Do You Have The Painful Cuboid Syndrome? Know-How To Deal With It!

The cuboid is a small, pyramid-shaped knot with 6 surfaces on the side of the foot. The CC joint role is based on the mechanical midtarsal joint mechanics because the navicular and cuboid bones move mostly in tandem during the gasket, and is subsequently articulated with the fourth and fifth metatarsal of the cuneiform lateral and navicular, and subsequently with calcaneus. The mechanics of CC joints are highly variable. The CC joint tends to be most congruent radiographically when the calcaneus is positioned in a vertical position.

The dorsal and the plantar cuboideonavicular and cuboid joint pain, along with the wedges-shaped fibro adipose labra in the CC joint and the cuboid-me are inherently flexible because of their articular surface and the consistency of ligaments and tendon attachments. The cuboid is a pulley for the long tendon of peroneus, muscle contraction from the centre of the cubic by late propulsion. The reversal of the cuboid through the Peroneal Long Sein is intended to facilitate load transfer from the lateral to the medial position over the forefoot.

cuboid syndrome

Pain on your lateral foot where the smallest toe is the most relevant symptom of cuboid syndrome. This pain could feel sharper if you weigh your foot on that side or when you press on your foot’s arch.  When you stand on your front toes, pain associated with cuboid syndrome can also spread to other areas of your foot.

Other than this, the common symptoms of cuboid syndrome include:

  • Redness close to wound region
  • Loss of mobility on your foot ankle or hand
  • Weak toes on the side of your foot 
  • The sensitivity of the lateral foot or leg
  • Swelling near the ligaments or ankle dislocated due to the accumulation of fluid

The cuboid syndrome may result in painful antalgic gait when can be due to the walking position that you adopt due to pain. This is moving side to side.

Cuboid syndrome is believed to be caused when the bone is still going out of the foot moving outward while your calcaneus or heel bone moves inverted. This can dislocate or tear one of the bones or ligaments nearby. 

The most common cause is sprains or wounds to your ankle. The cuboid syndrome may be caused by foot injuries, such as twisting the ankle, failure or other movements that place heavy pressure on ankle and ligament. 

Overuse or constant pressure on your foot can also be the result of cuboid syndrome. This is normal when playing sports or doing activities such as jumping, running, or going from side to side. Overly pronation of the foot may also cause the cuboid syndrome, also known as flat feet.

What are the risks associated with cuboid syndrome?

  • Being obese or overweight
  • Wearing uncomfortable or tight shoes 
  • Not correctly stretching your foot before exercise
  • Not doing any physical exercise
  • Not able to walk, run or perform physical activity on non-flat surfaces
  • Bone fracturing with the cuboid
  • Ballet rehearsal, which is one of the most famous events

Causes of cuboid syndrome 

  • Overuse

This condition arises when you prefer to work despite the discomfort, and are constantly involved in high-stress conditions that raise the risk of injuries. This explains why athletes and dancers suffer from Cuboid syndrome more frequently.

  • Sprained ankle

An inversion sprain is an injury that is most likely to lead to the cuboid syndrome. This occurs when the knee twists abruptly, but the circumstances are known to be triggered by external twists as well.

  • Pronated feet

In persons with pronated feet, Cuboid syndrome may also be a more common condition where people tend to move their feet inwards when they walk. When the calf muscles of an individual (perineum length) are particularly stubborn, the cuboid bone can be tugged out when the foot is pronated.

  • Other activities

This condition is also related to the following factors:

  1. Activities, such as tennis or racquetball, through fast side-to-side movement
  2. Using stairs can also trigger this condition. 
  3. Wearing shoes that do not fit or are uncomfortable support
  4. On standardised surfaces preparation.
  5. Ignoring the need for rest after hard work

Cuboid syndrome treatment

The treatment of cuboid syndrome starts with rest and decreases or removes foot weight. Home remedy for treating cuboid is RICE. Rice stands for rest, ice, compression, and elevation. Even after the RICE therapy If you continue to experience pain or the pain worsens, a doctor or a physiotherapist should be consulted. A qualified practitioner can carry out such foot manipulations, including:

The cuboid whip

Lie on the back with the knee of the foot bent and your doctor keeps the foot hurt.

 Flexed feet will straighten the leg. The therapist pushes the cubic bone violently out of the base of the foot to reintroduce it. Some people can hear that the bone pops up, even if the procedure cannot be heard.

The cuboid squeeze

This strategy is easier when pain on top of the foot is worse for the cuboid syndrome.

• Lie off the side of a table and relax with your leg while the therapist grips your foot, twists it and pounds it on from the top of your foot.

The cuboid bone manipulations are better performed if the injury happens within 24 hours. If the pain has been on for a long time, certain manipulations could be appropriate for the injury. But manipulations could succeed 90% of the time according to a textbook published in 1997.

It is not advised to manipulate footwear if a person also has other disorders, such as arthritis, a broken bone, circulatory or nerve problems or bone disease.

Cuboid syndrome therapies include:

  • A pad for the middle of the foot to support joint
  • Foot tapping to help preserve flexibility
  • Orthotics to better fit
  • Anti-inflammatory drugs for pain and swelling reduction
  • Deep tissue massages of veal muscles that can tug on the bone 

Surgery for this condition is rarely recommended and is pursued only if other treatment options have failed to give relief.

The time required to recover from a cuboid syndrome episode is based on several factors, the common among them are:

  • For how long the person has been injured
  • Whether it has induced or evolved due to an acute injury;
  • If another injury has spread and resulted in cuboid syndrome. 

After a few days, most people begin to sense relief if the initial injury was minor. However, recovery can take up to several weeks if someone has other injuries, such as an ankle sprain. The full recovery of the symptoms of the cuboid syndrome can be achieved by being precautious and taking extra care It can also help to avoid further damage. Some of the physical therapies include:

  • Foot reinforcement
  • Extension of muscle foot and calf
  • Fair balance exercises

A doctor or therapist may in some circumstances consider using an ankle or foot brace to provide foot and ankle support and stabilisation.

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