Patient presents for further evaluation of feet and hand cramps. He describes that the foot cramps are much more notable than the hand ones.  He reports that he develops muscle contractions of his toes on both feet.  These occur exclusively at night.
"Omulwadde w’omugongo omunaana ng’amaze ebbanga ng’alina ebyafaayo by’okusannyalala kw’omugongo mu nnabaana (cervical spinal stenosis status post decompression), eyeesigama ku opioid, aludde ng’alumizibwa omugongo ogwa wansi nga gutangalijja mu kigere ekya ddyo."