I’m a 63 year old male I suffered a major left sided hemiparesis in July 04 this was caused by sinus bradicardia for which I have a single chamber pacemaker. The legacy of the stroke is dropfoot on my left side. But for the last two weeks I started suffering from violent muscle spasms in my left Quads muscles particularly over the distal end of the muscle just above my Lt Patella The spasming is so painful It almost makes me fall over and severely restricts my walking I am very concerned and want to know what may be causing this once the initial pain and spasm starts to ease I he constant discomfort in my upper leg just above my patella Have you any idea why this may be happening also my toes hurt particularly my little toe and the one next to it also on my left side My footwear is correct so there is no pressure on my toes.I hope you can give mean indication what maybe causing these spasms your sincerely(…)