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Your provider may conduct a physical and a neurological exam. Blood tests, particularly for iron deficiency, may be ordered to rule out other possible causes for your symptoms. In addition, your provider may refer you to a sleep specialist. This may involve an overnight stay and a study at a sleep clinic if another sleep disorder such as sleep apnea is suspected. However, a diagnosis of RLS usually doesn't require a sleep study.

 

 

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Pain management is a crucial part of living with gout. The attacks more often occur in the middle of the night; about 50 percent start in the big toe, according to the Alliance for Gout Awareness. If this is the first time you have had an attack, see your doctor immediately. The least pressure on the affected area can be very painful. And if icing is hard to tolerate for you, consider using a heating pad instead.

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