Dear Dr. SerVaas: I am an 86-year-old, almost completely blind. I have been having strong pulse-like spasms in the ball and toes of my left foot. I asked my doctor, but she was as puzzled as I was. Could it be poor circulation, blood clots, or what?
Eleanor Hanes
Medford, Oregon
Dear Reader: Have you had your vitamin D level checked recently? Spasms of the hands and feet, known as carpopedal spasms, are sometimes linked to a lack of vitamin D. If so, vitamin D supplements should be taken under a doctor's direction. Calcium supplements also help in some cases. In general, diagnostic tests for foot spasms include serum calcium, vitamin D, and hormone levels, as well as renal (kidney) function studies. Simple ultrasound testing can help rule out circulation problems in the feet and lower legs. National screenings for vascular disease will take place across the country throughout September 2004. To find a screening site, visit www.legsforlife.org in August. Appointments are required at most locations; there is no cost.
Keeping a log of when and how long the spasms occur might help determine the cause of the puzzling problem. Take note of activities, medicines, foods, or footwear that seem to improve or aggravate the spasms. Experts say that changing shoes, insoles, or socks might help ease recurring or chronic foot pain. We would like to hear from any readers who have discovered an effective remedy.
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