Charcot Foot & Bony Prominence Management

Charcot foot is a destructive diabetic condition that weakens bone and destabilizes the foot.

Over time, this can create:

  • Collapse
  • Rocker-bottom deformity
  • Bony prominences
  • Recurrent ulcers
  • Infection
  • Limb loss

The foot and ankle are an anatomic region, and podiatry is the specialty dedicated to that region. Musculoskeletal conditions of the foot and ankle have long been part of comprehensive podiatric medicine. Podiatrists diagnose and treat these conditions using both conservative and surgical approaches. A foot and ankle physician can first evaluate the problem, establish the diagnosis, and determine the appropriate course of care. When additional expertise is needed, that care can be coordinated as part of the treatment plan.

Early podiatric evaluation is critical.

Why Charcot Requires More Than Wound Care

Many ulcers in Charcot feet are caused by underlying bone prominence.

Without addressing pressure and structure, wounds often return.

Podiatric Treatment May Include:

Offloading

Reducing pressure to allow healing.

Bracing

Protecting unstable segments.

Exostectomy

Removing bony prominences causing ulceration.

Infection control

Managing osteomyelitis or soft tissue infection.

Selective stabilization

In carefully selected cases.

When Referral to Tertiary Reconstruction Is Needed

Some severe Charcot deformities require advanced external fixation or major rearfoot reconstruction.

When necessary, Dr. Hoy coordinates referral to specialized reconstructive centers while continuing limb-preservation care.

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