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Syndrome of Painful Legs and Moving Toes

A Case Study

Joonhyun Yoon, DPM^*, Christopher Crabtree, DPM and Georgeanne Botek, DPM

^* Submitted during first-year residency, Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, Cleveland, OH.
Submitted during first-year residency, Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, Cleveland, OH; private practice, Charlotte, NC. Mailing address: 3121 Springbrook Lane, Ste G, Charlotte, NC 28226.
Diplomate, American Board of Podiatric Orthopedics and Primary Podiatric Medicine; Staff Podiatric Physician, Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, Cleveland, OH.

Abstract

Painful legs and moving toes syndrome is characterized by spontaneous causalgic pain in the lower extremities associated with peculiar involuntary movements of the lower extremities, especially the toes and feet. The pain is diffuse, intractable, aching, and deep. The movements consist of persistent writhing movements in the digits that cannot be limited voluntarily. The syndrome has been observed after a variety of abnormalities affecting the posterior nerve roots, the spinal ganglia, and the peripheral nerves. This article reviews commonly reported findings and current concepts in the etiology and management of this condition. (J Am Podiatr Med Assoc 91(7): 361-364, 2001)