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The goal of treatment is to avoid ulceration, create joint stability, and to maintain a plantigrade foot. [1] Early recognition, patient education, and protection of joints through various offloading methods is important in treating this disorder. Surgery can be considered in cases of advanced joint destruction. [4]
These injuries may lead to spontaneous amputation of the affected areas. Affected individuals often have injuries and fractures in their hands, feet, limbs, and joints that go untreated because of the inability to feel pain. Repeated injury can lead to a condition called Charcot joints, in which the bones and tissue surrounding joints are ...
Similarly, these patients can get multiple fractures of the knee, ankle or foot, and develop a Charcot joint. Loss of motor function results in dorsiflexion, contractures of the toes, and loss of the interosseous muscle function that leads to contraction of the digits, so-called hammer toes. These contractures occur not only in the foot but ...
These procedures include straightening and pinning the toes, lowering the arch, and sometimes, fusing the ankle joint to provide stability. [15] CMT patients must take extra care to avoid falling as fractures take longer to heal in someone with an underlying disease process. Additionally, the resulting inactivity may cause the CMT to worsen. [15]
The resulting bone deformity is known as Charcot foot. Due to advanced peripheral nerve dysfunction associated with diabetes (diabetic neuropathy), patients' feet have a dryness of the skin and a reduced ability to feel pain (nociception).
Joint and bone problems are common due to repeated injuries, and wounds heal poorly. [5] Delayed developmental milestones in early years may be observed. [6] Patients often have severe learning difficulties, irritability, hyperactivity, self-injurious behaviour, and cognitive impairment, [6] but patients with normal intelligence have also been ...
Charcot–Marie–Tooth disease was first described in 1886 by Jean-Martin Charcot, Pierre Marie, and independently Howard Henry Tooth. [2] In the 1950s, further classification occurred and separated patients into two distinct groups. Group one was characterized by slow nerve conduction velocities and demyelinating neuropathy.
Conversely, facet joint injections are not indicated for the treatment of syringomyelia. [30] Radiation is rare, but may be used if a tumor is involved. In these cases, it can halt the extension of a cavity and may help to alleviate pain. [31] Treatment is usually reserved for cases which are causing symptoms.