What is Charcot foot, and can it be cured?

Written by: Dr Prash Vas
Published:
Edited by: Conor Lynch

Charcot foot can be an extremely debilitating condition, especially if it is diagnosed at a late stage. Here to discuss the condition in further detail is highly regarded and skilled endocrinologist, Dr Prash Vas.

What is Charcot foot?

It is a rare complication of diabetes where the bones can disintegrate. The underlying mechanism causes nerve damage which results in potentially walking on a damaged bone which would then cause further problems to the bone in the foot.

 

What are the symptoms of Charcot foot, and how is it diagnosed?

You often get foot swelling, colour changes in the foot, and pain. Often, doctors can mistake Charcot foot for more common conditions such as a blood clot. The diagnosis can often therefore be delayed.

 

When we see anybody with diabetes and a swollen foot, we should think of Charcot foot. An X-ray of the affected foot is often carried out in order to make an accurate diagnosis. An MRI scan is the next step of the diagnostic process.

 

Can Charcot foot be cured?

We can treat and control Charcot foot before it becomes permanent if it is diagnosed at an early stage. Unless treated surgically once it has developed, it cannot be cured.

 

What is it like living with Charcot foot?

This depends on where you are in the phase of your life. If you are young and active, then you may find yourself quite limited, not being able to do things that you love. As you get older, you may find you need further assistance like wheelchairs.

 

It is quite a major diagnosis and something that needs early assessment and diagnostic clarification. Hopefully, this can allow one to live life to the fullest even if they cannot reverse the condition.

 

What are the medical treatments available for Charcot foot?

There are many different drugs for the management of Charcot foot. There are specific drugs that eat away all the bone, allowing new bone to grow. However, none of these drugs have demonstrated major, valid disease-altering capabilities yet.

 

If you wish to book an appointment with Dr Prash Vas today, simply head on over to his Top Doctors profile.

By Dr Prash Vas
Endocrinology, diabetes & metabolism

Prash Vas (MBBS, FRCP, PhD) holds a dual certification in Diabetes/Endocrinology and General Internal Medicine and has extensive experience as a consultant at the highest level since 2013. In the NHS, he is currently the King’s Health Partners consultant in diabetes and endocrinology with a specialist focus in diabetes Foot Medicine being based both at King’s College Hospital and Guy’s and St Thomas’ Hospitals. Prior to that completed his training in Diabetes and Endocrinology at Addenbrookes Hospital, Cambridge. He is an honorary senior clinical lecturer at King’s College, London and a visiting professor at Staffordshire University. Additionally, he chairs the SouthEast Thames Diabetes Physicians Group (SETDPG) and is the current research lead for diabetes at King’s College Hospital.  

 

Dr Vas has extensive clinical experience in all aspects of diabetes care with a special interest in the complex management of Type 2 and Type 1 diabetes. In endocrinology, he has an interest in thyroid disorders and works alongside key experts for complex endocrine presentations which often require multi-professional consensusDr Vas is internationally recognised in the management of diabetic foot disease including neuropathic pain and has extensively championed the cause of early recognition of the ‘diabetic foot attack’. From a general medical perspective, he has wide experience in the management of a wide range of acute and chronic medical disorders and in providing care coordination required for a successful peri-operative pathway. Dr Vas has a focus on patient-centred care and is passionate about a collaborative approach towards achieving optimal outcomes in healthcare. 

 

A well-established academic, Dr Vas’s current research is focused on the lower limb complications of diabetes including the aetiopathogenesis and treatment of diabetic foot ulcers, diabetic neuropathy (especially small-fibre neuropathy) neuropathic pain and the validation of new techniques designed for the early detection of neuropathy. He also has an interest in endocrine conditions which can lead to small fibre neuropathy, in particular thyroid disorders. He ranks highly for his research output in diabetic foot (Expertscape 2022 World Top 20) and diabetic neuropathy (Expertscape 2022 World Top 50). He is frequently invited to speak internationally on these subjects. He is a board member of the Diabetic Foot Study Group (DFSG) and serves as an expert to the International Working Group on Diabetic Foot (IWGDF)and has provided expert input to the National Institute for Health and Care Excellence (NICE). He is the co-founder of the Diabetes Neuropathy Network, a global consortium of clinicians devoted to raising awareness about the perils of diabetic neuropathy. 

 

Dr Vas is available for consultation for conditions related to Diabetes/Endocrinology and General Internal Medicine at the London Bridge Hospital, HCA at the Shard, The London Clinic and the Guthrie International Wing and has admission rights at London Bridge Hospital and The London Clinic facilities. If you would wish to discuss how best your care could be coordinated on your medical visit to London, please contact Dr Vas by email: [email protected] 

 

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