Protection and Offloading
The foot and ankle that has Charcot changes needs to be treated to protect the bones that are fractured and fragile. The bones must be kept immobilized and protected so that they heal and heal in proper alignment.
If they are not immobilized, the whole boney structure of the foot can collapse. For most fractures, a cast would be put on but since the person who has a Charcot foot usually does not have good feeling/sensation, then they do not know if a cast is rubbing.
The Charcot Restraint Orthotic Walker or CROW provides the same support as the cast but it can be removed to check the skin and for hygiene purposes. Also many people with Charcot feet also have ulcers so with the CROW, dressings can be changed and pressure offloaded or reduced from the ulcer area.
Other options are listed below. Each person is assessed to determine the best options for them.