ICD 10 - M14.679
Charcot foot is a neuropathic condition resulting in the weakening of the bones, the collapsing of the joints and the collapsing of the arch in the foot. The foot becomes weakened enough to fracture and change the morphology of the foot with continued walking. Charcot foot is usually the result of late stage Charcot-Marie-Tooth disease, but can also result from other neuropathies impacting the peripheral nerves like in diabetes.
- Past diagnosis with a peripheral neuropathic disease
- Warmth of the affected foot
- Swelling in the area
- Weakness and morphological change of the foot
To diagnose a patient, the clinician will examine the past history of the patient, their symptoms and the patient’s gait. Imaging studies may be ordered to evaluate the severity of the condition.
The fragility of the foot usually requires immobilization of the foot to prevent fractures and further collapse of the foot. Custom shoes, braces and orthotics are likely to be needed to help manage the condition and to increase the general quality of life for the patient. Daily checking of the feet for skin damage is necessary to prevent ulcers and possible amputation. Daily physical activity should be reviewed with the clinician to prevent possible trauma. Surgery may be necessary depending on the severity of the condition.