Cuboid Syndrome

Localized pain occurring under the plantar lateral side of the foot, just between the heel bone, calcaneus and the base of the fifth metatarsal, the bump on the lateral (little toe side) side of the middle of the foot, is often diagnosed as the cuboid syndrome.  The cuboid bone connects to the calcaneus in the back and the fourth and fifth metatarsals in the front.

You don’t have to be a competitive athlete to develop this problem. It can develop after modest athletic activity or just prolonged standing or walking.  I’ve diagnosed it in people with both high arches and flatfeet.

The common mechanical factors leading to it are a tendency to roll over on the outside of the foot. This can happen because your feet/hips are naturally turned outward, you have high arches, or your calf muscles are tight and prevent you from shifting weight forward and over the great toe joint.

Treatment is aimed at offloading the bottom of the foot directly under the cuboid. A traditional podiatry pad, called the cuboid pad has almost always given patients fairly immediate relief.

This combined with physical therapy to decrease the inflammation of the tendon, stretching to eliminate the force of the tight calf muscles, and orthotics specifically designed to balance out the mechanical fault found will usually resolve the problem and prevent recurrence.

More About Cuboid Syndrome

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Seattle foot and ankle specialist, Dr. Rion Berg offers foot care for patients with bunions, heel pain, diabetes, fungal toenails, ingrown nails, and surgical solutions when needed to residents of Seattle, Bellevue, Kirkland, Shoreline, Lake Forest Park, Mountlake Terrace, Lynnwood and other surrounding suburbs.​