TOLL FREE: 1.866.829.2969

Charcot-Marie-Tooth Disease (CMT),

also known as Peroneal Muscular Atrophy, Progressive Neuropathic Peroneal Muscular Atrophy, Hereditary Motor and Sensory Neuropathy, and Hereditary Peroneal Nerve Dysfunction is a group of inherited disorders that affect the nerves outside of the brain and spinal cord (peripheral nerves).

Signs and Symptoms 

The signs and symptoms vary patient to patient and may show in childhood to adulthood and usually start in the feet.

  • weakness of the legs and hands
  • high arched feet
  • clawed hands
  • thin calves due to muscle atrophy
  • numbness in the feet and/or legs
  • high steppage gait and/or "foot slapping" gait
  • foot drop - difficulty lifting the foot
  • loss of muscle control
  • loss of stretch reflexes


The diagnosis is made by a physician who may use a nerve biopsy or nerve conduction test to confirm the findings. Genetic testing may also be completed.


CMT is a progressive disease and therefore the weakness can continue to progress. It may lead to the inability to walk unassisted and the lack of sensation predisposes the person to injuries.


Charcot Marie Tooth Disease & Orthotic Management from Custom Orthotic Design Group


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 -
Read More