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How to treat cuboid syndrome in the foot

Cuboid syndrome is a source of pain on the outside of the foot, assuming it actually exists. There may be some debate in regards to what cuboid syndrome exactly is with some doubting if it exists and also the reason for the symptoms is caused by a variety of other types of issues. There isn't much evidence for this, but there are several viewpoints.

Traditionally, in cuboid syndrome, the cuboid is presumed to be partially subluxed as a result of excessive traction from peroneus longus tendon when the foot is excessively overpronated. Because of this the cuboid just isn't sturdy as peroneus longus muscle fires and the lateral side of this cuboid is moved upwards. This subluxation is thought to be just what cuboid syndrome might be. The cuboid bone may also become subluxed after having a lateral ankle joint strain. Soreness on the outside of the foot is believed to occur in around 4% of all foot injuries in athletes.

Clinically, in a cuboid syndrome there's lateral foot discomfort on weightbearing over the cuboid area and there might be a generalised foot soreness, primarily over that lateral part of the foot. Pressing the cuboid bone further up may produce pain and that bone may feel constrained in mobility in comparison to the unaffected foot. There is no evidence that this subluxation can be viewed on x-ray, which is partly exactly why so many question this disorder even exists. This question can also be in line with the quite strong ligament framework around this bone and how could it probably sublux when the cuboid bone is really firmly locked in place.

There isn't any doubt that there's this kind of pain on the lateral side of the foot which does have a lot of characteristics in common, its just would they all be contributed to the entity that frequently gets labeled as cuboid syndrome. The different diagnosis for pain on the lateral side of the foot is often a long list, so the discomfort could be as a result of any one of these and not simply the cuboid syndrome as it has been identified. The list includes stress bone injuries, a peroneal tendinopathy, irritability with the sesamoid bone and others. Symptoms on the lateral side of the foot is also prevalent after having a fascia operative release for people having persistent heel pain. A number of these issues that might also cause soreness in this region might also get better to the therapies which are generally used to deal with cuboid syndrome.

The traditional approach to dealing with cuboid syndrome will be to modify activity amounts which means pain amounts usually are maintained tolerable. Should the pain is especially painful, then ice could be used or possibly pain relief prescription medication such as NSAID’s. Taping can also be often used to stabilise the foot. Foot orthotics with what is known as cuboid notch to support the region may also be commonly used. There is also a manipulation to thrust the cuboid upwards and sideways from the plantar surface that may be generally performed which can frequently provide dramatic outcomes, which explains why this is assumed by so many to be a subluxed cuboid. The true reason for the manipulation working very well is not understood.