Painful Legs and Moving Toes
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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.
KeywordsPeripheral Neuropathy Botulinum Toxin Complex Regional Pain Syndrome Botulinum Toxin Injection Extremity Injury
While reclining, the patient displays continuous flexion-extension movements of the toes.
Painful Legs & Moving Toes.mp4 (MP4 4,335KB)