Thursday, June 28, 2012

Charcot Bait-sics

There’s not a lot on the Internet about Charcot Foot, so here’s some basic facts and warnings.
The chief "precondition" is diabetes.
The second "precondition" is a foot injury, usually a broken bone that neuropathy in the diabetic ma prevent the diabetic from realizing.
The chief symptom is massive foot swelling, usually with no pain or very little.
Other symptoms will usually include elevated temperature in the swollen foot, up to 7 degrees Celsius from the unaffected foot.
The "old" feet smell" may be pervasive even when the foot is clean. I took to spraying my foot with Right Guard.
The swelling may get larger or recede on its own throughout the day. Be aware that your shoes may not fit correctly and could cause cuts or abrasions that could infect easily. The changes in swelling can also infect the skin, including potential for splits or pits as the skin expands and contracts.
If the patient does have broken/fractured bones, se must stay off the foot. If the bones are not given opportunity to heal, they can poke through the foot from the inside.
The patient should see a competent podiatrist regularly. Tell the doctor about any drugs being taken, including anti-inflammatory drugs such as prednisone.
Taking anti-inflammatory drugs is not particularly a good idea if there are broken bones. The swelling protects the broken bones.
Ask your podiatrist or other doctor about bone-solidifying drugs usually prescribed for osteoporosis. This could limit or prevent bone density loss during the healing process.
If you must have some mobility, a Crow boot will buffer the ankle mush more effectively than a flexible cast boot.
Charcot foot is something of an exotic or esoteric condition and is not well known outside the medical circles of diabetes and foot specialists. Go right to pone of those specialists or a sports medicine practice rather than to an urgent care center. Well intentioned doctors who do not recognize the true problem can do you grievous harm.
Do not, under any circumstances, allow any doctor or medical person (or anyone else) to insert anything into the foot, not to drain the swelling or extract to test for infection or any other reason, no matter how reasonable it sounds. The risk of infection is too high, and any infection exponentially increased the chance for immediate amputation. If you see any treating professional coming at your foot with a needle, kick them in the face (with your good foot, of course.) Those professionals will have long forgotten jabbing you when you’re on the operating table having your foot sawed off.

1 comment:

  1. My guess would be some type of nerve or tendon damage, either of which can "transfer" pain. I am a pro-active patient and NOT a doctor, so please keep that in mind. Be seen by a good podiatrist regularly until you are recovered from Phase 2. Speedy recovery!
    JK

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