Cuboid syndrome can be a explanation for pain on the outside of the foot, assuming it really exists. There's some controversy as to what cuboid syndrome actually is with many doubting if it exists and the cause of the signs and symptoms is a result of a range of other sorts of problems. There is not much research on this, but there are many thoughts and opinions.
Typically, with cuboid syndrome, the cuboid bone is thought to get to a degree subluxed resulting from too much traction by peroneus longus tendon when the foot is excessively overpronated. For this reason the cuboid isn't really sturdy as peroneus longus muscle contracts and the lateral aspect of the cuboid is pulled upwards. This believed subluxation is understood to be just what cuboid syndrome might be. The cuboid could perhaps turn out to be subluxed following a lateral ankle strain. Pain on the lateral side of the foot is believed to happen in approximately 4% of the foot injuries in athletes.
Medically, in a cuboid syndrome there is outside foot soreness on weightbearing over the cuboid vicinity and also there can be a general foot discomfort, mainly over that outside part of the foot. Pressing the cuboid bone up-wards can produce discomfort and this bone might feel restricted in movement when compared to the not affected foot. You cannot find any research that this subluxed cuboid is visible on x-ray, that is to a certain extent why so many question that this syndrome actually exists. This doubting is additionally in line with the very strong ligament structure around this cuboid bone and exactly how would it probably sublux if the cuboid bone is really tightly locked in place.
There is no doubt that there is this kind of pain on the lateral side of the foot that has several features in common, its just would they all be contributed to the thing that usually gets described as cuboid syndrome. The differential diagnosis for symptoms in this region is a long list, and so the symptoms might be due to any one of these rather than just the cuboid syndrome as it continues to be explained. This possible diagnoses may include stress bone injuries, a peroneal tendonitis, irritation with the os peroneum bone and many others. Discomfort in this region also is prevalent following a fascia surgical release for people having long-term heel pain. Several of these issues that may also cause discomfort in this region could also get better to the treatments that happen to be commonly used to manage cuboid syndrome.
The common approach to managing cuboid syndrome is to alter activity so symptom levels are usually maintained bearable. If the pain is particularly bad, then ice may be used or perhaps pain relief prescription medication for example NSAID’s. Taping is also often helpful to stabilise the region. Foot orthotics using what is called cuboid notch to support the region are also commonly used. There is also a manipulation to press the cuboid bone upward and sideways from the plantar surface that may be generally done which usually does frequently give impressive benefits, which is the reason this is believed by so many to be a subluxed cuboid. The real reason for the manipulation working very well is not clear.