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Cracking toes in sleep due to stress - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Anxiety and Stress
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi there,
my Partner has the very annoying habit of clicking her toes nonstop! throughout the day... she has anxiety and stress problems but also clicks her toes in her sleep!! without even knowing... i have counted upto sometime 200 times!! what causes this ans can be done to stop this its driving me crazy and what are the long term effects of clicking her toes........ its so annoying, she claims if she wears socks it helps or being cold but when she gets disturbed in her sleep she cracks her toes like a relief then resumes sleep what can i do about this?..... help!
Doctor :   Hi
Doctor :   let me read your query
User :   what can i do to help her stop this habit? and does it have and long term or short term effects?
Doctor :   this seems to be a behavior disorder
Doctor :   and it does not have any side effects at all
User :   so what can i do to stop this? does she need medication? its almost like a relief her clicking her toes and then goes back to sleep... any suggestions?
Doctor :   you need a therapy for her to stop this habit of hers
User :   what du mean by a therapy?
Doctor :   behavior therapy
Doctor :   this condition does not need medications
Doctor :   probably she has stress issues, which could be causing her to have such habits
User :   so she should visit my local gp and and ask for her to see a behavioural therapist?
User :   and any short term solutions, such as weraing socks?...
Doctor :   yes, that would be helpful , but she can try to control her symptoms herself
Doctor :   wearing socks, would be helpful too
User :   i dont see how she can control it herself when she is completly unaware as shes doing it in her sleep!
User :   and clicks up to and if not more than 200 times a night can this lead to arthiritis?
Doctor :   no this does not lead to any issues such as arthitis
Doctor :   but this could be as sign of restless leg syndrome
User :   ok... she had anxiety problems as i said, and iv read and carries alot of the charaestics of bi-polar syndrome
Doctor :   and this probably can be treated with medication called mirtazepine
User :   and is a very stressed individual!!
Doctor :   in that case, she will definitely have restless leg syndrome
Doctor :   she should undergo a sleep study test
Doctor :   and then treatment with mirtazepine will be helpful
User :   ok.
User :   any other suggestions to encourage her to stop? like the wearing of socks?...
Doctor :   socks can help very much
User :   its like when she gets partially woken up n her sleep she will click her toes like a relief and then happily go back to sleep
User :   any other suggestions appart from socks?
User :   i paid for a 10 min chat how much longer do i have?>
Doctor :   nothing much apart from that mentioned
Doctor :   may be another 5 mins
User :   could it have anyhting to do with hip problems as she was born bum first with her legs almost dislocated around her head what is this called a type of birth delivery?
Doctor :   breech delivery you mean
Doctor :   not this is not associated witht hat
User :   yes
Doctor :   this is a behavioral issue a
User :   ok, and finally another question, i suffer from depression and am currently prescribed to Advanza 45mg but am putting on weight and feel the antidepressant isnt working too well i have moved on from Lexapro is there an antidepressant thats as good if not better that dosent carry this weight burdon?
Doctor :   most time, antidepressents are not associated with weight gain
Doctor :   you might need to increase ur physical activitry
Doctor :   and this will help to reduce your weight
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