Charcot Marie Tooth Syndrome (Disease): Diagnosis & Best Treatment 2019

Charcot Marie Tooth Syndrome (Disease): This guide will give you the 100% best diagnosis, causes and treatment options for CMT disease and disorder.

 

 

 

 

Charcot Marie Tooth Disease Overview:

  • Charcot-Marie-Tooth disease is a hereditary motor and sensory neuropathy. It is characterized by a progressive loss of muscle tissue and specific muscles and Sensation.
  • From our standpoint, we will be looking at it from the foot. Currently this is an incurable disease, is a genetic neurologic disease.
  • It affects one in about 2500 people.

 

cavus foot type with charcot marie tooth surgery treatment
Charcot-Marie-Tooth results in a foot type called the cave’s foot type. This is because some muscles stop working as well as they should, and other muscles are still working very well. This unfortunately twists and forms your foot. Combined with lack of sensation in your foot due to the peripheral neuropathy and sensory loss, this can cause wound formation.

 

Signs and symptoms:

  • Symptoms of Charcot-Marie-Tooth usually begin in childhood or adulthood. Although some people can experience it later.
  • The first symptoms usually appear is foot drop. It can cause a hammer toes were the toes curl, and wasting of muscle in certain parts of the leg.
  • This muscle wasting is called the “stork leg” or “inverted champagne bottle “
  • It can also cause weakness in the hands and forearms.

chracot marie tooth disease treatment
A podiatrist can help relieve the instability, the decreased sensation, and prevent the wound risks as much as possible for the foot. We find excellent results with periodic foot care, good inserts, good shoes, and for some people bracing. This can reduce the symptoms more than you think!

Charcot marie tooth neuropathy:

  • This also leads to loss of sensation foot, the ankles in the legs. This can also happen in the upper extremity.
  • This can lead to ulcer formation and a very high arched foot. A very high arched foot is classically associated with this disease.

 

Big toe joint ulcer charcot marie tooth disease with pain needs surgery
Because of the peripheral neuropathy in Charcot-Marie-Tooth, it is possible to form an ulcer, especially underneath the big toe.
This is where surgery can be especially effective. By reducing the amount of high arch, and combining with good shoes and orthotics, this can relieve a significant amount of pressure.

 

Charcot marie tooth disease and breathing problems:

  • There are other symptoms including scoliosis, breathing changes, gastrointestinal sternal changes, hip socket problems, hunching and loss of height. It can also lead to tremors and changes in vocal cords.
  • This can also lead to complex regional pain syndrome. Among other diseases.

 

Charcot marie tooth muscular atrophy:

  • CMT used to be classified as a subtype of muscular dystrophy.
  • It does decrease the conduction to muscles, this leads to decreased function.
  • Some muscles waste faster than others, especially in the feet and legs.

 

Causes of CMT disease:

  • Charcot-Marie-Tooth syndrome is caused by mutations that cause defects in nerve proteins.
  • Charcot-Marie-Tooth syndrome changes occur in the myelin sheath, this is the coding of nerve tissue. There are multiple different types including CMT1, CMT3, and CMT4
  • There are also ones that damaged action nerve, this is called CMT2.

 

Chromosome 17:

The most common cause of Charcot-Marie-Tooth syndrome, up to 80% of cases, is in chromosome number 17.

Types of Charcot Marie Tooth (AKA):

  • cmt1a
  • charcot marie tooth type 1d
  • charcot marie tooth disease type 1a
  • charcot marie tooth disease type 2
  • pxt3003
  • cmt disorder
  • cmt2a
cavus foot type with charcot marie tooth surgery treatment
We usually find that in the very high arched foot type, patients develop very tight plantar fascia, sometimes this can be relaxed and or lengthened in some patients.

 

CMT diagnosis:

  • Charcot-Marie-Tooth is best diagnosed through symptoms. It can also be diagnosed by measurement of the nerve conduction studies.
  • This is the speed of how fast the nerves conduct signals.
  • DNA testing and nerve biopsies can also be performed.

