Sorry to hear about your impossible symptoms. Mine also occasionally creep into my chest. My sleep doc is "the" RLS person in the Boston area (a neurologist and psychiatrist), and excellent IMHO. While I'm not always symptom-free, I'm doing quite well on a regimen of Gabapentin (Neurontin) and a small dose of oxycodone. Also, for traditional insomnia -- as if we need that, too -- I sometimes take one of a new class of sleep meds called oxexin antagonists. Remarkable med.