The cuboid is a cube-shaped bone in the mid-foot, which forms a joint between the heel bone and the fourth and fifth metatarsal bones leading to the toes on the lateral (outside) part of the foot. When there is trauma or repetitive strain to surrounding soft tissues, the cuboid bone can become dislocated and block surrounding bones from normal movement. This condition is called cuboid syndrome. People with flat feet, athletes, and dancers are all more at risk of developing cuboid syndrome. Symptoms may include pain, swelling, tenderness, or redness on the outside of the foot, difficulty walking, and weakness in the foot. Cuboid syndrome can sometimes be mistaken for an ankle sprain. If you have pain on the outside of your foot and believe you may have cuboid syndrome, a visit to a podiatrist is suggested so that your foot can be examined and properly diagnosed. Cuboid syndrome treatment may include icing, bracing, taping, biomechanical control, rest, physical therapy, custom orthotics, or physical manipulation to guide the cuboid back into its normal position.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Dr. Robert Graser from Graser Podiatry and Bunion Surgery Institute. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

• Injury – The most common cause of this ailment is an ankle sprain.
• Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
• Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our office located in Boerne, . We offer the newest diagnostic and treatment technologies for all your foot care needs.