The most important aspect of treatment of Charcot disease is to limit any weight bearing, walking and loading of the foot and ankle until the bone has healed. The goal of treatment is to prevent severe deformities of the foot from occurring and for the patient to be able to wear a shoe without difficulty.
Continued walking with weight bearing can lead to very significant joint destruction and bone deformities. The treatment depends on the severity of the bone deformity at the time of diagnosis. Some cases require surgery immediately and others can be treated in a boot. The use of a boot or cast is important and no weight should be put on the foot until healing occurs.
It can take up to a year for the bone to heal and the boot may have to be worn during this healing phase.