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Charcot Foot - Causes and Treatment
Charcot Arthropathy is a degenerative disease of neurologic origin. Patient's with charcot's disease must closely monitor this problem. Jean Martin Charcot was the first physician to describe te disease in the 1880's. The first publication describing Charcot's Disease was in 1936. Today, Charcot Arthropathy is widely known as resulting from diabetes.Charcot Arthropathy afflicts the ankle joints and the foot most often. Those most at risk for this disease of the lower limbs have Type II Diabetes. About 80% of patients with this neurologic disorder neurologic disorder develop neuropathy.
Neurologic defects can affect patients in a number of ways. neuropathic arthropathy is either atropic (causing a limb to waste away) or hypertropic (causing a limb to swell). Atropic limbs are usually isolated to the front of the feet and can cause a wasting away of the bone tissue and toes. The hypertropic type afflict the mid-tarsal joints. Lisfranc articulation describes this form of atropy.
Though not common, there are also cases of articulation in the subtalar joint.
To treat Charcot Arthropathy, a correct diagnosis must first be made. Diagnoses become more difficult if trauma to the affected region is also involved. Early symptoms of Charcot Feet are feelings of warmness and edema. A physician must be careful to distinguish between Charcot apathy and cellulites, which has similar symptoms. Charcot Apathy, unlike cellulites, is not the result of infection and is not treatable with antibiotics. Chronic ulsers may be present with Charcot arthropathy.
In the early stages, X rays are usually unable to diagnose Charcot but MRI radiology is an effective diagnostic. Blood tests measuring white blood cell levels are also helpful.
Treatment options for Charcot Arthropathy include…
- Maintaining optimal glycemic levels
- Guarding against infectious agents
- Trying to avoid excess weight bearing on the affected areas
- Try to learn about the serious effects of this disease.