 

 

 

The best way to diagnosis Charcot-Marie-Tooth:

  • You should see a neurologist for this diagnosis, or physical medicine and rehabilitation doctor.
  • They will work on identifying the neuropathy in the sensory loss by checking your deep tendon reflexes, such as the knee jerking.
  • The neurologist or physical medicine. Dr. also asked about family history, diabetes, or other causes of neuropathy to roll these out.
  • At this time, they can order nerve conduction studies and or take a biopsy.

 

Charcot-Marie-Tooth syndrome results in decreased sensation. Combined with the pressure on the front of the foot, this can lead to mood formation in the ball of the foot. It is important to work with podiatrists to prevent wounds from happening in this area.

 

Prognosis of Charcot-Marie-Tooth syndrome:

  • Prognosis and symptoms can vary widely depending on the patient.
  • This is a genetic disease, so management is the key rather than a cure.
  • 2007 review article stated that life expectancy is not expected to be changed or altered in the vast majority of cases. “

 

 

CMT Treatment:

  • We always hope for a new treatment or a cure, but management can be very successful!
  • This can even relieve the neuropathy symptoms and pain significantly.

 

Treatment goals of Charcot-Marie-Tooth:

  • The key is to maintain movement, flexibility and muscle strength.
  • We work with physical therapists, occupational therapists, orthotist and other podiatrists.
  • You should also see a neurologist for evaluation and initial diagnosis.

 

Physical therapy for Charcot-Marie-Tooth:

  • There should be a daily focus on muscle strength training, stretching, and increasing your aerobic activity.

 

Charcot Marie Tooth Disease

What can a podiatrist do?

  • The biggest symptom in advanced disease is foot and ankle instability and foot drop.
  • We find that a lace up ankle brace is a great start for most patients, but this is a big headache and many patients.
  • It may be possible to get a hard rigid brace for foot drop, but we have success with dynamic braces, they have worked really well for patients to maintain their foot from dropping and strength.

 

Get regular foot care:

  • This is where a medical pedicure and nail trimming can come in handy.
  • This is important in a Charcot-Marie-Tooth syndrome patient, because there is minimal feeling in the toes, the toes can get ingrown, and there could be wound formation.
  • This is probably the major reason we see Charcot-Marie-Tooth patients.

 

Great shoes and orthotics:

  • Early on in the disease, we love great shoes and great orthotics.
  • The difference in orthotic can make on a high arched foot type is amazing, especially if you’re getting bruising and bone formation to the ball or metatarsal region of your foot.

 

Our favorite heavy duty orthotics:

Get these if you can!

 

Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
Best Heavy Duty Orthotic (Thickest Fit)
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
Powerstep Pinnacle Plus Full Length Orthotic Shoe Inserts - Built-In Metatarsal Support
Powerstep Pinnacle Maxx Full Length Orthotic Shoe Insoles
Plantar Fasciitis Arch Support Insoles for Men and Women Shoe Inserts - Orthotic Inserts - Flat Feet Foot - Running Athletic Gel Shoe Insoles - Orthotic insoles for Arch Pain High Arch - Boot Insoles
Price:
from $34.90
from $21.41
$19.99
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women's cute shoes.
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
These are full length inserts, but softer. Great if you can't tolerate the firmer ones. Best for very sore and sensitive feet.
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Cons:
Do not wear these in cute or dress shoes!
Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women's shoe or dress shoe. This is meant for running shoes and boots.
Great to start with, but don't correct long term as much as the other ones.
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don't give up on them after 1 or 2 days. Everyone feels off at the beginning!
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn't fit it into their shoes and gave up too quickly. You have been WARNED!
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don't use the heavy duty ones to start with.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These have worked well for my plantar fasciitis. It's not cured, but has helped. I wish they had a higher arch, but they are doing what they are intended to do. Some others have complained about the durability. I've had them for about 5 months, and they are just fine. "
" The Powerstep inserts are definitely the best for me in terms of arch support and comfort, and the Pinnacle Maxx inserts make a MAJOR positive difference in my comfort and ability to get around."
"Plantar Fasciitis pain was getting pretty bad, so I bought these insoles looking for some relief. On Day One, I noticed that it was not as painful to walk as the prior day; still sore but a marked improvement. It's now Day Two and I'm not nearly feeling the pain that I felt before I tried these insoles"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Overall Orthotic For Everything (Medium Thick Fit)
Powerstep Pinnacle Plus Full Length Orthotic Shoe Inserts - Built-In Metatarsal Support
Price:
from $34.90
Overview:
These work best in shoes with laces and running shoes. Not good for dress shoes or women's cute shoes.
Pros:
Pretty much guaranteed to help you if it fits in your shoes and you give it 2 weeks to get used to. 5,000+ amazon reviews, great track record.
Cons:
Do not wear these in cute or dress shoes!
Crucial Tips:
Ease in to these, 1-2hrs a day. They are like braces for your teeth, they suck at the beginning! But they will make your feet pain free as 1-2 weeks go by. Don't give up on them after 1 or 2 days. Everyone feels off at the beginning!
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These have worked well for my plantar fasciitis. It's not cured, but has helped. I wish they had a higher arch, but they are doing what they are intended to do. Some others have complained about the durability. I've had them for about 5 months, and they are just fine. "
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Medium to Heavy Duty Heel Pain Orthotics:
Best Heavy Duty Orthotic (Thickest Fit)
Powerstep Pinnacle Maxx Full Length Orthotic Shoe Insoles
Price:
from $21.41
Overview:
Biggest and most corrective option. Only use for running shoes or work boots. Not cute shoes.
Pros:
My personal favorite, but not for everyone. Amazing reviews over 3,500. But not for everyone. Only for bigger shoes that can fit them
Cons:
Bigger and bulkier than all the other ones. You will be dissappointed if you have a cute women's shoe or dress shoe. This is meant for running shoes and boots.
Crucial Tips:
This has the most correction, but hardest break in time! IF SENSITIVE, USE A SOFTER PAIR FIRST! But if you get these, you must break them in. Give it 1-2 hours a day, but then you will start to have excellent results. The bad reviews are all people who couldn't fit it into their shoes and gave up too quickly. You have been WARNED!
Amazon Reviewer Comments (Make sure to do your own review research through the link):
" The Powerstep inserts are definitely the best for me in terms of arch support and comfort, and the Pinnacle Maxx inserts make a MAJOR positive difference in my comfort and ability to get around."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Medium to Heavy Duty Heel Pain Orthotics:
Best SOFTER Choice For Sensitive Feet (Medium Thick Fit)
Plantar Fasciitis Arch Support Insoles for Men and Women Shoe Inserts - Orthotic Inserts - Flat Feet Foot - Running Athletic Gel Shoe Insoles - Orthotic insoles for Arch Pain High Arch - Boot Insoles
Price:
$19.99
Overview:
These are full length inserts, but softer. Great if you can't tolerate the firmer ones. Best for very sore and sensitive feet.
Pros:
They are softer and the initial break in time is AMAZING. But longer term benefits are less. >500 Almost 5 star amazon rating.
Cons:
Great to start with, but don't correct long term as much as the other ones.
Crucial Tips:
If you are very sore, TRY THESE FIRST! These are easiest to break in with initially. If you are very sore and rigid, don't use the heavy duty ones to start with.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Plantar Fasciitis pain was getting pretty bad, so I bought these insoles looking for some relief. On Day One, I noticed that it was not as painful to walk as the prior day; still sore but a marked improvement. It's now Day Two and I'm not nearly feeling the pain that I felt before I tried these insoles"
Affiliate Link (Buying through these links helps support the site): Thank you!

