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Neuropathic arthropathy (or neuropathic osteoarthropathy), also known as Charcot joint (often Charcot foot), refers to progressive degeneration of a weight bearing joint, a process marked by bony destruction, bone resorption, and eventual deformity.Onset is usually insidious.europathic arthropathy (or neuropathic osteoarthropathy), also known as Charcot joint (often Charcot foot), refers to progressive degeneration of a weight bearing joint, a process marked by bony destruction, bone resorption, and eventual deformity.
Offloading at the acute active stage of the Charcot foot is the most important management strategy and could arrest the progression to deformity. Ideally, the foot should be immobilized in an irremovable total contact cast (TCC), which is initially replaced at 3 days, then checked each week.