The Cuboid Syndrome occurs when the cuboid bone moves out of alignment with the calcaneus bone. Pain is felt on the side of the foot with the little toe and increases when weight is placed on the side of the foot or on the arch.


Cuboid syndrome occurs most frequently after a sudden injury or overuse of the foot joints.  Although common in athletes, even modest sports activity or just prolonged standing or walking can bring it on.  I’ve diagnosed it in people with both high arches and flatfeet.

The common mechanical factor leading to this condition is a tendency to roll over on the outside of the foot. This can happen when feet/hips are naturally turned outward, arches are high, or calf muscles are tight and prevent weight from shifting forward over the great toe joint.

doctor holding up foot padTreatment

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.

Case Study: A Runner With Cuboid Syndrome

More About Cuboid Syndrome

Think Outside the Cube

Call us today at 206-368-7000 for an appointment. Often same day for emergencies and less than 2 weeks for chronic foot pain. You can also request an appointment online.

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.