Is blood flow a significant factor in patients with Charcot neuroarthropathy?

There is a prevailing perception that patients with Charcot neuroarthropathy are distinctly different from other patients who present with other diabetes-related foot problems. Specifically, in comparison to patients with diabetes who do not have Charcot foot/ankle deformities, some believe Charcot patients have a “normal vascular exam.” Not only do some physicians believe patients with Charcot neuropathy have normal blood flow but some consider increased local blood flow to be a hallmark of Charcot neuroarthropathy.