Doctor insights on:
Charcot Foot Amputation
Cheating on what?: Cheating on what? Your diet? Your blood sugar levels? Maintaining low, level blood sugar levels will keep your nerves healthy and functioning, and will ensure you have your optimal healing potential. Uncontrolled blood sugar can lead to neuropathy, ulceration, infection, or amputation. ...Read more
Charcot Marie Tooth or CMT is a group of inherited disorders that affect peripheral nerves outside the brain and spinal cord. The peripheral nerves are damaged also known as neuropathy. More about Charcot Marie Tooth: https://www. Cmtausa. Org/understanding-cmt/what-is-cmt/ ...Read more
Series of steps: Anesthesia is provided, followed by tourniquet application. Skin is preserved to cover the amputation site, and all muscle-tendon tissues and blood vessels cut to expose the bone. A saw device is used to resect the bone and remove the amputated tissues. Closure of the skin flap is done to protect the exposed ends of the live tissue. ...Read more
Not much: It should not be enough to require a transfusion unless you are anemic beforehand. Your surgeon will use a tourniquet during surgery if he is concerned about blood loss. Many times an amputation is required because there isn't enough blood to a limb, in which case blood loss should be minor. ...Read more
Check circulation: Absolutely agree with medical treatment of diabetes being first and foremost in prevention of major amputations. One other thing to keep in mind is the high prevalence of vascular disease amongst diabetics. Consult with a vascular surgeon who can check your ankle-brachial index or toe pressures to figure out if you have significant arterial occlusive disease and to intervene when necessary. ...Read more
Hemifoot amputation: Surgeons vary in their times to do procedures and its no different for foot amputations. But with what I know about amputations, it should not take more then 1.5 hours in the average surgeons hands. ...Read more
Modify: You may have to modify your routine exercise. There will be certain limitation to consider. You want to avoid anything that causes further breakdown of your skin, leading to ulceration and further infections and amputations. Shoe modification is also very important. Depending on the level of the amp, you may need fillers to help. Also ask your doctor if any work is going to be done on your achilles. ...Read more
Why it is done: Healing in a foot amputations will be slow. If amputation is done on a normal healthy person like after a injury will heal with in 6 wk, but most of the foot amputations are done on diabetics, with poor circulation due to peripheral vascular diseases, with infections including gangrene of toes, will take months to heal. ...Read more
Phantom Limb: It is quite common for amputees to experience sensations on the removed limb. Many times it is pains, for others, it can feel different (itching for example). A study reported in nejm found that using a mirror to 'visualize' the removed body part actually helped resolve those sensations. Http://www. Nejm. Org/doi/full/10.1056/nejmc071927. No matter what, discuss things with your doctor or surgeon. ...Read more
How soon after amputation does physical therapy begin? When can I expect to begin physical therapy after my foot amputation? .
Immediately: Physical therapy and occupational therapy after a major amputation should start immediately to learn how to move around the house and do activities of daily living without using the affected leg. Once the wound is healed and the person is allowed to bear weight physical therapy changes the focus towards walking. This may be delayed by the need to have a custom fit device for walking. ...Read more
Mother, 66, had gangrene/ partial foot amputation, is not diabetic, had 3 stents in her legs due to poor circulation & heavy smoker. Life expectancy?
Statistically...: Unfortunately, these effects you describe don't just have an effect on the feet and legs. The effect vital organs are effected as well. 5 years has been reported as an expected life span after an amputation, but this is just an average. It could be more or less depending on many other lifestyle factors. ...Read more
My mother has lost her right big toe to gangrene due to diabetic foot. It has spread to remaining 4 toes all gone black. Can we avoid amputation?
Amputation: Probably not but please see an Orthopedic surgeon. ...Read more
Permanent: Usually when foot drop develops, it is permanent. Using foot orthodics can help. ...Read more
Where could one get shoes to fit a foot deformed by charcot osteoarthropathy, apart from a hospital?
See a Podiatrist: Extra depth accommodative shoes and custom shoes are available at many podiatry offices. With that type of condition, you would want to establish yourself with a podiatrist for outpatient care. If the dpm does not offer that service in his/her office, they typically will be working with an orthotist/pedorthist who can fabricate the shoes and inlays for you. ...Read more
I am in a wheelchair and have charcot-marie-tooth disease if I don' constantly move my feet get swollen I am already on diuretics what can I do?
Are there any light weight comfortable ankle foot orthosis's for charcot marie tooth disease besides the full hard plastic leg ones I have?
Yes: Their are braces these days made of carbon fiber which is very strong and very light weight. They use it to build jet fighters and racing cars amongst other things. Ask your PT if he/she can build your next orthotic brace out of it and if he can't get a hold of it use the net. Maybe Nike can help you. They are in Oregon and are involved in footwear. Might be great marketing opportunity for them! ...Read more
I am a 26 year old brittle diabetic male with severe charcot in the right ankle. What are my surgical options and non surgical options? Please help!
Many podiatrists...: Custom molded shoes are often prescribed by podiatrists. Your foot will be casted using a bivalve technique. Then the shoe manufacturer will have an exact replica of your foot. The shoe will then be custom made just for your foot! This is obviously a non-surgical option. ...Read more