Charcot foot: non-surgical management

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The acute Charcot foot is a localised episode of inflammation that results in osteolysis and subsequent deformity of the bones and joints of the foot. It is reasonable to consider that therapy with either anti-inflammatory agents or with therapy to protect against fracture (calcitonin, bisphosphonates) might be beneficial. None have hitherto been proved to be of benefit, and there is an additional suspicion that the use of bisphosphonates might lengthen the time to resolution.