Restless Legs Syndrome (RLS) feels like an overwhelming, often uncomfortable urge to move the legs, usually accompanied by unusual sensations that are difficult to describe. People commonly report feelings such as itching, crawling, pulling, throbbing, aching, tingling, burning, or a "creepy-crawly" sensation inside the legs

. Some describe it as similar to pins and needles, buzzing, or even a sensation like fizzy water inside the blood vessels of the legs

. These sensations typically occur when the person is at rest, especially in the evening or at night while sitting or lying down, and they worsen with inactivity

. Movement, such as walking, stretching, or jiggling the legs, usually provides temporary relief, but the unpleasant feelings often return when the movement stops

. The sensations most often affect both legs but can also occur in one leg or other body parts like the arms

. In addition to these sensations, some people with RLS experience involuntary jerking or twitching of the legs during sleep, known as periodic limb movements (PLM), which can further disrupt sleep

. Overall, RLS is described as a compelling urge to move the legs to relieve these uncomfortable and sometimes distressing sensations, which can significantly interfere with sleep and daily life