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Painful Legs and Moving Toes

  • Roongroj Bhidayasiri
  • Daniel Tarsy
Chapter
Part of the Current Clinical Neurology book series (CCNEU)

Abstract

Painful legs and moving toes (PLMT) is a very uncommon disorder in which patients experience pain in their legs together with continuous involuntary movements of their toes. Pain is usually the first and predominant symptom. The pain is typically deeply seated and is usually described as a severe aching, pulling, or crushing sensation in the lower legs. Persistent toe movements may not be reported but are evident on examination and consist of flexion-extension or abduction-adduction fanning movements with a frequency of 1–2 Hz. In severe cases, more proximal leg movements may also be present. Patients can usually suppress the toe movements for short periods of time, but they typically promptly return within moments.

Keywords

Peripheral Neuropathy Botulinum Toxin Complex Regional Pain Syndrome Botulinum Toxin Injection Extremity Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

While reclining, the patient displays continuous flexion-extension movements of the toes.

Painful Legs & Moving Toes.mp4 (MP4 4,335KB)

References

  1. 1.
    Spillane JD, Nathan PW, Kelly RE, Marsden CD. Painful legs and moving toes. Brain. 1971;94:541–56.PubMedCrossRefGoogle Scholar
  2. 2.
    Dressler D, Thompson PD, Gledhill RF, Marsden CD. The syndrome of painful legs and moving toes. Mov Disord. 1994;9:13–21.PubMedCrossRefGoogle Scholar
  3. 3.
    Alvarez MV, Driver-Dunckley E, Caviness JN, et al. Case series of painful legs and moving toes: clinical and electrophysiological observations. Mov Disord. 2008;23:2062–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Roongroj Bhidayasiri
    • 1
    • 2
  • Daniel Tarsy
    • 3
  1. 1.Chulalongkorn Center of Excellence on Parkinson’s Disease and Related DisordersChulalongkorn University HospitalBangkokThailand
  2. 2.Department of NeurologyDavid Geffen School of Medicine at UCLALos AngelesUSA
  3. 3.Department of NeurologyHarvard Medical School Beth Israel Deaconess Medical CenterBostonUSA

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