Collier Edition

Charcot Foot Deformity Why Diabetics Should Be Concerned

Michael J. Petrocelli, D.P.M., F.A.C.F.A.S., C.W.S.P.
Board Certified Ankle and Foot Surgeon and Board Certified Wound Care Specialist

Charcot Foot Deformity Why Diabetics Should Be ConcernedOver 6 million people in the United States have Type II Diabetes.  Along with this diagnosis, come many secondary disorders and complications.  One of the main side effects of the disease is nerve damage due to high blood sugar.  The most common area of the nerve damage is in the feet.  Due to poor circulation and nerve disruptions, a loss of feeling in the ankles, feet, and toes is widespread among people with diabetes.

Charcot foot arthropathy is a debilitating complication that is often overlooked and underdiagnosed because patients are unaware of the damaged bones within their feet.

Charcot Foot & Ankle Symptoms:
• Warmth
• Redness
• Swelling
• Little to no Pain (nerve damage)
• Blisters
• Ulcers
• Non-healing wounds
• Deformed ankles
• A “rocker-bottom” or convex appearance of the bottom of the foot

Typically patients will have undetected tiny fractures in their feet, and they continue to walk on the damaged bone structures, causing them to crush and break under the pressure and weight of the body.  This causes the joints to give way and leads to significant deformity.  If Charcot’s is not caught early on, it is very difficult to treat and can lead to amputation.  Anyone with diabetes must pay close attention to the health of his or her feet to avoid this disorder.

Charcot’s Non-Surgical Treatment:
• Casting
• Bracing
• Custom shoes

Total immobilization is critical in allowing the bones of the feet to heal properly.

Charcot’s Surgery Treatment:
• Removing bone growths
• Repositioning
• Stabilizing bone structure with plates and screws
• Amputation—Only if infection is uncontrollable

Preventing Charcot’s arthropathy is essential for diabetics.  You must inspect your feet daily, keep your blood sugar levels under control and see your podiatrist on a routine basis for check ups.

Collier Podiatry
Dr. Michael Petrocelli has been practicing podiatric medicine for well over 20 years. He is an expert in his field and a leader to his peers. If you are experiencing any foot pain or foot conditions, please contact Collier Podiatry.

Their kind and well-trained staff are ready to answer your questions and concerns and get you back on your feet again.

Collier Podiatry is available to answer your questions and make your appointment. Please visit their website at, or call them at (239) 775-0019

NCH Countryside Commons
1715 Heritage Trail, Suite 204
Naples, FL 34112
Phone: (239) 775-0019
Fax: (239) 775-0219

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