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Diabetic Foot Care, Wounds & Circulation

Diabetic Peripheral Neuropathy & Charcot Foot

Causes, symptoms, and treatment for diabetic neuropathy and Charcot foot, with care at 15 clinics across Middle Tennessee.

Part of Diabetic Foot Care, Wounds & Circulation

Understanding diabetic neuropathy and Charcot foot and your options.

Diabetic peripheral neuropathy is nerve damage that mostly affects the feet and legs. It can cause pain, tingling, or a loss of feeling. Charcot foot is a serious problem where weak, numb bones and joints break down and the foot changes shape.

Neuropathy is common in people who have had diabetes for years. Charcot often begins quietly, with a warm, swollen foot that may not hurt much. Early care can protect the foot from lasting damage.

Diabetic Peripheral Neuropathy & Charcot Foot care

Symptoms

Signs of diabetic neuropathy and Charcot foot.

If you notice these signs, an exam can give you clear answers.

  • 01

    Tingling, burning, or stabbing feelings in the feet

  • 02

    Numb feet that do not feel heat, cold, or pain

  • 03

    A foot that is red, warm, and swollen

  • 04

    An arch that slowly sinks or a foot that changes shape

Why it happens

What can cause diabetic neuropathy and Charcot foot.

  • 01

    Long-term high blood sugar harming the nerves

  • 02

    Low feeling that hides small injuries

  • 03

    Repeated stress on numb bones and joints

  • 04

    Poor blood flow adding to nerve and bone damage

Diagnosis and care

How we treat diabetic neuropathy and Charcot foot.

Step 1 · Diagnosis

We test how well you feel touch, vibration, and pressure, and check reflexes. For Charcot, we compare the warmth and swelling of both feet and look at foot shape. X-rays show bone changes, and an MRI may help when early Charcot or infection is hard to tell apart.

Step 2 · Treatment

For nerve symptoms, steady blood sugar control and daily foot checks are the base of care. We may suggest protective shoes and inserts for numb feet. Charcot needs strict protection, usually a cast or boot with no weight on the foot until it calms down. After that, custom bracing or shoes help protect the shape of the foot.

Surgery may be considered for Charcot when the foot is badly out of shape, unstable, or has repeated sores. Surgeons can realign and fuse bones, but this is done with great care.

Recovery

What to expect over time.

Nerve symptoms often need ongoing management. Charcot usually takes several months of protection to settle, and lifelong special footwear is common.

When to book

Do not wait it out.

See a podiatrist if your feet feel numb, burn, or tingle, or if one foot becomes warm, red, and swollen. Warm swelling with numbness should be looked at quickly, even without pain.

Call 615-220-8788

FAQ

Your questions answered.

Can neuropathy be reversed?

Damage that has already happened often cannot be fully undone. Good blood sugar control can slow it and protect your feet.

Why is Charcot foot so hard to notice?

Numb feet may not hurt even when bones are breaking down. Warmth and swelling are often the first signs.