Who Might Have Charcot?

There are some 24 diseases that cause Charcot Foot to become more distructive. The following list of diseases by Ali Nawaz Khan MBBS Riyadh, Saudi Arabia appeared in an article in emedicine on Feb. 21, 2007.

* Diabetes
* Use of Corticosteriods
* Alcoholism
* Trauma
* Infection
* Amyloidosis
* Prenicious anemia
* Syphilis
* Syringomyelia
* Spina Bifida
* Myelomeningocele
* Leprosy
* Multiple Sclerosis
* Congenital vascular disease
* Charcot-Marie-Tooth disease
* Cord compression
* Asymbolia
* Connective disorders, such as rheumatoid arthritis and sclerodema
* Ehlers-Danlos syndrome
* Raynaud disease
* Adrenal Hypercorticism
* Thalidomide Embryopathy (congenital Arthropathy in offspring of exposed mothers)
* Paraneoplastic sensory neuropathy
* Cauda Equine Lipoma

Since diabetes heads the list, diabetics need to be aware that this article says 15% of the diabetic population has Charcot Foot and a 2004 University of Washington study states that 1/600-700 diabetics with diabetes mellitus neuropathy has Charcot Foot.

Charcot is, apparently, difficult to diagnose and is very often miss diagnosed as arthritis. One needs to find a Charcot knowledgeable professional. A podiatrist DPM, or a foot and ankle specialist (surgeon) DPM, FACFAS who is able to diagnose correctly.

Since neuropathy is a loss of sensation in the foot, one is unable to detect painful sensations. A doctor once told me a patient came into her office unable to remove his shoe and couldn’t understand why. When she looked at the bottom of the shoe she found a nail. It had gone through the shoe and well into his foot. It was removed and the shoe taken off to reveal a traumatic situation. Because of Neuropathy much goes undetected that could save the foot and individual from pain.

If you don’t have someone to help you check your feet, place a mirror on the floor that can be used to check your feet daily. Also, avoid going bare foot.

Brought to you by Charcot Awareness Education Foundation