[Previous Months][Date Index][Thread Index][Join - Register][Login]
[Message Prev][Message Next][Thread Prev][Thread Next]

Re: [IP] Charcot's Foot

According to "The Uncomplicated Guide to Diabetes Complications", published
by the ADA:

"Charcot's (shar-kos) joints are an uncommon but potentially serious
complication of diabetes. This disorder is characterized by the sudden and
unexpected development of redness, swelling, increased warmth, mild to
moderate aching, and an inability to fit into your regular shoes. If this
should happen, stay off the foot, and see your provider at once because
several weeks or months later, the arch will collapse. You may have good
circulation and strong pulses in the foot, but you probably have loss of
feeling. Most people go to their doctor with the chief complaint that their
foot is red and swollen. From seemingly minor injury may come a cascade of
events that result ultimately in severe fractures and dislocations of
multiple joints in the middle of the foot and ankle. When the middle of the
foot has collapsed, there is deformity, with a rocker-bottom configuration
of the foot and increased pressure on the bottom of the foot. This often
results in ulceration of the skin. The foot can become so deformed that
walking is difficult. Special footwear is important for this condition."

High risk factors are listed as people with diabetes for more than 10
years, who have loss of sensation in their feet, and are in their 50's and
60's. People with eye, kidney or nerve complications "appear to be at the
greatest risk for the development of bone and joint destruction".

According to this same source, the treatment is to "stop bearing weight on
the foot", using specially applied cast or other devices. Continuing to
walk on the foot will likely result in fractures and deformities noted above.

Sorry for the lengthy quote, but I think this is important. As we know,
problems with the feet and extremities are *very* important.

Bob Burnett

mailto:email @ redacted

- ----------------------------------------------------------
Insulin Pumpers website http://www.insulin-pumpers.org/
for mail subscription assistance, contact: HELP@insulin-pumpers.org