What is Charcot Foot?
Charcot foot is a pattern of bone and joint damage that can lead to foot deformity. Charcot foot begins with peripheral neuropathy, a disease of the nerves in the feet. Because your nerves do not function well, you may not sense pain when you injure your foot. You may break bones or damage joints without knowing it. If you keep walking on your injured foot, fractures can heal unevenly. This causes foot deformity. By catching Charcot early and staying off your feet during healing, you may be able to halt Charcot’s progress.
How Charcot foot Develops
With Charcot foot, minor fractures can lead to major problems if not treated early.
Acute Charcot foot begins when repeated small fractures are not felt. At first, there may be no visible signs of Charcot. If you keep walking on your foot, fractures become worse. Your foot may feel hot and appear red and swollen.
Chronic Charcot foot is deformity resulting from poor bone healing. Shoes may not fit the deformed foot. Chafing from a poorly fitting shoe can cause ulcers (open sores). Ulcers may become infected. Severe infection may require amputation.
Fractures begin to heal as Charcot foot progresses. But pressure from your body weight keeps bones from mending smoothly. Continued walking can cause new fractures. Your foot may still be red and swollen.
Working With Your Doctor
Your doctor will work with you to diagnose and treat Charcot foot.
Your doctor will inspect your feet for warmth, swelling, redness and loss of feeling. He or she will also check for deformity.
The temperature of your feet may be taken. A higher temperature in one foot can be a sign of Charcot in that foot. X-rays can check for bone damage. Bone biopsy can check for infection.
Treatment may include staying off your feet and using special devices or footwear. If infection is present, medication may be prescribed. In some cases surgery may be required.
Proper follow up care can help keep Charcot from reoccurring. Go to all your follow-up visits. Call your doctor if you have any questions or concerns.
Treating Charcot Foot
The only way to stop the progress of Charcot foot is to stay off the foot long enough for it to heal. Your doctor will prescribe treatment to help healing.
While fractures are healing, it is crucial that you keep your weight off your foot. This is called non-weight-bearing. Your doctor may ask you not to walk at all. Or, he or she may prescribe a special device. Remember: you often don’t feel pain with Charcot foot, so stay off your feet until your doctor says it’s OK.
Special Devices may help you keep weight off your foot. That way, your bones can heal smoothly. A cast lets you walk while keeping weight off your foot. A wheelchair, crutches, walker or brace may be prescribed to help you keep your foot raised while at home. An elastic bandage wrap or special stocking may also be suggested. This compresses your foot to reduce swelling and aid healing.
Custom footwear once your foot has healed, you may be fitted for custom shoes or inserts (orthotics). Custom footwear is specially made to fit the shape of your foot. This can help prevent ulcers caused by the rubbing from store-bought shoes. If custom footwear cannot stop ulcers from forming, surgery may be needed to correct the deformity.
Protecting Your Feet
Protect your feet from further harm. Always wear shoes and socks, even indoors. Test bath water with your elbow before stepping in. Go to your doctor for nail trimming. And check your feet daily for changes.Download PDF