De-feet Toe Curling in Parkinson’s Disease

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👣 The Toe Curl Chronicles: Real Talk About Parkinson’s and Dystonia in the Feet


Toe curling from dystonia is a common Parkinson’s challenge, but you’re not alone. The Parkinsonz community offers creative exercises, treatment tips, and emotional support — from Botox to barefoot tricks — reminding us that sharing our stories helps others keep moving forward.

For many people living with Parkinson’s, toe curling — often a form of dystonia — can be painful, frustrating, and confusing. Whether your toes curl under, overlap, or suddenly cramp at night, you’re not alone. The Parkinsonz community has been sharing powerful stories, tips, and even a little humor around this all-too-common symptom. Here’s what we’ve learned together:


Photo courtesy of Karen, our Parkinsonz Foot Super Model.

🧠 What Is Toe Curling?

Toe curling in Parkinson’s is usually caused by dystonia, which involves involuntary muscle contractions that force the toes to curl, twist, or cramp. It may come and go or persist throughout the day. Some people notice it as an early symptom; others experience it more during medication “off” times. It can make walking, wearing shoes — or even sleeping — difficult.


💡 What’s Helping? Tips from the Community

🏃‍♂️ Exercises That Make a Difference

• Targeted toe stretches like lifting the big toe while pressing the little toes down — and vice versa — help retrain and strengthen foot muscles.

• Toe “jazz hands”: Open and stretch your toes wide several times a day.

• Ankle rotations with lifted leg: Keeps feet and toes more mobile and flexible.

• Walking drills: Try walking short distances on tiptoes, heels, or the sides of your feet (with support, if needed).

• Use one foot to press and rotate the other: A clever trick to strengthen toe control.

• Barefoot breaks: Going shoeless at home (when safe) can help reconnect with your foot’s natural mechanics.

👟 Practical Adaptations

• Wear slip-on shoes or stretchy footwear during flare-ups.

• Toe separators or toe socks can help relieve tension and realign curled toes.

• Flexible shoe designs (like Skechers or shoes with wide toe boxes) are community favorites.

• One member joked about starting a “calendar of foot models” after learning that humor can go a long way when your toes misbehave.

Photo Courtesty of Parkinsonz ACE Shawn Evans

💊 Medical Treatments

• Botox injections work well for some, offering up to 3 months of relief — especially for night cramping or painful spasms.

• Others found success with baclofen, amantadine, or adjusting their levodopa dosage — always under medical supervision.

• A few members explored alternative treatments like red light therapy, Rytary, and Artane, with mixed results.

• One community member had tendon surgery (flexor tenotomy) and described it as “life-changing,” allowing her to walk pain-free for the first time in years.

Photo Courtesy of Anonymous Parkinsonz Community Member

💬 Real Talk & Reflections

Many shared the emotional toll of toe curling — from the fear of losing mobility to the challenge of wearing favorite shoes. Others reflected on deeply personal moments, like remembering bedtime rhymes about “this little piggy,” and the bittersweet hope that their children won’t inherit the disease.

One member summed it up beautifully:

“I may be shrinking and bending, but I’m still their mother. I created 50 toes… and now I pray for the strength to keep walking on mine.”


🙌 You’re Not Alone

Whether you’re toe-walking through exercises, figuring out your next Botox treatment, or just looking for shoes that don’t hurt — there is no “one-size-fits-all” approach. But in this community, we keep sharing, trying, adapting, and cheering each other on.


📣 Got Your Own Tip?

If something has helped you manage curled toes or foot dystonia, we’d love to hear it. You might be the answer someone else is searching for. Please share any photos or tips with me at parkinsonzexercise@gmail.com.