About Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Charcot Foot

Font : A-A+

About

Charcot foot is a condition commonly affecting diabetes patients leading to destruction of bones of the feet and bony deformities.

Charcot Foot

Charcot foot is a condition characterized by progressive deterioration of a weight-bearing joint of the foot. It results in significant destruction of the bony architecture of the foot, resulting in fractures and deformities. It is also known as diabetic neuropathic osteoarthropathy or neuropathic arthropathy. It can progress rapidly without treatment and results in ulcers, deformity and may even require amputation in some cases.

Advertisement

The condition was described by Charcot in 1868 in a patient with syphilis. However, the most common cause of Charcot foot is diabetes. Its incidence is as high as 13% in high-risk diabetes patients. Most of these patients have a poor control of their diabetes.

Charcot foot develops due to loss of sensation in the foot. Diseases affecting the nerves like diabetes make a person insensitive to trauma, i.e., even if the person hits something with his foot, he is unable to feel the pain and tends to ignore the wound. Repeated trauma could thus result in Charcot foot. Another theory suggests that changes in the blood vessels could contribute to the development of Charcot foot.

Other conditions that affect peripheral nerves can also cause neuropathic arthropathy. These include leprosy, syringomyelia (a condition that affects the spinal cord), exposure to toxic substances, polio, multiple sclerosis, injury and advanced syphilis. In the earlier days when syphilis was common, the disease often affected the knee. Syringomyelia was commonly associated with disease of the shoulder.

Advertisement

Conditions that trigger the development of Charcot fool include infection of the subcutaneous tissues, bones or synovium (tissues lining joints), foot surgery and kidney transplant surgery.

Acute symptoms usually include increase in warmth, swelling and redness of the foot. Pain is usually disproportionately less as compared to the degree of damage. Long-term Charcot foot results in deformities of the foot and repeated ulceration.

Charcot foot is usually diagnosed based on history and clinical examination of the patient. Radiological tests are useful in diagnosing the condition as well as monitoring response to treatment.

Acute symptoms of Charcot foot are treated with immobilization, followed by use of custom-made shoes to prevent repeated ulceration. Deformities are sometimes treated with surgery.

References:

  1. Botek G, Anderson MA, Taylor R. Charcot neuroarthropathy: An often overlooked complication of diabetes. Cleveland Clinic Journal of Medicine 2010; 77(9):593-99.
  2. Robert A. Slater DPM, Yoram Ramot MD, Andreas Buchs MD and Micha J. Rapoport MD. The Diabetic Charcot Foot. IMAJ 2004;6:280-283
  3. Sommer TC, Lee TH. Charcot Foot: The Diagnostic Dilemma. Am Fam Physician 2001;64:1591-8.
  4. Caputo GM, Jan U, Cavanagh PR, Juliano P. The Charcot Foot in Diabetes: Six Key Points. Am Fam Physician. 1998;57(11):2705-2710.

Latest Publications and Research on Charcot Foot

Citations   close

Please use one of the following formats to cite this article in your essay, paper or report:

  • APA

    Dr. Simi Paknikar. (2014, July 26). Charcot Foot - Symptoms - Diagnosis Treatment - FAQs. Medindia. Retrieved on May 22, 2022 from https://www.medindia.net/patients/patientinfo/charcot-foot.htm.

  • MLA

    Dr. Simi Paknikar. "Charcot Foot - Symptoms - Diagnosis Treatment - FAQs". Medindia. May 22, 2022. <https://www.medindia.net/patients/patientinfo/charcot-foot.htm>.

  • Chicago

    Dr. Simi Paknikar. "Charcot Foot - Symptoms - Diagnosis Treatment - FAQs". Medindia. https://www.medindia.net/patients/patientinfo/charcot-foot.htm. (accessed May 22, 2022).

  • Harvard

    Dr. Simi Paknikar. 2021. Charcot Foot - Symptoms - Diagnosis Treatment - FAQs. Medindia, viewed May 22, 2022, https://www.medindia.net/patients/patientinfo/charcot-foot.htm.


Do you wish to consult an Orthopedic Doctor for your problem? Ask your question

Dr. Nitinkumar Singh
Dr. Nitinkumar Singh
MBBS, D.Ortho
8 years experience
Teleconsult Now View Profile
Dr. Santosh Kadam
Dr. Santosh Kadam
MBBS, DORTHO
7 years experience
Ashirwad Hospital, Vidhya Nagar
Teleconsult Now View Profile
Dr. Rakesh Kumar Sharma
Dr. Rakesh Kumar Sharma
MBBS, MS, PGDHA
38 years experience
Teleconsult Now View Profile
Dr. Deepak Nalla
Dr. Deepak Nalla
MBBS, MS, Fellowship in Joint Replacement, Fellowship in Arthroscopy and Sports Medicine
9 years experience
Teleconsult Now View Profile
View All

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.

Advertisement
Health Topics A - Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z



    Advertisement
    What's New on Medindia
    Prevent Hacking of Medical Devices: FDA Sounds Alarm
    Black Water: Benefits and Uses
    World Hypertension Day 2022 - Measure Blood Pressure Accurately, Control It, Live Longer!
    View all
    Advertisement

    Medindia Newsletters Subscribe to our Free Newsletters!
    Terms & Conditions and Privacy Policy.

    Most Popular on Medindia

    Diaphragmatic Hernia Blood Donation - Recipients How to Reduce School Bag Weight - Simple Tips Nutam (400mg) (Piracetam) Noscaphene (Noscapine) Accident and Trauma Care The Essence of Yoga Find a Doctor Loram (2 mg) (Lorazepam) Vent Forte (Theophylline)

    Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

    © All Rights Reserved 1997 - 2022

    This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use