A neurologist is the best doctor for Restless leg syndrome.
Restless Leg Syndrome (RLS) can develop as a result of certain conditions, particularly iron deficiency and peripheral neuropathy. Other causes of RLS are folate or magnesium deficiency, amyloidosis, diabetes mellitus, lumbosacral radiculopathy, or vitamin B-12 deficiency. Following investigations are advised;
1) A complete iron panel including iron levels, ferritin, transferrin saturation, and total iron binding capacity.
5) thyroid-stimulating hormone (TSH),
6) vitamin B-12, and folate.
These investigation results will help to treat the primary problem so symptoms are benefited.
Following measures usually are helpful;
1) Avoidance of caffeine, alcohol, or nicotine (if one takes them).
2) Exercise before the bed time
a) Pramipexole (Mirapex)
b) Ropinirole hydrochloride (Requip).
Following treatment approaches would be recommended, if Requip does not help:
1) Gabapentin which you are already taking.
2) Adding a second medicine with gabapentin; a benzodiazepines, or an opioid
3) Change to a high potency opioid or tramadol
In addition to above non pharmacologic therapy comprises of the following components:
1) Iron replacement therapy
2) Mental alerting activities such as video games or crossword puzzles, may reduce symptoms at times of boredom.
You may also consider to see an orthopedic specialist, who may look for foot arch abnormality and resultant secondary effects on the ankle, knee, hip and back.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
Thanks for using Just Answer.