Treatment of charchot foot

Stay off the foot: Would be most important. Do not walk on an active charcot foot. Some docs believe in giving bisphosphanate therapy though there is no conclusive evidence it is effective. Some docs believe in using circular frames, the most important thing is to actually make an early diagnosis and then stay off of it. This is what has been successful in my practice. Oftentimes, that could be many months.

Rest & Stabilize: Charcot foot, or neuropathic arthropathy is best diagnosed and treated early. You want to rest and stabilize the foot. This can include bedrest and often immobilization. Reconstructive foot surgery to remove bone prominences that may lead to ulceration or stabilizing the foot (arthrodesis) are sometimes necessary.

Walking cast: The good news is that you can weight bear in a total contact cast, even in the early stages of charcot foot. Non-weight bearing is not necessary if you are comfortable walking in the total contact cast. See the following: pinzur ms et al., treatment of eichenholtz stage i charcot foot arthropathy with a weightbearing total contact cast. Foot ankle int. (2006) 27:324-9.

Charcot foot: will need lots of time for healing... whether its treated conservatively or surgically. There are many excellent treatment options available and after following all doctors orders you are sure to have good results. Best wishes!

CROW Walker: Hello, Ultimately the goal of surgical reconstruction is to be able to prevent a below the knee amputation and for the patient to be able to ambulate in a brace/CROW walker without further ulceration.