C is for Cuboid Syndrome

November 13, 2012

Cubiod syndrome is a relatively common injury on the lateral side of the foot that responds well to a manipulation.

Cuboid syndrome, also known as cuboid subluxation or cuboid subluxation syndrome, is a condition that affects the cuboid bone in the foot. It occurs when the cuboid bone, which is one of the seven tarsal bones in the midfoot, becomes partially displaced or misaligned.

The exact cause of cuboid syndrome is not always clear, but it is commonly associated with activities that involve repetitive or excessive stress on the foot. Some potential causes or contributing factors include:

  1. Foot overpronation: Overpronation refers to an excessive inward rolling motion of the foot during walking or running. This can put additional stress on the cuboid bone and surrounding structures.
  2. Trauma or injury: An acute injury, such as an ankle sprain or direct impact to the foot, can cause the cuboid bone to shift out of its normal position.
  3. Repetitive activities: Activities that involve repetitive movements or strain on the foot, such as running, jumping, or dancing, can contribute to the development of cuboid syndrome.

The most common symptom of cuboid syndrome is pain on the outside of the foot, particularly around the midfoot area. The pain may worsen with weight-bearing activities or when pushing off with the affected foot. Other signs and symptoms may include swelling, difficulty walking or bearing weight on the foot, and limited range of motion in the ankle or foot.

Diagnosing cuboid syndrome can be challenging, as the symptoms may overlap with other foot conditions. A healthcare professional, such as a podiatrist or orthopedic specialist, will typically perform a physical examination of the foot, checking for tenderness and assessing the range of motion. They may also use certain manipulative maneuvers to try and reproduce the pain or restore the cuboid bone to its proper position.

Treatment for cuboid syndrome usually involves conservative measures, which may include:

  1. Cuboid manipulation: The healthcare professional may perform specific manual techniques to realign the cuboid bone.
  2. Foot taping or bracing: Taping or bracing techniques can help support the foot and stabilize the cuboid bone.
  3. Orthotic devices: Custom orthotic inserts or arch supports may be prescribed to provide additional support and alignment to the foot.
  4. Physical therapy: Exercises and stretches can help strengthen the foot and ankle muscles, improve stability, and promote healing.

In rare cases where conservative treatments do not provide relief, surgical intervention may be considered.


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