A REFLECTION ON CHARCOT FOOT AND THE VARIOUS ORTHOTIC TREATMENT THEREOF
Charcot foot is a condition in which the bones, joints, and soft tissues of the foot become deformed, ensuing in a fully deformed foot and ankle. Due to the weakness of the bones, fractures will develop as well as joint dislocation. It is most common in patients with peripheral neuropathy who are unable to identify or feel the dislocation or fracture.
The peripheral neuropathy arises from Diabetes mellitus in most cases, but can also result from poliomyelitis, excessive alcohol and drug abuse, mistreated infections, distress to the nerves, and even Parkinson’s disease. Neuropathy is nerve damage which results in no sensation in affected areas. Another cause of Charcot
…show more content…
This is also known as “offloading”. Offloading is a non-operative treatment option. The patient will be required to use or wear a walking brace, an orthosis, a cast, or a protective splint. Another form of non-surgical treatment is a casting. Charcot can be treated by using a cast around affected area to reduce swelling, protect the foot and ankle and to allow for healing to take place. When a patient is in a cast he or she must not put weight on the cast as this could distort the healing process. While in a cast, a patient can use a wheelchair or crutches to aid them for mobility in important daily activities. Healing can last up to several months. However, the cast must be changed every one to two weeks to ensure it fits the patient comfortably as the swelling diminishes. A custom walking boot or orthosis, or a diabetic shoe may be recommended after the swelling is decreased to normal and bones are healed fully. These boots are designed to minimize the risk of foot ulcers developing post treatment. After the cast is removed, the patient will be prescribed to an orthotic shoe that appropriately fits their foot and relieves pressure at certain points. Bracing can be accompanied with an orthotic
In Aboriginal teachings, the medicine wheel is very sacrosanct because it symbolizes entirety and motion. Mussell (2005) stated that “The Medicine Wheel is a symbol used to represent the dynamic system of mind, body, emotions, and spirit, and the needs related to each of these aspects that must be met for the development of human potential” (p.115) Also, it is a powerful tool to build up wisdom and apprehension. The Medicine Wheel is split up into four categories includes Physical, Emotional Intellectual and Spiritual that numerous of Aboriginal exploit the medicine wheel as a structure to illustrate their life journeys. This paper will indicate as a method to evaluate my own intrapersonal communication in each four categories applying the medicine wheel that illustrated in Mussell (2005).
Explain, that diabetes is the most common cause of neuropathy. Peripheral neuropathy is the most common form of diabetic neuropathy. Your feet and legs are often affected first, followed by your hands and arms.
Clubfoot is a common congenital deformity of one or both feet. Clubfoot can sometimes be identified
Most patients who have diabetes for an extended amount of time may end up with diabetic neuropathy, which is damage caused to the nerves; it affects the peripheral nerves, autonomic nerves, and focal nerves. From the high blood sugar, it can destroy parts of the patient’s blood vessels, heart, and kidneys. If diabetes is not treated, it will almost always cause heart disease or kidney disease.
Why are nerves often damaged in patients with diabetes mellitus, and what are some of the
Diabetic neuropathy can occur with long-term diabetes, usually after several years of uncontrolled high blood glucose. Glucose proteins, called glycoproteins, form in the nerves primarily those in the legs and feet. When the nerves in the feet are damaged, the brain cannot recognize pain in that area. Nerve damage from diabetic neuropathy can lead to weakness in the muscles in the legs and feet. Since the muscles work as a system, neuropathy can lead to other foot problems, such as hammertoes, calluses, bunions, and other foot deformities. These deformities are dangerous because of the risk of infection. A simple blister from a tight shoe can spell disaster
Osteomyelitis, the infection of bone, would cause swelling in the foot, limiting the movement in her foot. It also
The most common reason for Mr. Haley’s foot pain would be diabetic peripheral neuropathy. This is nerve damage associated with diabetes mellitus that results from diabetic microvascular injury involving small blood vessels that supply nerves. Macrovascular conditions related to diabetes also play a role in the cause of diabetic neuropathy. In order to deal with the foot pain, the internist probably prescribed one of the two FDA recommended drugs for diabetic neuropathy. These drugs are Cymbalta
You may need to wear a splint, brace, immobilizer, or cast for up to 6
Brushing my teeth, I look in the mirror. Aside from the toothpaste making its way through my beard, I appear to be like any other college student you’ll see. I am young, active, a bit stressed at times, and probably running late to something. It has taken me years to realize, however, that the reflection I see is unidimensional. The mirror does not reflect who I am: a mosaic of interacting identities. This emergent property of multidimensional identities may not be reflected in the mirror, but it is the driving reason behind my decision to pursue medicine.
Importantly, in any patients with neuropathy and specifically patients with a severe form,it is essential to rule out any other causes apart from diabetes such as ,drug induced neuropathy (e.g. isoniazid) , alcohol abuse, nutritional deficiency like vitamin B12 deficiency(Wile DJ,et al 2010),vasculitis , inherited neuropathies, and renal disease (Freeman R.2009)
With clubfoot, the foot turns toward the other, and those who are affected appear to walk
The anatomy of the foot is very complex. There are twenty six bones in each foot. The bones in both feet equal one-quarter of the bones in the human body. There are thirty three joints and over one hundred muscles, tendons and ligaments in the foot as well. The longest bones of the foot are known as the metatarsals. There are five in each foot with the fifth being on the exterior of the foot and the first on the interior. On the end of each metatarsal there are phalanges, better known to most people as toes. The phalanges and metatarsals are the easiest to break or injure from weight bearing activities. According to the
In the first couple of days of rehab, she received high volt, and ice to help with the swelling she also did ankle pumps that also help with moving out the inflammation. As each day went by, towel scrunches, towel stretches were performed as three set each. Compression pumps were administered for 15 minutes several times a week, rhythmic stabilization, and aquatic therapeutic exercises were added as she
The diabetic foot disease is the leading cause of non-traumatic lower-limb amputation and results from three common pathologies: diabetic peripheral neuropathy, peripheral arterial disease, and infection. Late complications include foot ulceration, Charcot neuroarthropathy and amputation (Turns, 2013, p.422) though another specialist like, Iraj who wrote Prevention of Diabetic Foot Ulcer, added to the most common facts: deformities and minor