31 May 2016 / Foot Pain

Foot Pain – Cuboid

Do you have pain on the outside of your foot?
This pain may be Cuboid syndrome where a person may seek attention complaining of pain, discomfort, or weakness along the outside (lateral) aspect of the foot between the fourth and fifth metatarsals and the ankle joint. The pain may radiate throughout the foot. Tenderness may be elicited over the tendons and an abnormal gait may be observed. The pain may be observed in a controlled environment by standing on the toes or rolling the arches of the foot, as these motions tend to exercise the foot’s ankle joint and ligament, which are characteristically strained in a patient suffering from cuboid syndrome. Also, the pain may come on suddenly or it may develop gradually and persist over time. Sometimes the pain is intermittent, subsiding partially or completely for a period of time before returning again.
A patient may develop Cuboid syndrome through either a single traumatic event (e.g., ankle sprain) or insidiously with repetitive strain over time. The exact cause of Cuboid syndrome remains unclear but many ideas have been proposed. Such ideas include excessive pronation of the foot, overuse injury, and inversion ankle sprains. Cuboid syndrome may persist even if the patient is taking part in regular physical therapy. The patient’s foot type, such as the presence of overpronation or underpronation, may also play a factor in the condition.
Risk factors
Suspected risk factors for Cuboid syndrome include obesity, midtarsal (mid foot) instability, poorly fitting footwear, physical exercise, inadequate recovery from physical activity, physical training on uneven surfaces, and ankle sprains.
Once diagnosed, a medical professional may treat cuboid syndrome by realigning (also known as reducing) the subluxed cuboid unless contraindications to manipulation are present. This form of manual manipulation of the foot should be done by a trained specialist, such as a podiatrist, chiropractor, osteopath, athletic trainer, osteopathic physician, or physical therapist. Further treatment may take into account other considerations, such as possible causes or aggravators (e.g. recommending that the patient be fit with custom orthotics if they are overprone). Fortunately, subluxed cuboids are generally quite treatable and most patients return to a normal level of activity once the pain is brought under control.
So if you think you have this problem why not book an assessment at Premier Clinic Ltd. Tel 01254 677341

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