Painful Legs and Moving Toes

Painful Legs and Moving Toes syndrome (PLMT) is a rare neurological movement disorder characterized by involuntary and irregular movements of one or more toes, often together, with moderate to severe diffuse pain at the foot and leg. It can appear on one or both sides and in the upper limbs as well...

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Main Author: Songjin Ri
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Encyclopedia
Subjects:
Online Access:https://www.mdpi.com/2673-8392/2/1/20
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author Songjin Ri
author_facet Songjin Ri
author_sort Songjin Ri
collection DOAJ
description Painful Legs and Moving Toes syndrome (PLMT) is a rare neurological movement disorder characterized by involuntary and irregular movements of one or more toes, often together, with moderate to severe diffuse pain at the foot and leg. It can appear on one or both sides and in the upper limbs as well as lower limbs. The etiology of PLMT is still unclear; therefore, the main symptoms of PLMT, including pain in limbs as well as involuntary movements of toes, can be treated only symptomatically, and the outcomes are often unsatisfactory. Central or peripheral nerve injuries have been assumed to be the possible causes of irregular involuntary movements, often accompanied by chronic pain; however, its etiology is unknown in most cases. The management of PLMT is very difficult because of its rare prevalence and obscure pathogenesis, and there have been no clear guidelines for the treatment of PLMT. Oral medications (e.g., GABAergic agents, benzodiazepines, antiepileptics, antidepressants, atypical antipsychotics, beta-blockers, corticosteroids, cannabis, calcitonin, and analgesics) and several therapeutic interventions (e.g., local botulinum neurotoxin-A injection, spinal cord stimulation, anesthetic, and surgical interventions) have been recommended, based on individual experiences from several cases. Its etiology, pathogenesis, and effective treatments should be further discussed.
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spelling doaj.art-b88fa09fd7ed43329d68e8cf9c250d1b2023-11-24T01:01:39ZengMDPI AGEncyclopedia2673-83922022-01-012132533510.3390/encyclopedia2010020Painful Legs and Moving ToesSongjin Ri0Department of Neurology, Charité University Hospital (CBS), Hindenburgdamm 30, 12203 Berlin, GermanyPainful Legs and Moving Toes syndrome (PLMT) is a rare neurological movement disorder characterized by involuntary and irregular movements of one or more toes, often together, with moderate to severe diffuse pain at the foot and leg. It can appear on one or both sides and in the upper limbs as well as lower limbs. The etiology of PLMT is still unclear; therefore, the main symptoms of PLMT, including pain in limbs as well as involuntary movements of toes, can be treated only symptomatically, and the outcomes are often unsatisfactory. Central or peripheral nerve injuries have been assumed to be the possible causes of irregular involuntary movements, often accompanied by chronic pain; however, its etiology is unknown in most cases. The management of PLMT is very difficult because of its rare prevalence and obscure pathogenesis, and there have been no clear guidelines for the treatment of PLMT. Oral medications (e.g., GABAergic agents, benzodiazepines, antiepileptics, antidepressants, atypical antipsychotics, beta-blockers, corticosteroids, cannabis, calcitonin, and analgesics) and several therapeutic interventions (e.g., local botulinum neurotoxin-A injection, spinal cord stimulation, anesthetic, and surgical interventions) have been recommended, based on individual experiences from several cases. Its etiology, pathogenesis, and effective treatments should be further discussed.https://www.mdpi.com/2673-8392/2/1/20painful legsmoving toesPLMTpainmovement disorderinvoluntary
spellingShingle Songjin Ri
Painful Legs and Moving Toes
Encyclopedia
painful legs
moving toes
PLMT
pain
movement disorder
involuntary
title Painful Legs and Moving Toes
title_full Painful Legs and Moving Toes
title_fullStr Painful Legs and Moving Toes
title_full_unstemmed Painful Legs and Moving Toes
title_short Painful Legs and Moving Toes
title_sort painful legs and moving toes
topic painful legs
moving toes
PLMT
pain
movement disorder
involuntary
url https://www.mdpi.com/2673-8392/2/1/20
work_keys_str_mv AT songjinri painfullegsandmovingtoes