 

Best dress shoe orthotics:

Get these if you have dress shoes:

 

Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4")
Best Full Length Dress Orthotic.
Powerstep Signature Dress 3/4-Length Insoles - Dress Shoe Insoles for Men and Women
Powerstep Signature Dress Full-Length Insoles for Men and Women
Price:
from $34.99
from $34.99
Overview:
This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!
Best option if you can fit a full length orthotic. This does give you most control.
Pros:
Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can't go wrong in most cases.
Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4" length.
Cons:
Less correction than full length and heavy duty orthotics.
These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.
Crucial Tips:
If you haven't used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.
This is will work great in most men's shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4" length.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Great orthotics. Ease in to shape to your foot just enough, yet comfortable right out of the box. Leather construction makes them breathable. They are good for a wide foot, while not over stretching and ruining one's shoes!"
"I have bought many different OTC orthotics due to plantar fasciitis. These are among the best. I use them exclusively now and they feel good inside both sports and shoes I wear to the office that have removable insoles."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Dress Shoe Orthotics:
Best Fitting Dress Shoe Orthotic (3/4")
Powerstep Signature Dress 3/4-Length Insoles - Dress Shoe Insoles for Men and Women
Price:
from $34.99
Overview:
This is my top choice due to best fit. It is a little less supportive than full length, but fit is the key in dress shoes!
Pros:
Excellent overall fit. This will fit in almost every dress shoe. Excellent reviews and reasonable cost overall. Can't go wrong in most cases.
Cons:
Less correction than full length and heavy duty orthotics.
Crucial Tips:
If you haven't used dress orthotics before, get this one and avoid poor fit. If you wear dress shoes every day with room, the full length might give you more support.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Great orthotics. Ease in to shape to your foot just enough, yet comfortable right out of the box. Leather construction makes them breathable. They are good for a wide foot, while not over stretching and ruining one's shoes!"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Dress Shoe Orthotics:
Best Full Length Dress Orthotic.
Powerstep Signature Dress Full-Length Insoles for Men and Women
Price:
from $34.99
Overview:
Best option if you can fit a full length orthotic. This does give you most control.
Pros:
Great color dress option. Not the most corrective, but very color and dress appropriate. Great Reviews. Better correction and relief than the 3/4" length.
Cons:
These can have a poor fit in in some shoes. If you have tight shoes, DO NOT BUY the full length orthotic! You have been warned.
Crucial Tips:
This is will work great in most men's shoes that are not pointy. If you have a rounded toe box, this will probably work well. If a tight shoe go with the 3/4" length.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"I have bought many different OTC orthotics due to plantar fasciitis. These are among the best. I use them exclusively now and they feel good inside both sports and shoes I wear to the office that have removable insoles."
Affiliate Link (Buying through these links helps support the site): Thank you!

 

Best women’s shoe orthotics:

Only if you have tight shoes that won’t fit the other ones!

 

