Chiropodist - Cambridge
366 Hespeler Road Unit #12
Cambridge, Ontario N1R 6J6

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Posts for tag: Charcot Foot

    We hope everyone has been enjoying this warmer weather- we sure have been! With warmer weather comes barefoot fun; walking on the beach, running through freshly cut grass, and swimming.  Unfortunately, with warmer weather, there is also a spike in diabetic foot complications.

 Let’s discuss a major problem that can occur in longstanding diabetics- Charcot Foot Syndrome (CFS) or Charcot osteoarthropathy. This condition is progressive, and if left untreated can result in severe foot deformity, often called rocker bottom foot. A rocker bottom foot looks exactly like the convex surface of the bottom of a rocking chair. This is great for rocking, but not great for walking. Let’s take a look at how CFS occurs and how we can help to prevent it.

How does it happen?

CFS does not happen overnight. Usually, it occurs in longstanding diabetics who lack sensation in their feet. Without sensation, these patients do not typically feel much pain. Therefore, a diabetic may not notice an injury as quickly as the rest of the population.  This is how CFS starts.  An injury, such as a stress fracture, goes unnoticed, and therefore untreated.  Often, even when a patient presents with a red hot swollen foot, a health care practitioner prescribes an antibiotic without ordering an X-ray, thinking it is the beginning of a diabetic foot infection.

If this initial injury is not recognized, and immobilization is not undertaken, then deformity can ensue.  Once the swelling goes away and the foot shape starts to change, this is a sign that CFS is progressing. This is a stage we really all want to avoid- so let’s discuss how to do just that!

How to recognize a foot injury

As diabetics, you hear all too often the dangers of ulceration, and the higher risk of amputation. The nice thing is the same rules apply for CFS as for avoiding ulceration. These include:

  • Check your feet at the end of each day
  • Try not to walk barefoot.
  • Wear shoes indoors.
  • Wear white socks so you will recognize bleeding points
  • Have a biomechanical assessment to identify problems and get orthotics
  • And most importantly: if you notice discoloration, swelling or heat, get to your chiropodist, physician or emergency department IMMEDIATELY. And, if CFS is not mentioned, advocate for your own health and express your concerns with healthcare practitioner!

Have a safe and happy summer everyone and contact us at 519-624-4122 for all of your footcare needs

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366 Hespeler Road
Cambridge, Ontario N1R 6J6

Chiropodist - Cambridge, Douglas C. Broad, D.Ch, 366 Hespeler Road, Cambridge Ontario, N1R 6J6 519-624-4122