Symptoms Of Cuboid Subluxation
Cuboid subluxation will classically present with pain on the outside of the foot worse with weight-bearing particularly so first thing in the morning or with moving across uneven ground, jumping, hopping or twisting when quickly changing direction. The foot may feel weak with the push-off phase of walking, running and jumping and in more severe cases people may walk with a limp trying to keep weight off the outside of the foot away from the cuboid bone.
Pain may radiate with cuboid subluxation from the cuboid into the sole of the foot, the front of the ankle or into the toes. Palpation of the foot will frequently find the area to be painful to touch over the cuboid bone and the area may even be red and swollen.
The symptoms of cuboid subluxation tend to ease with rest and avoiding weight bearing.
Diagnosing Cuboid Subluxation
Cuboid syndrome is often missed when attempting to diagnose pain in the foot and ankle area. The diagnosis of cuboid subluxation is often made via the information gained from a subjective and objective examination. Taking a history of the condition and then assessing foot loading and biomechanics as well as pain and movement at the cuboid is often satisfactory to make the diagnosis. Imaging is useful for ruling out other causes of pain mimicking cuboid syndrome and can be used to help with making a diagnosis. But because there is currently no agreed upon conclusive test for cuboid subluxation it isn’t uncommon for the condition to go undiagnosed.
Treatment Options For Cuboid Subluxation
The goal when treating cuboid subluxation is reducing the cuboid back into position and maintaining it as such.
Physiotherapy treatment may frequently involve mobilsation or manipulation of the cuboid bone. Followed with taping or padding techniques to help support and maintain correct positioning of the cuboid as well as considering changes to footwear and activity levels to give the tissues time to recover and assist correct support and positioning going forward. All this is often coupled with a home program of exercises to address and improve mobility, strength, foot posture and biomechanics as deemed necessary. It isn’t uncommon for orthotics (arch support insoles) to be prescribed with cuboid syndrome especially in more chronic, stubborn situations failing to respond to the above mentioned approaches.
The good news is the majority of patients diagnosed with cuboid syndrome heal with appropriate physiotherapy treatment and a graduated return to sport and activity can occur once symptoms settle.
Disclaimer: Sydney Physio Clinic provides this information as an educational service and is not intended to serve as medical advice. Anyone seeking specific advice or assistance on Management Of Cuboid Subluxation should consult his or her general practitioner, physiotherapist, sports medicine specialist, orthopedic surgeon or otherwise appropriately skilled practitioner.