Episode 15 - Charcot Foot - An Interview with Wayne Walker of The Trouble aFoot Podcast

Charcot Foot: Hope, Help, and Real Talk with Wayne Walker (Trouble aFoot Podcast)

In this episode of the Diabetes Podcast, we talk with Wayne Walker, host of the Trouble aFoot podcast. We dig into Charcot Foot, what it is, who is at risk, what to watch for, and how to find help and hope. This show is for anyone with diabetes, and for loved ones who want to support them.

Wayne blends lived experience with heart, humor, and straight talk. He shares the hard parts, the choices, and the path forward. You are not alone.

SEO keywords: Charcot Foot, diabetic neuropathy, neuropathic arthropathy, foot ulcers, osteomyelitis, diabetes foot complications

Episode at a Glance

• What Charcot Foot is (in simple words)
• Why it can happen without pain
• Who is at higher risk
• Early signs you should never ignore
• Real stories that show how sneaky this is
• Treatment paths: bracing, surgery, amputation
• How to talk to your doctor
• Why there is hope and community

What Is Charcot Foot?

• Charcot Foot (medical name: neuropathic arthropathy) is a serious foot problem.
• The bones in the foot and ankle get weak and soft.
• The bones can shift and collapse. They can form a hard lump on the bottom of the foot. This is called a “rocker bottom.”
• Many people feel little or no pain because of nerve damage (neuropathy). That is why it is so risky.

Wayne says it plain: the bones don’t just vanish—they move. They move down. That lump becomes the new “bottom” of the foot. People keep walking on it because they can’t feel it. Then sores and infections start. Infection in the bone (osteomyelitis) can spread fast and can be life-threatening if not treated.

Why It Sneaks Up on People

• Neuropathy means your nerves don’t send pain signals like they should.
• You can step on a nail and not feel it.
• You can twist your ankle and keep walking.

Two true stories from the show:

• A man worked all day with a nail through his boot. He only found out when he saw blood inside the boot.
• Wayne once pulled the two metal prongs of a power cord out of his foot. He thought it was a leaf stuck there. He had almost no pain.

When you don’t feel pain, you don’t pull back. You keep going. That’s when damage grows.

Who Is at Higher Risk?

Many people with Charcot Foot share three things:

• They have diabetes.
• They have severe neuropathy (loss of feeling in the feet).
• They have obesity, which adds more force to the bones.

Other notes from the conversation:

• Some people without diabetes can get Charcot Foot if they have neuropathy from other causes.
• Younger, more active people with good blood flow can be at risk because the foot gets hot and inflamed, and they keep walking on it.
• Long hours on hard floors (like retail or factory work) and years of high-impact activity may add stress to the foot.

How common is it? The numbers vary by study. Estimates discussed in the episode:

• About 1 to 4 in 1,000 people with diabetes may get Charcot Foot.
• Among people with neuropathy, some reports suggest it could be higher (numbers mentioned up to around 13%).
• If someone has diabetes, neuropathy, and obesity, the risk may rise further. Exact numbers differ. Ask your doctor about your risk.

Early Signs to Act On Now

Call your doctor right away, or go to urgent care/ER for fever and fast changes. Watch for:

• A foot that is warmer than the other foot
• Swelling that starts suddenly, even after a small twist
• Redness
• A sudden change in foot shape
• A new bump or “rocker bottom”
• A sore or ulcer on the bottom or side of the foot
• A shoe that suddenly fits different
• Fever, chills, or feeling unwell

Tip: If you feel “off” and have diabetes or neuropathy, check your feet first.

What To Do If You Suspect Charcot Foot

• Stop putting weight on that foot. Sit down. Use crutches, a scooter, or a wheelchair if you have them.
• Call your doctor or podiatrist now. If you have a fever or fast swelling, go to the ER.
• Say the words “I am worried about Charcot Foot.” Ask for an exam and imaging.
• Ask about “offloading” (keeping weight off the foot) to protect the bones.

Early action can save your foot shape and help prevent infection.

Treatment Paths We Talked About

Your care team should explain all options. A good doctor will walk you through each one:

• Bracing/orthotics and offloading
  • Custom boots, casts, or braces to protect the bones
  • Goal: reduce pressure, prevent ulcers, and help the foot settle
• Reconstructive surgery
  • Wayne chose this path
  • Aim: rebuild and stabilize the