Orthopedic Complications in Diabetes: Charcot Foot, Neuropathy, and Surgical Considerations

Abstract

Orthopedic problems in individuals with diabetes are complex and challenging to handle. Among these issues, Charcot foot stands out as a debilitating condition characterized by joint destruction and deformities. This condition is closely linked to neuropathy and inflammation, leading to bone weakening and joint damage. Unfortunately, Charcot foot often goes unnoticed until significant complications arise, underscoring the importance of recognition and intervention. Diabetic neuropathy, affecting around half of all people with diabetes, further complicates challenges by causing loss, autonomic dysfunction and muscle weakness. Sensory loss in the feet puts individuals at risk for injuries, ulcers, and other complications. The diverse symptoms associated with neuropathy impact patients daily. Require individualized management strategies. Surgical considerations in patients add a layer of complexity to their care. Thorough preoperative assessments, infection control measures, vascular evaluations and careful postoperative monitoring are crucial for surgical management. Collaboration among healthcare professionals from specialties is vital for optimizing outcomes. Effective management strategies for these complications involve offloading pressure on affected areas to prevent injury or trauma, maintaining tight glycemic control to minimize complications, providing pain relief to alleviate discomforts experienced by patients and implementing rehabilitation programs that enhance functionality. It is crucial to prioritize identification, prompt intervention, and thorough patient education to achieve results and enhance the overall well-being of individuals with diabetes. To summarize, managing orthopedic issues in patients necessitates a comprehensive strategy that takes into account the complexities of Charcot foot diabetic neuropathy and surgical treatments.