Cuboid syndrome may be a explanation for pain on the outside of the foot, that is if it really exists. You will find some dispute in regards to what it precisely is with many doubting if it exists as well as the source of the symptoms is a result of a range of other types of problems. There's not much science about this, but there are several viewpoints.
As a rule, in cuboid syndrome, the cuboid bone is deemed to become partially subluxed as a result of abnormal pull coming from the peroneus longus tendon when the foot is abnormally pronated. As a result the cuboid bone will not be stable when peroneus longus muscle fires and the lateral part of the cuboid bone is moved upwards. This subluxation is understood to be just what cuboid syndrome is. The cuboid bone may additionally become subluxed after a lateral ankle sprain. Soreness on the lateral side of the feet are believed to occur in about 4% of the foot injuries in sports athletes.
Medically, in a cuboid syndrome you can find outside foot soreness on weightbearing around the cuboid region and also there may be a general foot ache, mainly over that outside area of the foot. Pushing the cuboid bone up could produce discomfort and that bone might feel constrained in mobility as compared to the not affected foot. There isn't any evidence that this subluxation can be found on imaging, which can be partly the reason so many doubt this condition actually exists. This doubting can also be in accordance with the very strong ligament framework around this bone and how would it presumably sublux when the cuboid bone is really tightly locked in position.
There's no question that there is this pain on the lateral side of the foot which does have numerous symptoms in common, its just would they be contributed to the entity that usually gets described as cuboid syndrome. The differential diagnosis for pain in this area can be a lengthy list, so the symptoms might be as a result of any one of them and not simply the cuboid syndrome as it continues to be described. This list consists of stress bone injuries, a peroneal tendinopathy, irritability with the os peroneum bone and many more. Symptoms on the lateral side of the foot can be frequent after having a fascia operative release for those having persistent plantar fasciitis. A number of these issues that also can cause soreness in this region can also respond to the treatments that happen to be commonly used to treat cuboid syndrome.
The typical approach to managing cuboid syndrome is to try to modify activity which means pain levels are kept tolerable. Should the pain is particularly painful, then ice can be used as well as pain relief medication such as NSAID’s. Taping is also often helpful to stabilise the foot. Foot orthoses with what is known as cuboid notch to support the foot will also be frequently used. There's an easy adjustment to push the cuboid bone upwards and laterally from the plantar surface that may be generally carried out which does frequently provide remarkable benefits, which is why this is thought by so many as a subluxed cuboid bone. The explanation for the manipulation working very well is simply not understood.