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How is Charcot Foot Treated?

Treatment of Charcot Foot varies according to the needs of the individual person and the stage of the disease. Your doctor and Certified Orthotist will recommend the most appropriate treatment based on your specific needs. The purpose of treatment is to protect the fractured bones and to maintain the position of the joints. This will allow proper healing and prevent deformities that may lead to ulceration (sores on the feet).

Treatments options include:

Non-weight bearing – In most cases, keeping pressure off the foot is very important. Removing pressure from walking or standing by keeping your foot up will allow for proper healing.

Total contact cast (TCC) – A TCC is a type of cast that is made from fiberglass or plaster. The Certified Orthotist or casting technician applies the cast to your foot and leg to immobilize the joints. The TCC provides excellent protection to the Charcot Foot. Since there is no way to check the skin without removing the cast, there is a risk of developing ulcers.

Removable cast walker (RCW) – A RCW is a type of brace that is used in place of a TCC.  The RCW is designed to immobilize the foot and ankle like a TCC but can be removed to check the skin or change dressings on an ulcer.  There are many different types of RCW available includingthe Ossur Rebound Walker (Figure 2) or the Aircast Walker.

Charcot Restraint Orthotic Walker (CROW) – The CROW walker is a custom made ankle foot orthosis or brace that is made from a plaster mold of the foot and ankle. It is used to immobilize the foot and ankle for patients who have severe deformities or ulcers.

What Can You Do?

Successful treatment of the Charcot Foot depends on immediate appropriate care that lasts throughout the entire disease process. The most important things to remember are:

  • Listen to your doctor
  • No weight bearing without your cast, RCW or brace until the bones are completely healed.
  • Carefully inspect your skin at least two times a day looking for any red marks or pressure points. See your doctor as soon as possible if there is any skin breakdown.


Stage Description Orthotic Treatments

- Loss of protective sensation
-  Injury (such as twisted ankle)

TCC, RCW, orthopaedic shoes, foot orthoses

-  Destruction phase

-  Bone fractures and joint dislocations are seen on x-rays


-  Destruction stops and healing starts


-  Bones become fixed and stable

RCW, CROW, orthopaedic shoes, foot orthoses


I just wanted to let you know - for the first time in months and months - I am able to go for a long, long walk - because my feet are not killing me anymore!!! I am not limping at work any more either!!! Thanks so much - I feel great! Even walking 8 blocks back to the car after the last appointment with them in my shoes - I could have done a tap dance all the way - the change was so drastic!
- . -
When I saw Jim, it was for two appointments for braces he put in my shoes (that he had made recommendations about). I could walk and keep shoes on all day and I was not walking off balance. He was amazing. He took time to talk to me and explain things. My husband had gone to Jim for years for foot orthotics . I would recommend Jim to anyone.
- Ms L.M. -
I am so greatful that the heel lift for my right shoe has been so helpful. I am in less pain when I walk, I can now stand straighter, on both legs at the same time when I stand still. I should have done it a lot sooner!
- Ms. D.T -
I am a person with polio in my left leg. I 've been using Custom Orthotic Design Group Ltd. for many years. Their service is great and friendly, they know what they are doing. I am really happy with their services.
- Mr. K.N. -
Custom Orthotics has always stood behind their product. They have always treated me with kindness and dignity. Whenever there is an issue, they have repaired it right away. Friendliness is their top priority. The product is 10/10. I can't say enough and I find there is never any negative comments. I have been with Custom Orthotics since 1998.
- Mr. F.H. -
The whole process was very positive, Custom Orthotic Design Group answered all of my questions and responded to my concerns in a professional pleasant manner. I highly recommend that anyone requiring any form of custom made orthotic from a simple shoe insert to a sophisticated support such as my CROW walker consider Custom Orthotic Design Group.
- Mr. MB -
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