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Shelly, Im CG for my wife Joyce 52/PD13 During the year prior to Joyce's Pallidotomy on May 13, she was increasingly suffering from these same toe and foot cramping. It reached a terrible level and her neuro cud no longer offer help with meds. He suggested a pallidotomy. We visited Toronto Western Hospital Dr. Anthony Lang and he also thought that this op might help..but without any promises. On May 13, 96 at 0600 Joyce went to the the O.R. in total cramp of both feet. fully awake and in full cramp, 6 hours later she stepped off her bed without cramp and has never suffered with this dred since. For Joyce, the Pallidotomy on only one side cured the cramping in both feet. Hope this offers you some thought. Chuck