Charcot's disease in diabetic patients

Preview

Patients are usually quick to report an orthopedic problem because of the pain and disability it causes. That is what is so misleading about Charcot's disease. Pain is often absent, and the earliest signs of bone and joint destruction are unexplained swelling, warmth, and redness. In diabetic patients, Charcot's joint disease must be promptly ruled out or treated. Continued use of the affected foot can be very destructive. The authors summarize the approach that they find most useful at their diabetic referral clinic.