Over 25 Diseases Make Charcot Worse

I often am asked,” What makes Charcot worse?” There are at least 24 diseases that cause Charcot to become worse and most recently I came across a gentleman that told me he was diagnosed with Restless Leg Syndrome and has Charcot.

I asked a specialist on steroids why Corticosteriod use was number two on my list of things that make Charcot worse? He said, “because it depletes calcium in ones system, thus weakening the bones”. My husband has COPD and Corticosteroids are used a lot with this condition.

Diabetes heads the list that causes Charcot to become worse. I often spend much of my time with it as I am also a diabetic. Now that the Diabetic association calls the foot deformity problem “Diabetic (Charcot) Foot.” This is quite a change after talking with them the first time when they asked me, “Who manufactured Charcot”.

The following list of diseases by Ali Nawaz Khan MBBS Riyadh, Saudi Arabia appeared in an article in e-medicine on Feb. 21, 2007. I added and Corticosteroid use and Restless Leg Syndrome.

  • Diabetes
  • Use of corticosteroids
  • Alcoholism
  • Trauma
  • Infection
  • Amyloidosis
  • Prenicious anemia
  • Syphilis
  • Syringomyelia
  • Spina bifida
  • Myelomeningocele
  • Leprosy
  • Multiple scierosis
  • Congenital vascular disease
  • Charcot-Marie-Tooth disease
  • Cord compression
  • Asymbolia
  • Connective disorders, such as rehumatoid arthritis and sclerodema
  • Ehlers-Danlos syndrome
  • Raynaud disease
  • Adrenal hypercorticism
  • Thalidomide embryopathy (congenital arthropathy in offspring of exposed mothers)
  • Paraneoplastic sensory neuropathy
  • Cauda equina lipoma
  • Restless Leg sSyndrome
  • Since diabetes heads the list, diabetics need to be aware that this article says15% 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. Layolia University now says 4 million diabetics in the US have Charcot and will lose their feet to amputation because they will be misdiagnosed or not diagnosed in time to save their feet. A retired Diabetic nurse educator told me, “anyone with peripheral neuropathy long term, 10 years or more will have Charcot Foot Deformity. Their care, observation skills, and their willingness to seek Knowledgeable medical help, will determine whether or not they will be an amputee.”

    Charcot is, apparently, difficult to diagnose and is 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, one is unable to detect pain or its source. 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. Pain is a warning sign, but those with neuropathy don’t get the message.

    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.

    Message by the Founder Annita Shaw

    Brought toby Charcot Awareness Education Foundation