I've got a patient with a Charcot's foot on the left and prosthetic limb on the right leg. The problem is that he is having an active charcot's foot with destruction of bone joints demonstrated on the xray film. Temperature mapping showed 3 degrees celsius significance difference as compared to the last mapping done 3 weeks ago.
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I've reinforced on the importance of non-weightbearing activities. However, patient stills weight-bear when he goes to the toilet only. He lives in a nursing home and I am keen to put him on a total contact casting.
My dilemma is that I'm afraid to put him at a higher risk of falling with a cast on the foot.
Any suggestions will be much appreciated.
Cheers.
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