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Learn about the dangers of Charcot foot.
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shco foot also known as sharco
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osteoarthropathy or neuropathic joint
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disease what is sharco foot this
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condition is a chronic progressive and
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destructive process that affects the
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bones and joints of the foot what causes
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sharco foot today in the industrialized
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World diabetes is the number one cause
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of sharco foot the problem is due to
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lack of proprioception the inability to
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feel the ground that you are walking on
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stages of shco foot progression the shco
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foot disease process is generally broken
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down into three
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stages stage one is the acute
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destructive stage which is typically
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characterized by profound swelling of
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the foot increased temperature and
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increased redness actually due to
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increased circulation to the foot which
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often mimics infection the acute stage
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is the most critical in terms of
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treatment in other words the earlier
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treatment is initiated the less damage
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that will result stage two is often
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referred to as the Subacute stage
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evidence during this stage is reduced
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edema reduced temperature and redness
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and the absorption of the bone and
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cartilage fragments along with healing
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of any
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fractures stage three is then referred
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to as the chronic stage the body trying
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to further remodel the foot in an effort
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to stabilize the foot and restore joint
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and Bone function car characterizes this
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stage the problem here is that the
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damage has already been done the Damage
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Done consists of a foot that no longer
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functions in a normal gate cycle because
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of the abnormal shape of the foot there
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is usually excessive pressure points on
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the skin that will eventually break down
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and ulcerate out prevention of shco foot
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early detection and treatment is the key
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to avoiding excessive damage inspecting
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your feet regularly for any abnormal
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appearance of swelling is important
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regular medical checkups from both your
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medical doctor and podiatrist is equally
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important in the case of suspected shco
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foot should you notice a difference
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between your two feet shco usually
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occurs in one foot such as one foot is
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more swollen warmer to touch or more red
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than the other foot this should be
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brought to the immediate attention of
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your doctor treatment for a shco foot
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casting and immobilization treatment
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consists of immobilization and if
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possible non-weight bearing on the
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affected foot in an effort to curtail
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any further
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destruction we use what is known as a
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total contact cast which is cast or boot
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that is molded to the bottom of the foot
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to provide even distribution of body
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weight over the entire bottom of the
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foot and therefore to create even
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pressure on the foot to prevent further
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breakdown depending on the acuteness of
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the stage and other factors such as
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inadequate blood sugar control obesity
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and patient compli cents total contact
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casting may be necessary anywhere from 6
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weeks to several months medication in
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addition to immobilization a class of
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drugs known as bif phosphinites
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pamidronate are being used intravenously
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to help heal the bone fractures that
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occur medication would be used during
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the first two phases of the disease bone
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stimulators in addition to medication
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there has been some experimentation with
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bone stimulators to also heal the
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pathological fractures that occur this
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would also be indicated during the first
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two phases of shco foot molded shoes
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treatment for the end result of the
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Damage Done usually requires special
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shoes that are molded to the newly
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deformed foot in an effort to protect
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bony protrusions and to prevent further
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breakdown even though the inflammatory
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part of the disease has diminished we
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now are left with a poorly functioning
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foot which in itself is subject to
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further
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breakdown surgery if there are parts of
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the foot that are left severely deformed
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many times surgical intervention will be
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indicated in an effort to remove any
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excess bony prominences and to fuse any
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weakened joints to prevent further
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degradation of the foot most of the
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resulting problems are located on the
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bottom of the foot for the complete
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article visit
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www.f t-p a n- x p a i n d.com c RC o
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tore F t. HTML
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