Charcot Foot Treatment — Hernando & Southaven, MS
Charcot foot is a serious complication of diabetic neuropathy where bones in the foot weaken, fracture, and collapse. Early diagnosis and offloading prevent deformity and amputation.
Charcot neuroarthropathy most often affects patients with diabetes and neuropathy. The foot becomes red, warm, and swollen — often mistaken for infection or a sprain — while bones silently fracture and the arch collapses.
Early diagnosis with X-ray (sometimes MRI), strict offloading with a total contact cast or CROW boot, and long-term custom bracing prevent the rocker-bottom deformity that leads to ulcers and amputation. Severe deformities may require surgical reconstruction.
- Diagnostic X-ray and MRI when needed
- Total contact casting for the active phase
- CROW boot (Charcot Restraint Orthotic Walker)
- Long-term custom diabetic shoes & bracing
- Wound care for Charcot-related ulcers
- Reconstructive Charcot surgery when needed
- Red, warm, swollen foot in a patient with diabetes
- Foot that looks 'flatter' or has a bump on the bottom
- Little or no pain despite obvious swelling
- Recurrent ulcer under the midfoot or arch
- Difference in shape between the two feet
- New red, warm, swollen foot in a diabetic patient
- Ulcer under the midfoot
- Foot shape that has changed
Frequently asked questions
How long do I have to wear a cast for Charcot foot?
Total contact casting is typically used for 3–6 months until the foot is no longer warm and swollen, then transitioned to a CROW boot or custom diabetic shoes for long-term protection.
Can Charcot foot be reversed?
Active inflammation can be stopped with strict offloading, but bone changes that have already occurred are permanent. The goal is to prevent further collapse and protect the foot from ulcers.
Related wound care topics
Foot Health Centers
Hernando, MS 38632
Foot Health Centers
Southaven, MS 38671
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Same-week appointments usually available for new or non-healing wounds.
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