Cuboid Syndrome

Cuboid syndrome is a subluxation of the calcaneal-cuboid joint (CC joint).

Must Know About This

• Cuboid syndrome is optimally treated by correcting and properly supporting the subluxation of the CC joint.
• Heel lifts can help.
• Often modification of existing devices is all that is necessary to treat an acute CC condition.

Good to Know About This

• Occasionally, cortisone injections may be helpful in reducing inflammation associated with the subluxation of the CC joint.
• Pain occurs with weight bearing and can be worse in the AM and after resting.
• If the condition is chronic, however, new orthosis and footwear should be considered.

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More About This

Treatment Of Cuboid Syndrome

Cuboid syndrome is optimally treated by correcting and properly supporting the subluxation of the CC joint. Prescription orthotics (arch supports) are helpful in supporting the joint. Occasionally, cortisone injections may be helpful in reducing inflammation associated with the subluxation of the CC joint. Manipulation of the CC joint is a technique used by some physicians. In my opinion, this is difficult to perform well but may have lasting results.

Symptoms

Pain occurs commonly on the top and outside of the foot at the CC joint. Pain occurs with weight bearing and can be worse in the AM and after resting.

Devices

Heel lifts can help.

Often modification of existing devices is all that is necessary to treat an acute CC condition. Modification simply involved applying a €” felt pad to raise the area of support under the CC joint. If the condition is chronic, however, new orthosis and footwear should be considered.

Can ESWT help this?

ESWT is not FDA approved for this condition and has rarely been use “off label” for this. It is possible that future studies by be done for CC joint syndrome. This may depend on the involvement of the CC ligament and degree of subluxation as well as other factors.