Charcot foot

Charcot’s foot is often found in diabetic patients that exhibit peripheral neuropathy. We generally see this in diabetics that have been diagnosed for some time and who have poor blood sugar control. As there is little feeling in the foot as a result of the neuropathy the patient can break a bone and not even be aware of it.
The patient usually presents with one foot slightly swollen and it is quite warm the pulses are good and no complaints of pain are usually made. As time goes by a deformity will start to develop and the arch of the foot will start to collapse as the foot collapses and changes shape so to does the pressure distribution around the foot this can lead to areas developing extreme pressure which may lead to the development of ulcers (areas where due to pressure the skin breaks down).
One of the main things a diabetic patient who suffers from neuropathy must realise that they should avoid any possibilities of injury to the foot, as potentially it may lead to the development of charcot’s foot. they should check their feet daily with the use of a mirror if necessary. Should they notice any changes they should report it to their Podiatrist as soon as possible. This is one of many reasons as to why diabetic patients should be monitored regularly by a Podiatrist.


  Charcot feet  



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Page last updated 14 October, 2007