Cuboid Syndrome, dicing with foot pain

The cuboid bone is one of the bones of the foot, named after its cube-like shape. In fact, in ancient times the cuboid bone was used in games as a dice.

Cuboid syndrome refers to the loss of normal movement between two important bones in the foot: the cuboid and the heel bone (calcaneus bone).

Cuboid syndrome may be due to an injury such as an inversion sprain of the ankle. Occasionally the symptoms of cuboid syndrome occur without an obvious injury. The symptoms of cuboid syndrome are very similar to the symptoms of a sprain.

Pain is greatest when weight is first applied to the foot. Pain increases when walking when all of the weight of the body is on that one foot.

The condition is often found in athletes, especially those who put a great deal of pressure on their feet by running and jumping, such as dancers and runners.

Also at risk are athletes who place added stress on their feet with quick changes in direction, such as tennis and basketball players.

Cuboid syndrome may not respond to traditional treatment programmes. Anti-inflammatory medication, ice and ultrasound will provide some benefit but will not completely treat this condition. Restoring the mechanics of the foot and supporting the foot arches can play a large role in resolving this condition.

Realigning the joint between the cuboid and the calcaneus can provide dramatic improvement in this syndrome.

Slight misalignment and loss of function of a joint is called a subluxation. Reduction of the subluxation is accomplished through adjustment of the joint.

The doctor utilises a quick thrust with his or her hands to the cuboid to realign the joint. Chiropractors and podiatrists usually treat Cuboid syndrome.

The treatment is often maintained by supportive taping and padding. Prescription orthotics can be helpful in preventing a recurrence of cuboid syndrome. Patients are usually instructed to avoid going barefoot or wearing shoes with low heels.

The response to treatment of cuboid syndrome depends upon the original cause of the problem and how long the syndrome had been present. Recent onset of cuboid syndrome, say from an ankle sprain, may respond dramatically to manipulation. If cuboid syndrome is due to chronic overloading of the joint, treatment such as manipulation may be less effective and take longer to see results.