Not only foot diabetes , which is a “subscription disease” of diabetics. Did you know about Charcot’s feet that many people with diabetes experience? Just like diabetic feet, Charcot’s feet or joints also make the area of the feet and ankles the main target. To be more understanding, peel thoroughly around the feet of Charcot through the review below, yes!
What causes Charcot’s feet?
Charcot arthropathy, or more familiarly known as the Charcot foot or Charcot foot is a condition that results in bones, joints, and soft tissue in one or both legs not feeling anything aka numb. Gradually, the leg bones will weaken so that it is very susceptible to fractures and dislocations (the position of the bones shifts).
The condition of increasingly weakened leg bones can make the leg joint easily dislocated, which then changes the shape of the foot. As a result, the legs look downward curved or called the rocker-bottom foot (see picture).
The main cause of loss of sensation in the legs is due to nerve damage, called peripheral neuropathy . Although most Charcot foot conditions are more experienced by people with diabetes, some of these also contribute to nerve damage to the legs:
Abuse and dependence on alcohol and illegal drugs
Spinal nerve injury
Damage to the peripheral nerves (nerves outside the brain and spinal cord)
Broken or dislocated fractures that are not treated immediately
Wounds in the legs that don’t heal
Infection and inflammation of the legs
Not infrequently, Charcot foot can cause injuries that are quite difficult to cure. If not treated immediately, this condition risks causing deformation, leg defects, and must be amputated.
What are the symptoms of Charcot’s foot?
Generally, Charcot foot will cause symptoms such as swelling in the legs, redness, until the feet feel warm to the touch. However, all these symptoms usually do not appear at once, but develop gradually.
At this initial stage, symptoms are characterized by the appearance of significant redness and swelling in the legs and wrist. After that, the foot area starts to feel hot when touched. This is because of the soft tissue swelling and fractures inside the legs.
Next, a bone bulge appears on the bottom of the foot which makes it appear flat. If not treated immediately, this process can continue to last for a long time.
After passing the changes that occur in stage 1, then the body continues by restoring itself to damage to the feet. Damage to joints and bones begins to improve, which eventually swells, redness, and warm sensations no longer develop.
At this stage there has been no significant development in the legs. But unfortunately, the condition of the foot still cannot return to its original shape. Finally, the shape of the foot looks abnormal.
How to treat this condition?
The aim of the treatment for Charcot’s foot condition is to relieve swelling and a heat sensation, while keeping the shape of the foot not changing. As much as possible, you should avoid giving excessive pressure to the feet to avoid more severe damage.
You can do the following treatments to help stop the development of Charcot foot:
Wear special boots and other protectors on the feet
Reduce pressure that is too heavy on the foot, such as by using a wheelchair, crutch stick , or scooter
Using orthotic legs
Using casts placed on the feet
Even though you have taken care in such a way as to maintain your feet, don’t forget to keep checking your doctor regularly. In cases that are already quite severe, surgery may be the best way to go for a doctor. Especially when treatment that has been done before does not show positive results.
After being declared cured, you usually still need to use therapeutic shoes or diabetic shoes to prevent possible recurrence of Charcot’s foot later on. These shoes are indeed reserved for those of you who experience injuries or nerve damage to the feet.