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Dr. Andrew Rynne

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Diabetic and lost sensation ion feet. Had a CXR, EKG and stress test. Could this be beginnings of Charcot's foot?

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Dr. David Okia

General & Family Physician

Practicing since :2007

Answered : 301 Questions

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Posted on Wed, 20 Nov 2013 in Bones, Muscles and Joints
Question: i've been a diabetic since '95. I am a retired Navy Corpsman and work at VA clinic as a phlebotomist. I stand quite a lot on my feet. I have had a swollen rt foot for a few months. I do have neuropathy and some lose of sensation in my feet. When I saw the swelling I talked with my doc at work and she had me get an ultrasound for DVT, but that was negative. Since then I've had a CXR, EKG, Echo Cardiogram, and a Stress Test, all thankfully have been WNL. Our Podiatrist just had me have comparison foot x-rays. The impression is what appears to be a subacute fx of the 2nd metatarsal w/evidence of healing. There is also some periosteal reaction fo the 4th metatarsal which could be secondary to injury. I don't remember injuring my feet and there is no telling when this injury could have occurred. The question is could this be the beginnings of Charcot's foot?
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Answered by Dr. David Okia 53 minutes later
Brief Answer: Yes, its charcots foot. Detailed Answer: Hi and thanks for your question. Based on my experience and your history I think you had pathological fracture of metatarsal. This is quit common in most of my diabetic patients with charcots foot. I usually advice my patients to immobilize the affected limb and foot, have activity modification in your case, reduce the hours you stand and wear special shoes. Hope I answered your question will be happy to help you if you have other queries. Regards.
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