Best Flat Shoe (Non-Lace Up) Orthotics:
Best Overall 3/4" length option. (Not Heavy Duty, But Fit Focused)
Best Choice For Tight Women's Shoes or High Heels..
Thin Arch Support Shoe Orthotic Inserts for Women and Men by Powerstep, SlimTech 3/4 Length, Original Cushioning Shoe Insoles, Relieves Plantar Facsiitis, All Arch Types, Foot, Heel and Knee Pain
Powerstep SlenderFit Women's Fashion Orthotic High Heel Insole
Price:
from $25.33
from $27.79
Overview:
Great 3/4" choice. These work great in every shoe without laces. Not meant for heavy duty correction.
These are the best fitting for the most narrow shoes. Some but not great correction.
Pros:
Excellent fit, they are reliable with excellent reviews. You are going to be happy with these, just never SUPER happy because they don't correct as much.
They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.
Cons:
They are not super corrective. In some cases its like trying to using a 2 seat car to haul gravel. It looks and feels great but does
At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!
Crucial Tips:
These have a faster break in period than the heavy duty type. If after a few weeks
**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"This orthotic is the best I have tried, the other Powerstep have too high an arch for my feet, and are too thick in one's shoes, this one is just perfect, mild pronation and arch support, they are very comfortable yet do not give way due to their rigid support underneath, I use them in all my shoes as they are 3/4 and I do not have to take the sole from my shoes nor order a size up as I used to."
"These insoles provide as much support as the Powerstep originals. The insoles are comfy and they are long lasting. I've had one pair for a year now and they are just starting to show signs of wear. "
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Flat Shoe (Non-Lace Up) Orthotics:
Best Overall 3/4" length option. (Not Heavy Duty, But Fit Focused)
Thin Arch Support Shoe Orthotic Inserts for Women and Men by Powerstep, SlimTech 3/4 Length, Original Cushioning Shoe Insoles, Relieves Plantar Facsiitis, All Arch Types, Foot, Heel and Knee Pain
Price:
from $25.33
Overview:
Great 3/4" choice. These work great in every shoe without laces. Not meant for heavy duty correction.
Pros:
Excellent fit, they are reliable with excellent reviews. You are going to be happy with these, just never SUPER happy because they don't correct as much.
Cons:
They are not super corrective. In some cases its like trying to using a 2 seat car to haul gravel. It looks and feels great but does
Crucial Tips:
These have a faster break in period than the heavy duty type. If after a few weeks
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"This orthotic is the best I have tried, the other Powerstep have too high an arch for my feet, and are too thick in one's shoes, this one is just perfect, mild pronation and arch support, they are very comfortable yet do not give way due to their rigid support underneath, I use them in all my shoes as they are 3/4 and I do not have to take the sole from my shoes nor order a size up as I used to."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Flat Shoe (Non-Lace Up) Orthotics:
Best Choice For Tight Women's Shoes or High Heels..
Powerstep SlenderFit Women's Fashion Orthotic High Heel Insole
Price:
from $27.79
Overview:
These are the best fitting for the most narrow shoes. Some but not great correction.
Pros:
They will fit in even the tightest shoes! Guaranteed to make you feel better, but you know what you are getting in a tight shoes. Great reviews and price.
Cons:
At the end of the day high heels and slender orthotics help, but never cure all your pain. Make the best of a painful shoe!
Crucial Tips:
**WARNING***: If your shoe almost just barely fits onto your foot, this WILL NOT FIT! Be aware, it still needs a small amount of space to fit.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"These insoles provide as much support as the Powerstep originals. The insoles are comfy and they are long lasting. I've had one pair for a year now and they are just starting to show signs of wear. "
Affiliate Link (Buying through these links helps support the site): Thank you!

 

Get yourself a good ankle brace:

Good ankle brace will help stabilize your foot, this will help with foot drop, and limit the instability.

 

Ankle stability braces:

  • Stability ankle braces provide more correction:

 

