Living with Charcot joint means navigating a condition that many clinicians still find puzzling. The foot swells, becomes warm, and in some cases literally collapses — often without significant pain, because the same neuropathy that destroys the joint also muffles the warning signals.

Living with Charcot-Marie-Tooth disease means navigating a condition that most clinicians see only a handful of times in their careers. The classic advice — physical therapy, orthotics, watch for falls — is not wrong, but it stops well short of what current science now makes possible.