Conservative Management of Diabetic Charcot Foot: A Narrative Review

interest to disclose.Each author performed independent searches to avoid bias.Each modality of treatment described was dependent on ulcer healing or prevention of ulcer formation and radiological and clinical resolution of the disease itself.Studies based on diabetic Charcot neuroarthropathy regarding forefoot pressure and ulcer IntroductIonDiabetic neuroarthropathy leads to the loss of sensation over the feet due to peripheral neuropathy, subsequently leading to an inability to appreciate pain at pressure points and ulceration of the affected foot due to critical ischemia.Diabetic neuroarthropathy ahead causes considerable distress and an element of fear for the patient as well as a task for the treating doctor.Such patients require a multidisciplinary approach.This study aims to establish the role of conservative management in patients with their foot-at-risk by exploring the various current conservative modes of management, identifying the pros and cons of each method, and the desired outcomes. MaterIals a n d MethodsA PubMed search was performed to the date of submission of this article using the key terms of Charcot, arthropathy, neuroarthropathy, conservative management, TCC, bisphosphonates, calcitonin, and RANKL inhibitors.All the studies cited here were reviewed, and the studies that reported on the conservative management of Charcot's foot were included.Studies were broadly grouped based on physical conservative management techniques of casting and pharmacological methods of management.Each reviewer collected data independently, which was then consolidated.