Charcot foot is one of the most dangerous and destructive complications of diabetic neuropathy. It occurs when bones weaken due to increased blood flow (from autonomic neuropathy) and fracture during normal walking without the patient feeling it.
Charcot Foot Stages:
- Acute phase (Fragmentation): The foot becomes red, swollen, and very hot. Bones fracture and fragment. Often misdiagnosed as infection. Walking at this stage is catastrophic — it increases destruction.
- Transitional phase (Coalescence): Swelling begins to decrease and temperature drops. Bones start healing but in a deformed position.
- Chronic phase (Reconstruction): Bones heal in a deformed position — often flattened arch (rocker-bottom foot) creating new pressure points and ulcer risk.
Treatment:
Acute phase: Complete immobilization with TCC cast — absolutely no walking on the foot for 3-6 months. Chronic phase: Custom deep medical shoes with custom insoles to distribute pressure.
At BEIT TARIQ Center, we diagnose Charcot early and begin immobilization immediately to prevent permanent deformity.