Management Team

Charcot foot

Overview

Charcot foot, also known as Charcot arthropathy, is a condition affecting people with significant nerve damage (neuropathy), causing weakening of the bones in the foot. Initially, you may not notice any symptoms; however, as the condition advances, the bones become fragile enough to fracture. Continued weight-bearing can cause the foot to change shape over time. As the disorder progresses further, the joints may collapse, resulting in an abnormal shape of the foot characterised by a rocker-bottom foot deformity.

It is a common condition for people with diabetes. However, other causes, including spinal cord disease or injuries, alcohol abuse, Parkinson’s disease, infection, and HIV infection, can also cause nerve damage.

  • Swelling
  • Warmth (the affected foot often feels warmer than the unaffected)
  • Changes in foot colour.
  • Changes in foot shape.

Consists of two types: nonsurgical & surgical treatment. Nonsurgical treatment comprises:

  1. Immobilisation
  2. Custom shoes and bracing
  3. Activity modification

Successful treatment can be achieved by early diagnosis of Charcot foot. Doctors will examine the foot X-rays and other imaging scans. Charcot foot can be prevented by controlling blood sugar levels and undergoing regular checkups with a foot and ankle surgeon.

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