Restless legs
Lifestyle modifications
PHYSICAL ACTIVITY
Moderate regular exercise (1)
For symptomatic relief – walking, bicycling, soaking the affected limbs, and leg massage, including pneumatic compression (1)
NUTRITION
In some cases nicotine, caffeine and alcohol increase the symptoms. If these substances increase symptoms of RLS recommend to avoid/minimize the intake (1, 2).
Iron: Iron deficiency may cause restless legs syndrome. Start iron supplementation if ferritin is below 75mcg/l. Vitamin C increases iron absorption (2).
Vitamin D: Significant association between vitamin D levels and restless legs syndrome. Normalize vitamin D levels if deficiency is present (3).
Obesity: There is increased risk of restless legs syndrome among obese individuals (4)
SLEEP
Reduced sleep may aggravate symptoms of RLS in many patients. Thus, improving sleep may possibly reduce symptoms of RLS (2).
OTHER
Mental alerting activities, such as working on a computer or doing crossword puzzles, at times of rest or boredom (2).
Stretching, warm baths before bedtime (1).
References
Resources

Figure: Evidence pyramid
EXPLANATION TO EVIDENCE PRESENTATION
Recommendations based on guidelines and evidence based Clinical Decision Systems are written in BOLD
Recommendations based on meta analysis or systematic reviews are written in BOLD and CURSIVE
Recommendations based on randomized controlled trials are written in plain font
Recommendations based on observational / cohort studies are written in CURSIVE