physicians in the network. While this is a useful service if you are looking for very specific medical information, i.e. what are the best websites/apps for tracking blood sugars, it may not be the best place to look for information on best places to give birth. I don’t know that you are going to get a lot of pro home birth information or information on how to choose a doula. So the app and the website have their limitations. The app is available for both smartphones and tablets.
Like all new technology, there are good things and not so good things. I think that HealthTap is a useful website for people to use to learn more about their health and medical conditions. AppRx is a good tool to use to start a search for medical information. However, I also believe that there is more to health and healing than medical procedures and interventions, and while you will get great medical information, you won’t likely get the information you’ll actually need to really “live” with your condition day by day. I think that consumers should investigate HealthTap and the AppRx and use them as the information tools they are intended to be. Additionally, I think consumers need to be savvy and examine all aspects of their health care conditions and integrate necessary health and wellness practices along with medical treatment for a comprehensive approach to their situation.
On this week’s Wednesday Video, I’ll download and go through the AppRx.