1(480) 840-3457 Request Appointment

What Is Charcot Foot?

Charcot foot is a condition causing weakening of the bones in the foot that can occur in people who have significant nerve damage (neuropathy). The bones are weakened enough to fracture, and with continued walking the foot eventually changes shape.

As the disorder progresses, the joints collapse and the foot takes on an abnormal shape, such as a rocker-bottom appearance.Charcot foot is a very serious condition that can lead to severe deformity, disability, and even amputation. Because of its seriousness, it is important that patients with diabetes—a disease often associated with neuropathy—take preventive measures and seek immediate care if signs or symptoms appear.

Causes of Charcot Foot

Charcot foot develops as a result of neuropathy, which decreases sensation and the ability to feel temperature, pain, or trauma. Because of diminished sensation, the patient may continue to walk—making the injury worse.

People with neuropathy (especially those who have had it for a long time) are at risk for developing Charcot foot.

In addition, neuropathic patients with a tight Achilles tendon have been shown to have a tendency to develop Charcot foot.

Symptoms

The symptoms of Charcot foot may include:

  • Warmth to the touch (the affected foot feels warmer than the other)
  • Redness in the foot
  • Swelling in the area
  • Pain or soreness

Diagnosis

Early diagnosis of Charcot foot is extremely important for successful treatment.

To arrive at a diagnosis, the surgeon will examine the foot and ankle and ask about events that may have occurred prior to the symptoms.

X-rays and other imaging studies and tests may be ordered. Once treatment begins, x-rays are taken periodically to aid in evaluating the status of the condition.

Non-Surgical Treatment

It is extremely important to follow the surgeon’s treatment plan for Charcot foot. Failure to do so can lead to the loss of a toe, foot, leg, or life. Non-surgical treatment for Charcot foot consists of:

  • Immobilization. Because the foot and ankle are so fragile during the early stage of Charcot, they must be protected so the weakened bones can repair themselves. Complete non-weightbearing is necessary to keep the foot from further collapsing. The patient will not be able to walk on the affected foot until the surgeon determines it is safe to do so. During this period, the patient may be fitted with a cast, removable boot, or brace, and may be required to use crutches or a wheelchair. It may take the bones several months to heal, although it can take considerably longer in some patients.
  • Custom shoes and bracing. Shoes with special inserts may be needed after the bones have healed to enable the patient to return to daily activities—as well as help prevent recurrence of Charcot foot, development of ulcers, and possibly amputation. In cases with significant deformity, bracing is also required.
  • Activity modification. A modification in activity level may be needed to avoid repetitive trauma to both feet. A patient with Charcot in one foot is more likely to develop it in the other foot, so measures must be taken to protect both feet.

When is Surgery Needed?

In some cases, the Charcot deformity may become severe enough that surgery is necessary.

The foot and ankle surgeon will determine the proper timing as well as the appropriate procedure for the individual case.

Preventive Care

The patient can play a vital role in preventing Charcot foot and its complications by following these measures:

  • Keeping blood sugar levels under control can help reduce the progression of nerve damage in the feet.
  • Get regular check-ups from a foot and ankle surgeon.
  • Check both feet every day—and see a surgeon immediately if you notice signs of Charcot foot.
  • Be careful to avoid injury, such as bumping the foot or overdoing an exercise program.
  • Follow the surgeon’s instructions for long-term treatment to prevent recurrences, ulcers, and amputation.

 

53 Comments

  1. MichaelNem

    buy cheap prescription drugs online: https://genericwdp.com/ buy prescription drugs online without

    Reply
  2. MichaelNem

    usa pharmacy india: https://genericwdp.com/ prescription drugs online without doctor

    Reply
  3. eieetqrsib

    Muchas gracias. ?Como puedo iniciar sesion?

    Reply
  4. Richardtak

    viagra cost cost of viagra
    best over the counter viagra

    Reply
  5. Terrymic

    ed pills without a doctor prescription buy ed drugs
    cheap ed pills usa

    Reply
  6. Terrymic

    ed pills online cheap ed pills usa
    ed pills without a doctor prescription

    Reply
  7. Terrymic

    cheap ed pills usa the best ed pill
    cheap ed pills usa

    Reply
  8. ElmerDum

    buy ed pills from canada cheap ed pills usa
    prescription drugs online without doctor

    Reply
  9. BillyLipsy

    levitra pills: viagra pills best erectile dysfunction pills review

    Reply
  10. BillyLipsy

    cialis pills: ed meds generic viagra pills

    Reply
  11. asmr https://0mniartist.tumblr.com

    This is really fascinating, You are an excessively skilled blogger.
    I have joined your feed and sit up for in search of more of your magnificent post.
    Additionally, I have shared your site in my social networks 0mniartist asmr

    Reply
  12. asmr https://0mniartist.tumblr.com

    Quality posts is the key to invite the visitors
    to pay a visit the site, that’s what this web
    page is providing. asmr 0mniartist

    Reply
  13. 0mniartist

    Howdy! I know this is somewhat off topic but I was wondering if you knew where I
    could get a captcha plugin for my comment form? I’m using the same blog
    platform as yours and I’m having problems finding
    one? Thanks a lot! 0mniartist asmr

    Reply
  14. JamesCag

    over the counter viagra cvs no prescription viagra buying viagra online without prescription

    Reply
  15. Claudhaw

    diflucan online australia: diflucan generic – diflucan 6 tablets

    Reply
  16. http://bitly.com/

    Greetings! Very helpful advice within this article! It’s the little changes
    that make the most important changes. Thanks a lot
    for sharing! asmr 0mniartist

    Reply
  17. Claudhaw

    prescription for amoxicillin: amoxicillin azithromycin – amoxicillin buy no prescription

    Reply
  18. Claudhaw

    doxycycline hyc: cheap doxycycline – buy doxycycline online uk

    Reply
  19. bitly.com

    It’s a pity you don’t have a donate button! I’d definitely donate to this
    fantastic blog! I guess for now i’ll settle for bookmarking and adding your RSS feed to my Google account.
    I look forward to fresh updates and will share this blog with my
    Facebook group. Chat soon! asmr 0mniartist

    Reply
  20. Claudhaw

    diflucan coupon canada: buy diflucan – can you purchase diflucan

    Reply
  21. Robertenemn

    furosemide 40 mg: cheap furosemide – lasix furosemide

    Reply
  22. Robertenemn

    metformin from mexico to us: metformin – metformin cost

    Reply

Submit a Comment

Your email address will not be published. Required fields are marked *

Pin It on Pinterest

Share This