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Painful Legs and Moving Toes

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Movement Disorders: A Video Atlas

Part of the book series: Current Clinical Neurology ((CCNEU))

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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.

This chapter contains a video segment which can be found at the URL: https://doi.org/10.1007/978-1-60327-426-5_80

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References

  1. Spillane JD, Nathan PW, Kelly RE, Marsden CD. Painful legs and moving toes. Brain. 1971;94:541–56.

    Article  CAS  Google Scholar 

  2. Dressler D, Thompson PD, Gledhill RF, Marsden CD. The syndrome of painful legs and moving toes. Mov Disord. 1994;9:13–21.

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  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.

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Electronic Supplementary material

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

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

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© 2012 Springer Science+Business Media New York

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Bhidayasiri, R., Tarsy, D. (2012). Painful Legs and Moving Toes. In: Movement Disorders: A Video Atlas. Current Clinical Neurology. Humana, Totowa, NJ. https://doi.org/10.1007/978-1-60327-426-5_80

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  • DOI: https://doi.org/10.1007/978-1-60327-426-5_80

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  • Publisher Name: Humana, Totowa, NJ

  • Print ISBN: 978-1-60327-425-8

  • Online ISBN: 978-1-60327-426-5

  • eBook Packages: MedicineMedicine (R0)

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