Cuboid syndrome is a frequently misdiagnosed cause of lateral midfoot pain, typically resulting from subtle disruption or subluxation of the cuboid bone at the calcaneocuboid (CC) joint. This joint plays a critical role in foot biomechanics, acting as a pulley for the peroneus longus tendon and facilitating lateral-to-medial load transfer during gait. The cuboid articulates with the calcaneus, lateral cuneiform, navicular, and the fourth and fifth metatarsals, making it central to midfoot stability.
The condition often arises following an inversion ankle sprain or repetitive loading, where the cuboid may become “locked” or misaligned.
Your OHL Physio may utilise a series of objection tests such as midtarsal adduction and supination to rule out other diagnoses, which include lateral ankle ligament sprain, peroneal tendinopathy, sinus tarsi syndrome, and stress fractures.
Treatment typically involves manual therapy, with techniques like the ‘cuboid whip’ and ‘cuboid squeeze’ showing favourable outcomes. Adjunctive strategies that may aid recovery include icing strategies, taping techniques, the potential of orthotics, and integral strengthening of the foot and ankle musculature. Each plan is tailored to the specific needs of each OHL client, yet a combination of techniques tends to help clients get back on their feet faster!
If you're experiencing symptoms of Cuboid Syndrome, consult your trusty OHL physiotherapist by calling 9431 5955 or you can book online via the Client Portal on the website.
