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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

• 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

• 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.

• 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.

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.

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.

• 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.

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 foot so it can bear weight more safely
• Amputation (often below the knee)
  • Some people choose this to remove the problem and pain risk
  • It is a personal choice; many do well with a prosthesis

Wayne’s surgeon told him: “I’ll give you a feasible foot, not a perfect foot.” You may not run or play high-impact sports. But you can walk your dog around the block. That hope matters.

• Wear good shoes that support your feet. Cheap, thin shoes can add stress.
• Check your feet every day. Look and feel for heat, redness, swelling, or sores.
• If you cannot see the bottom of your feet, ask for help or use a mirror.
• If you feel sick or have a fever, check your feet first.
• Talk to your podiatrist about your work and activity. Be honest.
• If your foot shape changes, or a shoe suddenly feels “off,” stop and get help.

Good care starts with good questions. Try these:

• Am I at risk for Charcot Foot?
• Do I have neuropathy, and how severe is it?
• If my foot gets hot, red, or swollen, what should I do the same day?
• Should I have a plan for offloading and bracing?
• What shoes or orthotics are best for me?
• If this is Charcot Foot, what are my options: bracing, surgery, or amputation?
• How will we watch for ulcers and infection?

One more: Ask your podiatrist to talk about Charcot Foot even if it is rare. Knowing the signs can change the outcome.

• You are not alone. There is a growing community.
• You still have a life to live. As Wayne says, “It’s just a foot.” You have a heart, a mind, and a future.
• Your choices today can protect your tomorrow.
• Whether you pick bracing, surgery, or amputation, there is a path forward.

Some of Wayne’s messages we loved:

• “Pain is a gift.” It tells you to stop. Without pain, you must be your own alarm.
• “Take charge. Take your life back.”
• “You are not alone.”

Wayne hosts the Trouble aFoot podcast, a warm, honest space for people living with Charcot Foot. He brings lived experience, humor, and care. Listeners from the U.S., Canada, the U.K., New Zealand, India, and more connect there for stories, tips, and support.

Find Trouble aFoot by searching your podcast app (Spotify, Apple Podcasts, etc.).

• People with diabetes
• Anyone with neuropathy in their feet
• Caregivers, partners, and family
• Clinicians who want to hear real stories

• Charcot Foot is serious and can happen without pain.
• Neuropathy is the key risk. No pain does not mean no problem.
• Early signs: heat, swelling, redness, shape change, sudden “full” feeling in the foot, or fever.
• Stop weight-bearing and call your doctor fast if you suspect it.
• There are options: bracing, surgery, or amputation. It’s a personal choice.
• There is hope. There is community. You are not alone.

• If your doctor has ever said “Charcot Foot,” listen to this episode and share it.
• Subscribe to the Diabetes Podcast for more on prevention, remission, and living well.
• Check out the Trouble aFoot podcast for support from people who get it.
• Share this with someone who needs to hear it today.

Note: This episode and show notes are educational only and are not medical advice. If you notice signs of Charcot Foot, seek care right away

Disclaimer:

The information in this podcast is for educational and informational purposes only. It is not medical advice, diagnosis, or treatment, and it does not replace a one-on-one relationship with your physician or qualified healthcare professional. Always talk with your doctor, pharmacist, or care team before starting, stopping, or changing any medication, supplement, exercise plan, or nutrition plan—especially if you have diabetes, prediabetes, heart, liver, or kidney conditions, or take prescription drugs like metformin or insulin.

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