Cuboid syndrome may be a cause of pain on the lateral side of the foot, that is if it really exists. You will find some dispute in regards to what cuboid syndrome actually is with many questioning if it exists and also the source of the symptoms is caused by a range of other sorts of issues. There isn't much evidence on this, however there are lots of thoughts.
Typically, in cuboid syndrome, the cuboid is thought to become partly subluxed as a result of too much pull coming from the peroneus longus tendon if the foot is excessively overpronated. For this reason the cuboid bone is just not secure while the peroneus longus muscle fires and the lateral area of this cuboid will be moved dorsally. This assumed subluxation is thought to be what cuboid syndrome might be. The cuboid may additionally turn out to be subluxed following a lateral ankle sprain. Pain in the outside of the foot is believed to happen in approximately 4% of the foot problems in athletes.
The symptoms that appear, in a cuboid syndrome there will be lateral foot pain on weightbearing over the cuboid area and there could be a general foot soreness, particularly over that lateral aspect of the foot. Pressing the cuboid bone further up may well produce pain and that bone may feel limited in mobility when compared to the not affected foot. You cannot find any research that this subluxation can be found on imaging, which is partly why so many doubt this syndrome even exists. This doubting can also be in line with the quite strong ligament framework around this cuboid bone and exactly how could it likely sublux if the bone is really securely held in place.
There's no question that there's this pain on the outside of the foot that does have many symptoms in common, its just do they really be brought about by the entity that ordinarily gets described as cuboid syndrome. The different diagnosis for symptoms in this region is really a lengthy list, and so the pain might be as a result of any one of these and not just the cuboid syndrome as it continues to be identified. The list may include stress bone injuries, a peroneal tendinopathy, tenderness with the sesamoid bone and others. Soreness in this area can be frequent following a plantar fascia surgical release for those having chronic plantar fasciitis. Several of these issues that might also cause symptoms in this area will also respond to the treatments which have been usually used to treat cuboid syndrome.
The conventional approach to the treatment of cuboid syndrome will be to alter activity amounts which means symptom levels are kept tolerable. If the pain is especially bad, then ice could be used as well as pain alleviation medicine for example NSAID’s. Taping may also be frequently used to stabilise the foot. Foot orthotics with what is called cuboid notch to support the foot can also be frequently used. There is also a adjustment to thrust the cuboid bone upward and sideways on the plantar surface that may be typically carried out that should often provide impressive outcomes, and that's why this is believed by so many as a subluxed cuboid. The true reason for the manipulation working very well is just not understood.