While non-significant improvements were noted in the group only receiving standard therapy, the pycnogenol group had significant improvement in many symptoms of RLS. For example, 63% experienced less throbbing, 72% less aching, 61% had decreased sleep problems, etc., vs. 6%, 3%, and 16%, respectively in the ST alone group. The pycnogenol group also had a significant reduction in the need for pain medication, as well as improvement in several other markers including a normalization in resting flux and an increase in the venoarteriolar response, as well as a reduction in oxidative stress.
While obvious limitations of this study include the lack of blinding and of a placebo group, the large symptomatic improvements warrant a well-controlled study and reflect a previous clinical trial that demonstrated a clinical benefit of antioxidant therapy in RLS.