Charcot Foot: The “Unknown” Deformity Charcot foot is a condition causing weakening and as a result breaking down of bones in the foot that usually occurs in people with significant nerve damage (neuropathy). This deformity is commonly seen in diabetic patients who have significant peripheral neuropathy. As the bones weaken, they begin to fracture causing the joints to collapse. As result, the foot takes on an abnormal shape, such as a rocker bottom appearance. Charcot foot develops as result of neuropathy. When a patient has neuropathy there is decreased feeling in their feet and inability to feel temperature and pain. Hence, the combination of increased activity and decreased sensation begins the cascade of foot bone to breakdown. In neuropathic patients, the symptoms are sometimes difficult to notice due to lack of sensation. When the Charcot process begins, there is increased warmth to touch to affected foot, redness and swelling in the area with occasional pain. Ea