Best Ankle Stability Braces (Not for Compression):
The Best Overall Brace For Fit & Support.
Most Supportive Premium Brace.
Best Budge Supportive Brace.
Bauerfeind - MalleoTrain Plus - Ankle Support - Extra Stability for The Ankle Joints and Tendons, Helps Stabilize The Ankle Muscles for Injury Healing and Pain Relief
Zamst A2-DX Strong Support Ankle Brace
#1 Laced Ankle Brace with Stabilizing Strap for Flexible Support. Breathable Neoprene Braces Made by Product Stop. (Medium)
Price:
from $129.00
from $48.20
$19.83
Overview:
Amazing brace, best fit and support combination: If you can afford it.
This is the best brace for pure support, but it can't fit in more snug shoes.
Outstanding brace for the price point. This is a figure 8 strap with laces, soft interface.
Pros:
Amazing brace. Best reviews and best fit. This is the Ferrari of braces if you can afford it.
This is a very highly rated, great reviewed brace. The support and stability is top notch for athletics. Very durable and does it's job.
Amazing reviews with proven track record. This is very soft and supportive in your shoe.
Cons:
The only downside besides cost, is complexity. This brace must be left or right. Not interchangeable. It is also for post-injury situations and good support. Not for compression!
The brace may be a little too big for a more snug shoe. This requires some room to fit and would be the main complaint. Hard interface along the padding.
The main downside is the durability and the ability for the material to give out. Great at first but maybe 3-4 months of continuous use prior to failure.
Important Tips:
Make sure to choose left vs. right. This is a high level brace mean specifically for injury support. This is not for compression or non-injury situations. It will be too tight.
This is a fantastic and supportive brace. Just make sure that your shoe will have some room for it to fit. Most good running shoes should let it fit.
This is an excellent starter brace if you have never had a brace before. It is a little longer to put with the straps and laces.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
" I have never used a better brace and would highly recommend this over anything else on the market. Is it more expensive than the others? Absolutely. Is it worth it? Absolutely!"
"THIS IS THE BEST ANKLE BRACE ON THE MARKET. Steph "Chef" Curry rocks these bad boys. Google some of his in game photos and you'll see him usually wearing them in white."
"If this is put on correctly, it works really well and even supplies good arch support. The straps can be a little confusing at first, but it's important to get the hang of it. The lacing and unlacing seemed annoyingly time consuming at first, but I realized that it had become second nature in only three or four days."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Ankle Stability Braces (Not for Compression):
The Best Overall Brace For Fit & Support.
Bauerfeind - MalleoTrain Plus - Ankle Support - Extra Stability for The Ankle Joints and Tendons, Helps Stabilize The Ankle Muscles for Injury Healing and Pain Relief
Price:
from $129.00
Overview:
Amazing brace, best fit and support combination: If you can afford it.
Pros:
Amazing brace. Best reviews and best fit. This is the Ferrari of braces if you can afford it.
Cons:
The only downside besides cost, is complexity. This brace must be left or right. Not interchangeable. It is also for post-injury situations and good support. Not for compression!
Important Tips:
Make sure to choose left vs. right. This is a high level brace mean specifically for injury support. This is not for compression or non-injury situations. It will be too tight.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
" I have never used a better brace and would highly recommend this over anything else on the market. Is it more expensive than the others? Absolutely. Is it worth it? Absolutely!"
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Ankle Stability Braces (Not for Compression):
Most Supportive Premium Brace.
Zamst A2-DX Strong Support Ankle Brace
Price:
from $48.20
Overview:
This is the best brace for pure support, but it can't fit in more snug shoes.
Pros:
This is a very highly rated, great reviewed brace. The support and stability is top notch for athletics. Very durable and does it's job.
Cons:
The brace may be a little too big for a more snug shoe. This requires some room to fit and would be the main complaint. Hard interface along the padding.
Important Tips:
This is a fantastic and supportive brace. Just make sure that your shoe will have some room for it to fit. Most good running shoes should let it fit.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"THIS IS THE BEST ANKLE BRACE ON THE MARKET. Steph "Chef" Curry rocks these bad boys. Google some of his in game photos and you'll see him usually wearing them in white."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Ankle Stability Braces (Not for Compression):
Best Budge Supportive Brace.
#1 Laced Ankle Brace with Stabilizing Strap for Flexible Support. Breathable Neoprene Braces Made by Product Stop. (Medium)
Price:
$19.83
Overview:
Outstanding brace for the price point. This is a figure 8 strap with laces, soft interface.
Pros:
Amazing reviews with proven track record. This is very soft and supportive in your shoe.
Cons:
The main downside is the durability and the ability for the material to give out. Great at first but maybe 3-4 months of continuous use prior to failure.
Important Tips:
This is an excellent starter brace if you have never had a brace before. It is a little longer to put with the straps and laces.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"If this is put on correctly, it works really well and even supplies good arch support. The straps can be a little confusing at first, but it's important to get the hang of it. The lacing and unlacing seemed annoyingly time consuming at first, but I realized that it had become second nature in only three or four days."
Affiliate Link (Buying through these links helps support the site): Thank you!

