One complication less known in general is the foot of Charcot, due to neuropathy. The bones become brittle and artrotic and severe pain can rise. The natural anti-inflammatory compound palmitoylethanolamide can be of use, as it decreases chronic inflammation and pain via natural mechanisms of action. We discuss this molecule extensively on this site.
History: 40 year old patient with spinal cord injury.
This is a case of neuropathic osteoarthropathy, also known as a Charcot joint. The imaging findings are typically described as the 5 “Ds,” which include normal bone Density, joint Distension, bony Debris, cartilage Destruction, and joint Disorganization (or dislocation/deformity). Usually when seen in the shoulder it is indicative of an entity called syringomyelia, however, in this patient it was spinal cord injury.