Check for and treat iron deficiency
Ask a clinician to review medications that can worsen symptoms
Reduce caffeine, nicotine, and alcohol
Keep a regular sleep schedule
Exercise regularly, but avoid intense exercise late in the day
Stretch your legs before bed
Use leg massage
Take warm baths or use heating pads
Use cold packs if that helps more than heat
Avoid long periods of sitting or lying still
Move around or walk when symptoms start
Maintain good hydration
Manage stress with relaxation techniques
Discuss magnesium only if a clinician says it is appropriate
Discuss prescription treatments with a clinician if symptoms are frequent or severe
Seek medical evaluation if symptoms are new, worsening, or affecting sleep significantly