There is a condition that is called Charcot foot which
although rare, it can occur in diabetic patients. It is a process where your
bones will actually break down and rebuild themselves into a new formation. You
can think of it the same way you think of a little kid with a set of legos that
builds up one object and then takes those same legos and builds something else.
When this process begins to happen, your foot will get red
and hot. One of the ways that we are able to tell this condition is occurring
is to check the temperature of your legs and feet and compare them to one
another. If it is determined that you do have Charcot, all we can really do is
wait until your body has gotten through the acute stage and is remodeling
itself. Once your foot has settled down, we are able to begin to take action.
Depending upon the shape of your foot, there is a boot
called a CROW boot that is specifically made for people with Charcot. This boot
is actually molded to your foot to help protect it from additional pressure and
prevent you from forming an ulcer in an area of increased pressure. This boot
will also serve as an extra form of protection for your foot from external
things like stubbing it into a door.
However, in some instances, you may develop a pressure point
in an area where the bone is protruding outward. In this case, you may need to
have a surgery to remove this extra bump to help prevent you from getting an
ulcer. These procedures are straightforward in that the bump will be removed
and then you will be fitted for a CROW boot or a diabetic shoe dependent upon
the appearance of your foot after the surgery.
In some cases, more in-depth surgical procedures will need
to be performed if the arch of your foot collapses. In these cases, your
podiatrist will discuss with you the proper surgical procedure for your type of
foot.
If you notice that one or both of your legs is red, hot
and swollen, please go and see your podiatrist immediately. There are several
conditions that can cause your foot to appear this way and we do not want the
condition to become worse if it can be avoided. If you live in the North
Reading or Reading, Massachusetts areas, Dr. Wachtel would be more than happy
to see you and help you determine the cause of your foot condition. We are also
happy to announce our Methuen and North Andover offices located at 451 Andover
St. Suite 300, North Andover MA 01845 and 87 Jackson St, Methuen, MA 01835.
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