Do children get the restless legs syndrome?
The Restless Leg Syndrome (RLS) can affect children. About 2% to 4% of children have clinically significant RLS. Diagnosing RLS in children is difficult as it may be hard for a child to describe their symptoms. Sometimes RLS in children is misdiagnosed as "growing pains" or attention deficit hyperactivity disorder (ADHD). For more information, see the diagnosis section of RLS from the National Institute of Neurological Disorders and Stroke.
The RLS leg sensations described by children are similar to those reported by adults (see Symptoms page).
Behavioral and sleep-related signs that may suggest that a child has RLS include:
-
Difficulty falling or staying asleep: The child may resist bedtime, pace around, or toss and turn in bed.
-
Daytime effects: Lack of sleep often leads to irritability, poor concentration, aggression, hyperactivity, and daytime sleepiness.
-
Involuntary movements: Frequent kicking or leg twitching during sleep.
The causes of childhood RLS are very similar to the causes in adults (see The "Causes" page). Some common causes include:
-
Genetics: It frequently runs in families.
-
Iron Deficiency: Low iron levels are a common contributor, and doctors often check iron status even if levels appear within the "normal" range.
-
Dopamine Imbalance: Researchers believe it may be linked to insufficient activity of the brain chemical dopamine.
-
Medications: Certain over-the-counter medications, particularly those containing antihistamines (like diphenhydramine/Benadryl), can trigger or worsen symptoms.
Likewise, the management of RLS symptoms is very similar as for adults (see the "Prevention" page). Management strategies usually focus on lifestyle changes and addressing deficiencies:
-
Sleep Hygiene: Maintain a consistent sleep-wake schedule and avoid screen time an hour before bed.
-
Physical Activity: Regular, moderate exercise during the day is helpful, but avoid vigorous activity immediately before bedtime.
-
Comfort Measures: Massage, warm baths, or cool/warm compresses can help soothe the legs before bed.
-
Dietary Adjustments: Focus on an iron-rich diet (meat, beans, dark leafy greens, etc.) and avoid caffeine (soda, chocolate, tea).
For more information on RLS in children visit the Cleveland Clinic "How To Help Children With Restless Legs Syndrome".
If symptoms are affecting your child's daily life, consult a pediatrician. They may suggest iron supplementation or, in some cases, specific medications if lifestyle changes are insufficient.
Last reviewed:L 03/08/2026
RLS symptoms in children
Causes of childhood RLS
Symptom management of RLS in children
