Painful Legs and Moving Toes

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


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.


Peripheral Neuropathy Botulinum Toxin Complex Regional Pain Syndrome Botulinum Toxin Injection Extremity Injury 
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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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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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