Cuboid syndrome may be a cause of pain on the lateral side in the foot, that is if it really exists. You will find some dispute as to what cuboid syndrome exactly is with some doubting if it exists as well as the explanation for the symptoms is because of a range of other sorts of issues. There isn’t much evidence on this, however there are plenty of viewpoints.

Commonly, in cuboid syndrome, the cuboid bone is assumed to become to a degree subluxed because of abnormal traction from peroneus longus tendon if the foot is excessively overpronated. Because of this the cuboid just isn’t steady when peroneus longus muscle contracts and the lateral aspect of this cuboid bone can be moved upwards. This believed subluxation is thought to be what cuboid syndrome is. The cuboid bone can also become subluxed following a lateral ankle joint strain. Problems on the outside of the foot is thought to occur in about 4% of all foot problems in sports athletes.

Clinically, in a cuboid syndrome there will be outside foot pain on standing over the cuboid bone vicinity and also there could be a generalised foot discomfort, mainly over that lateral part of the foot. Pressing the cuboid bone up-wards could produce discomfort and that bone may feel restricted in mobility in comparison to the not affected foot. You cannot find any research that this subluxed cuboid can be found on x-ray, which is to a certain extent exactly why so many question that this condition actually occurs. This uncertainness is also in line with the very strong ligament structure around this cuboid bone and just how would it possibly sublux if the cuboid bone is really snugly locked in position.

There is no doubt that there is this kind of pain on the outside of the foot which has several features in common, its simply do they really be brought about by the entity that frequently will get labeled as cuboid syndrome. The differential diagnosis for discomfort in this area is a long list, and so the symptoms will be due to any one of them and not just the cuboid syndrome as it has been identified. This possible diagnoses may include stress bony injury, a peroneal tendon problem, irritability of the os peroneum bone and many more. Soreness in this area can also be prevalent after having a plantar fascia operative release for people having long-term heel pain. A number of these issues that may also cause pain in this region could also get better to the treatments that happen to be commonly used to handle cuboid syndrome.

The typical approach to the management of cuboid syndrome will be to adjust activity which means symptom levels usually are maintained tolerable. If the pain is especially bad, then ice can be used or perhaps pain alleviation medicine for example NSAID’s. Strapping can also be typically used to stabilise the region. Foot supports using what is called cuboid notch to support the area may also be commonly used. There’s an easy adjustment to thrust the cuboid upward and laterally on the plantar surface that may be typically done which does frequently give remarkable benefits, which is why this is deemed by so many as a subluxed cuboid. The reason for the adjustment working very well is just not understood.


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Craig Payne Author
University lecturer, runner, cynic, researcher, skeptic, forum admin, woo basher, clinician, rabble-rouser, blogger, dad.