Multiple skeletal injuries resulting from uncontrolled restless legs syndrome

Restless legs syndrome is a common condition that results in difficulties falling and staying asleep and perception of poor sleep quality. We report a case of a 73-year-old woman with uncontrolled restless legs syndrome who spent most of the night standing and walking. As a result of her nighttime behaviors, she fell several times and sustained, on several separate occasions, fractures of both forearms, ribs, and nose. Iron replacement therapy and changing of her dopamine-agonist medications resulted in almost complete relief of symptoms. Physicians should be aware of the potential for injury in patients with uncontrolled RLS.