 

Ankle compression braces:

  • Compression ankle braces can help decrease pain, and decrease swelling:

 

Best Heel & Ankle Compression For Pain Relief:
Best Premium Brace (Support & Compression)
Budget Brace With Some Compression & Some Support.
Best Pure Compression & Slim Fit Ankle Support
Bauerfeind - MalleoTrain - Ankle Support Brace - Helps Stabilize The Ankle Muscles and Joints for Injury Healing and Pain Relief - Right Foot - Size 1 - Color Black
Ankle Brace for Plantar Fasciitis and Ankle Support - Ankle Wrap for Sprain, Tendonitis & Heel Pain Relief for Women & Men
POWERLIX Ankle Brace Compression Support Sleeve (Pair) for Injury Recovery, Joint Pain and More. Plantar Fasciitis Foot Socks with Arch Support, Eases Swelling, Heel Spurs, Achilles Tendon
Price:
$104.00
$13.95
from $25.00
Overview:
This is The Top Level Brace - Does Compression, Support & Great Fit.
This brace attempts mild compression and mild support.
Focused on great fit and excellent overall compression. Little focus on support.
Pros:
Excellent brace: Best overall mix of compression & support, and it still fits in most shoes! If you have a chronic injury and need to wear normal shoes => This is the BEST CHOICE.
Good rating at 4.3 with 2,000 reviews. It is cost effective and gives some support with some compression. Does both ok, but excellent when price is factored in.
Excellent reviewmost 2,000 5 star reviews. Great fit into almost any type of shoe. Very Slim, very cost effective.
Cons:
Expensive. It doesn't do any single thing the best. There are cheaper and more supportive braces, there are cheaper and more compressive braces. But no braces combine the two and still fit in a shoe.
Does not really do anything well. Weak support and not the best compression. Meant as an assist for chronic pain and low activity. Not for an acute injury.
Does not really provide stability. It still likely is not thin enough for a dress shoe or a dress heel combined with a sock.
Important Tips:
This is a high durability brace for everyday use. If you have chronic arthritis or pain with a high need for activity, this is your brace to use! **Gel inside seems to deteriorate after daily washing at about 1 year old**
This is mean for lower activity and better fit than a true supportive brace. Don't use this for an acute sprain or injury.
This is excellent for what it does. Which is simple compression with minimal support. This would be great with an orthotic and running shoe in a non-acute/severe injury.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"You will not go wrong forking over the money for this. I tried at least 6 different braces before buying this. All either had very little support and fell apart when washed, or lost stretch completely. This brace is the only one I’ll buy."
"Unlike a typical ankle brace, this wrap works like a brace with the abilty, based on how you wrap your ankle, to put direct pressure on the area were you need the most support. After wearing the wrap for a week straight, my ankle pain has been substantially reduced."
"So far, this has been outstanding. It's tight enough to stay secure and provide the necessary stability, while thin enough to wear with dress shoes. The quality is outstanding."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Heel & Ankle Compression For Pain Relief:
Best Premium Brace (Support & Compression)
Bauerfeind - MalleoTrain - Ankle Support Brace - Helps Stabilize The Ankle Muscles and Joints for Injury Healing and Pain Relief - Right Foot - Size 1 - Color Black
Price:
$104.00
Overview:
This is The Top Level Brace - Does Compression, Support & Great Fit.
Pros:
Excellent brace: Best overall mix of compression & support, and it still fits in most shoes! If you have a chronic injury and need to wear normal shoes => This is the BEST CHOICE.
Cons:
Expensive. It doesn't do any single thing the best. There are cheaper and more supportive braces, there are cheaper and more compressive braces. But no braces combine the two and still fit in a shoe.
Important Tips:
This is a high durability brace for everyday use. If you have chronic arthritis or pain with a high need for activity, this is your brace to use! **Gel inside seems to deteriorate after daily washing at about 1 year old**
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"You will not go wrong forking over the money for this. I tried at least 6 different braces before buying this. All either had very little support and fell apart when washed, or lost stretch completely. This brace is the only one I’ll buy."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Heel & Ankle Compression For Pain Relief:
Budget Brace With Some Compression & Some Support.
Ankle Brace for Plantar Fasciitis and Ankle Support - Ankle Wrap for Sprain, Tendonitis & Heel Pain Relief for Women & Men
Price:
$13.95
Overview:
This brace attempts mild compression and mild support.
Pros:
Good rating at 4.3 with 2,000 reviews. It is cost effective and gives some support with some compression. Does both ok, but excellent when price is factored in.
Cons:
Does not really do anything well. Weak support and not the best compression. Meant as an assist for chronic pain and low activity. Not for an acute injury.
Important Tips:
This is mean for lower activity and better fit than a true supportive brace. Don't use this for an acute sprain or injury.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"Unlike a typical ankle brace, this wrap works like a brace with the abilty, based on how you wrap your ankle, to put direct pressure on the area were you need the most support. After wearing the wrap for a week straight, my ankle pain has been substantially reduced."
Affiliate Link (Buying through these links helps support the site): Thank you!
Best Heel & Ankle Compression For Pain Relief:
Best Pure Compression & Slim Fit Ankle Support
POWERLIX Ankle Brace Compression Support Sleeve (Pair) for Injury Recovery, Joint Pain and More. Plantar Fasciitis Foot Socks with Arch Support, Eases Swelling, Heel Spurs, Achilles Tendon
Price:
from $25.00
Overview:
Focused on great fit and excellent overall compression. Little focus on support.
Pros:
Excellent reviewmost 2,000 5 star reviews. Great fit into almost any type of shoe. Very Slim, very cost effective.
Cons:
Does not really provide stability. It still likely is not thin enough for a dress shoe or a dress heel combined with a sock.
Important Tips:
This is excellent for what it does. Which is simple compression with minimal support. This would be great with an orthotic and running shoe in a non-acute/severe injury.
Amazon Reviewer Comments (Make sure to do your own review research through the link):
"So far, this has been outstanding. It's tight enough to stay secure and provide the necessary stability, while thin enough to wear with dress shoes. The quality is outstanding."
Affiliate Link (Buying through these links helps support the site): Thank you!

