Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Check Non-DM Neuropathic Foot foro Charcot

Discussion in 'Diabetic Foot & Wound Management' started by Canada Foot Guy, Mar 5, 2011.

  1. Canada Foot Guy

    Canada Foot Guy Active Member


    Members do not see these Ads. Sign Up.
    I have a new male patient 72 y.o. with some sort of neuropathy (loss of protective sensation and loss of vibratory sensation), non-diabetic, presented to clinic with neuropathic apical ulcers on the right foot with severe edema and severe hemosiderosis, some possible cellulitis on 2nd toe ...if I want to also assess him for charcot arthropathy - should I get an x-ray or right to MRI? Is X-ray worth anything in this case?

    2nd visit - patient's ulcers were clearing up nicely from topical and oral ABx given first visit, dealing with aspect of footwear and pressure now, erythema on second toe clearing up and even temp difference between each foot is now less...and no signs of foot deformity...am I just overly concerned or should I check for charcot ?

    C.F.G.
     
  2. PodGov

    PodGov Member

    Hi Gary


    It is always best to err on the side of caution.
    Literature indicates a large incidence of a missed diagnosis with regard to Charcots arthropathy. Furthermore, what compounds this is the lack of concensus about clinical and radiological diagnostic criteria in Charcot's arthropathy.

    Since there appears to be a resolution of clinical features it may not be necessary to subject the patient to any radiological investigations now. Although continued close monitoring by the patient is essential and the patient should present immediately if there is any swelling, temperature or colour changes noted.
     
  3. Canada Foot Guy

    Canada Foot Guy Active Member

    Thank you for advice, most appreciated...gb
     
  4. Canada Foot Guy

    Canada Foot Guy Active Member

    Patient healing nicely ...decided not to do X-ray for Charcot...thanks..

    CFG
     
Loading...

Share This Page