It can sometimes be a side effect of medications like stimulants or anti-depressants too. Leg shaking can be a subtle annoyance or an intense experience that causes muscle tension and difficulty walking.
Why is it that when I lift my heel off the floor my legs start twitching.

Why do my legs shake when i wear heels. Many issues ranging from restless legs syndrome. Muscle tension is pulsed. If you have no weakness in the leg this is likely a normal finding due to increased muscle tone in someone your age.
If you do have weakness in the leg. Most people will experience this under certain conditions so it probably is nothing to worry about.

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