THE CHARCOT FOOT IN DIABETES - 6 KEY POINTS

The Charcot foot commonly goes unrecognized, particularly in the acute phase, until severe complications occur. Early recognition and diagno sis, immediate immobilization and a lifelong program of preventive car e can minimize the morbidity associated with this potentially devastat ing complication of diabetic neuropathy. If unrecognized or improperly managed, the Charcot foot can have disastrous consequences, including amputation. The acute Charcot foot is usually painless and may mimic cellulitis or deep venous thrombosis. Although the initial radiograph may be normal, making diagnosis difficult immediate detection and immo bilization of the foot are essential in the management of the Charcot foot. A lifelong program of patient education, protective footwear and routine foot care is required to prevent complications such as foot u lceration.