 

Charcot-Marie-Tooth Surgery:

  • Foot surgery can be very effective: In short, Marie tooth disease, especially the advanced disease.

 

Big toe joint ulcer charcot marie tooth disease with pain needs surgery
Because of the peripheral neuropathy in Charcot-Marie-Tooth, it is possible to form an ulcer, especially underneath the big toe.
This is where surgery can be especially effective. By reducing the amount of high arch, and combining with good shoes and orthotics, this can relieve a significant amount of pressure.

Goals of Foot & Ankle Surgery:

  • You prefer to stick towards surgery that relieves wound risk formation.
  • The most common types of wound risk is ball of the foot ulcers, and big toe joint ulcers.
  • What this lets us do is soft tissue procedures, and sometimes bone procedures to make the foot. Flatten out, rather than being such a high arch.

 

Charcot-Marie-Tooth Surgery Recovery Time:

  • Sometimes a very quick healing surgery (immediate weight-bearing) can really improve the quality of life, and have you back in a regular shoe walking better than before the surgery within about a month.
  • These can be thought of as high arched foot, or cave’s foot type correcting surgeries.

 

Associated Foot Problems:

Consider Plantar Fasciitis:

  • Plantar fasciitis can be a very common symptom in a cavus foot type.
  • This guide will show you how to handle the plantar fasciitis component of your CMT!