RLS versus varicose veins

I am a 42 year old female with serious varicose veins. Cosmetically only, there are no physical disabilities. I lived with it for 20 years together. I weigh 103 pounds, and am a twin with a female fraternal. Both of us and 4 other sibs are short and skinny. I am the only child with varicose veins. I have had them since I was fifteen years old. I have worked retail and been on my feet a lot. Also, I was an Insurance agent for 16 years and then began cleaning houses. I love the excercise of my work.

Developed a twitch in right forefinger two years ago. Now, it happens to my thumb, too. I have the twitch daily, even when I am at rest. Began to show my 13 year old daughter when we would watch TV together. I don't anymore, but I show my husband. I feel a little weak and shakey in morning until I get to moving around. My lower back is also weak.

My concern, me being the only female who carried on the "veins" with me, from both Mom and Dad, why am I feeling needle pains from my ankles to my shoulders? Is it more than RLS? Most bizarre area is the genital area, from the anus to the vaginal area.(not fun) I have needles and sharp pins, which make me jump and then makes my legs contract and jerk. My shoulders contract and hips are jerking spontaneously, every 30-40 seconds when at rest in afternoon.

I started taking Calcium one month ago and nutrients as advised by a doctor friend. It has been getting worse, but is not intolerable, yet.

I would also include that cleaning houses for a living,I am very active and feel great while moving. Have had a few back strains in the last year, but can't specifically relate these syptoms to any injury.

Question to you would be, do I need a neurologist referal from my HMO, or sit tight and wait to see if it is just another old age ailment?