The role of combined magnetic field bone growth stimulation as an adjunct in the treatment of neuroarthropathy/charcot joint: An expanded pilot study

Hanft, Jason R.; Goggin, John P.; Landsman, Adam; Surprenant, Maria S.

doi:10.1016/s1067-2516(98)80028-8

Cited by 54 publications

(36 citation statements)

References 5 publications

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“…This was an expanded pilot study but suggests combined magnetic field bone growth stimulation may accelerate the consolidation process and decrease residual deformity of acute Charcot neuroarthropathy. 50 …”

Section: Combined Magnetic Field Bone Growth Stimulationmentioning

confidence: 99%

The Charcot Joint: A Modern Neurologic Perspective

Chisholm

Gilchrist

2011

Journal of Clinical Neuromuscular Disease

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The Charcot joint, or Charcot neuroarthropathy, is a syndrome that was described over 140 years ago but one with very little exposure in the neurologic literature. We present a case recently seen and then discuss the history, epidemiology, pathophysiology, clinical features, and diagnosis of acute and chronic Charcot joint disease with particular emphasis on the value and limitations of imaging. A diagnostic algorithm is proposed. We also review the therapeutic strategies available for acute and chronic Charcot joints with a treatment algorithm. This review is aimed at enhancing the awareness of neurologists regarding Charcot neuroarthropathy, because they are often the principal caregivers for patients with peripheral neuropathy. We hope to promote early detection of acute Charcot neuroarthropathy, thereby reducing or preventing the bony deformation of chronic Charcot neuroarthropathy.

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Section: Combined Magnetic Field Bone Growth Stimulationmentioning

confidence: 99%

The Charcot Joint: A Modern Neurologic Perspective

Chisholm

Gilchrist

2011

Journal of Clinical Neuromuscular Disease

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“…Low intensity ultrasound has been tried in CN as an adjunct to conventional treatment and was reported to be useful [107]. Similarly, magnetic fields have been used to stimulate bone growth in the acute phase [108] and electrostimulation has been reported to be helpful in a small group of patients [109]. Non-steroidal anti-inflammatory drugs have been prescribed to control pain [110] but there is no evidence as to their effect on the progression of the disease.…”

Section: Managementmentioning

confidence: 99%

Charcot neuroarthropathy in diabetes mellitus

et al. 2002

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Charcot neuroarthropathy has been recognised for over 130 years and yet it remains a major cause of morbidity for patients with diabetes mellitus and a continuing challenge for physicians. It is rare but it seems to be increasing in prevalence and this provides hope that with larger studies it will soon be possible to clarify the natural history and optimal treatment regimens. The underlying cause is thought to be trauma in a neuropathic foot that leads to a complex series of pathological processes culminating in bone and joint destruction and subsequent deformity. The acute reaction is often misdiagnosed and many patients present late with established deformity. Even when the diagnosis is considered at an early stage there are no definitive criteria or tests to confirm charcot neuroarthropathy and a high index of suspicion is necessary in any diabetic patient with a swollen warm foot in the presence of somatic or autonomic neuropathy. Treatment has traditionally involved the use of various methods to avoid weight bearing but recent work has begun to suggest that bisphosphonates might be able to arrest the acute process. In the long term, treatment involves a multidisciplinary approach aimed at providing appropriate footwear to reduce plantar pressures and avoid foot ulceration; in some circumstances this involves surgical correction of deformities before adequate footwear can be supplied. Further studies of the emerging treatments for Charcot neuroarthropathy are needed to provide long-term outcome data on morbidity and deformity.

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“…Although external stimulators exist, most reports that we could locate that mention electrical stimulation used in CN describe implantable devices as part of surgical procedures and are described in more detail in the next section. One exception is a very small pilot study by Hanft et al [38] suggesting benefi t of combined magnetic fi eld bone growth stimulation used in addition to standard nonoperative care in stage I CN feet.…”

Section: Medical Therapymentioning

confidence: 99%

The charcot foot: Medical and surgical therapy

Ulbrecht

Wukich²

2008

Curr Diab Rep

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Charcot neuro-osteoarthropathy (CN) is among the most devastating complications of neuropathy and now most commonly occurs in the feet of diabetic patients. Because it is relatively rare and because most patients and practitioners do not expect major bone pathology in the absence of significant pain, CN is often misdiagnosed as cellulitis, deep venous thrombosis, or gout. Also, radiographs early in the process are often relatively unremarkable. Although MRI findings are characteristic, treatment should not wait for the MRI result. The hot swollen erythematous neuropathic foot suspected to be CN should be emergently mechanically protected, usually in an irremovable total contact cast. Mechanical protection is the mainstay of conservative therapy, but surgical reconstruction of a deformed foot can usually also be successful. Unless diagnosed very early, significant decrements in quality of life result. Controlled studies are urgently needed to identify best practices.

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The role of combined magnetic field bone growth stimulation as an adjunct in the treatment of neuroarthropathy/charcot joint: An expanded pilot study

Cited by 54 publications

References 5 publications

The Charcot Joint: A Modern Neurologic Perspective

The Charcot Joint: A Modern Neurologic Perspective

Charcot neuroarthropathy in diabetes mellitus

The charcot foot: Medical and surgical therapy

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