Cuboid syndrome is a subluxation of the calcaneal-cuboid joint (CC joint).
Cuboid syndrome is optimally treated by correcting and properlty 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.
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.
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.
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.
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