Hi,do you mind if a pick your brain?have severe RSL and fybro, after trying virtually all drugs on the market for rls over the years I found the only thing that works consistently is opiates, tablet or patches, unfortunately it feels like my fybro pain is now far more wide spread....not sure whether it's just got worse or its the opiates???also was unaware that opiate withdrawal causes rls to become worse!!!??? would you mind sharing what you know about any of the above issues, thanks in advance x
The issue of opiates withdrawal symptoms is that rls is an actual body reaction to the loss of drug. From any drug- opiate or otherwise. That's why many people experience rls after major surgery- I think the rls occurs as part of the withdrawal from the painkillers rather than as a result of the operation. But few people are prepared to stay off drugs to test that theory ( me included 😢)
Opiates are certainly the most effective relief for rls available. Dr B would support its long term use at low rates (under 30mg per day) and is researching this with John Hopkins ( viz Nightdancer)
At higher rates of opiate, then issues of tolerance and addiction start to arise.
So many people have both OP and RLS that I thought there might be a connection.
I DO get pain with my RLS, some people do and it is now accepted as a symptom. As far as the connection for RLS and osteoporosis, RLS is neurological and the other is bones, so i would say maybe the only connection would be the osteoporosis pain could maybe ramp up the RLS. ? Back pain seems to affect the RLS.
Several meds used for RLS such as Klonopin and gabapentin are known to cause bone loss. So is a diet high in animal protein, caffeine, alcohol as well as low in vitamin K2, and lack of weight bearing exercise.
There are quite a few medications that can cause bone loss ie cancer drugs, omeprazole taken over a long period of time, prednisolone, thyroxine (if taking too much daily over a period of time).
I did not know that klonopin causes bone loss. (ten years on it, now off everything) Good thing I was bodybuilding in my younger years, creating bone density. Hmmm... Maybe it's time to get back to light resistance training.
My experience is this - once I got off of the klonopin, AND when I am having (full body) symptoms, I notice that I have problems with osteoarthritis at that time. It's strange. When I have good days with minimal RLS, I feel strong and free from arthritis pain for the most part, except for the hands. IDK if they are connected. Not sure anyone does.
Hands and hips. Not sure if it's in my (left) knee. Doc says it's likely a torn meniscus. I've had chronic tendonitis in that knee so IDK. Was a bodybuilder in my 30's-40's so I did it to myself.
A diet rich in calcium and supplements of vitamin D if needed and awareness of trace elements like magnesium seem to be the way forward with osteoporosis. In the UK the Osteoporosis charity is excellent. Yes weight bearing activity.
I too have osteoporosis and RLS which is getting worse currently.
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