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Cause (including risk factors) Charcot foot occurs in patients with peripheral neuropathy resulting from diverse conditions including diabetes mellitus, leprosy, syphilis, poliomyelitis, chronic alcoholism or syringomyelia. Repetitive microtrauma that exceeds the rate of healing may cause fractures and dislocations.
A doctor may treat your diabetic foot ulcers and early phases of Charcot fractures with a total contact cast. The cast lets your ulcer heal by distributing weight and relieving pressure. If you have a Charcot foot, the cast controls your foot's movement and supports its contours if you don't put any weight on it.