two images showing cuboid syndrome

Persistent Pain in the foot? It could be Cuboid Syndrome !

Did you injure your ankle, and it is better, but you still have foot pain when you walk? Whether it was a sudden twist or simply repetitive movements like running or jumping that caused you to injure the ankle, you originally had some local swelling, redness, or tenderness, in the foot, but now you have persistent pain which has become hard to diagnose.


You could have Cuboid Syndrome. The cuboid bone is the one that is prominent on the top of the foot. A Cuboid Syndrome happens when the joints and ligaments near the cuboid bone have been injured and have caused the cuboid bone to be pulled out of its alignment. The cuboid is one of the larger tarsal bones and lies wedged between five others: the calcaneus, the navicular, the cuneiform, and the fourth and fifth metatarsals. Each surface of the cuboid bone is distinct and serves a specific purpose as it articulates with its neighbour in a specific manner. If one or more of these bones is out of alignment, the cuboid itself becomes out of alignment.

Cuboid Syndrome can happen to anyone with an ankle injury, but it often develops after repeated micro-traumas in athletes, commonly in basketball, football, and soccer players. Even though it is common in athletes, it is often misdiagnosed because there are no objective findings on an x-ray. Physiotherapists and chiropodists can pick it up during testing of passive movements and assessment of muscle strength. The muscle associated with this syndrome is the peroneus longus located on the outside of the lower leg. It stabilizes the midfoot and when tested, it can be weak and painful.

Physiotherapy and Chiropody treatments involve mobilizing the joints around the cuboid once the acute symptoms have resolved. It may be necessary to manipulate the cuboid and push it back into position if it was somewhat misaligned. Other therapies may be added to regain muscle strength and return to daily activities or sports. It may be necessary to give your feet the proper day-to day support they need. Our friends at Feet First can help with that. Their chiropodists can prescribe custom orthotics to align your feet and address underlying conditions like flat feet or overpronation. Feet First Clinic can also help you find supportive footwear that accommodates your foot type and helps alleviate any pressure on the joints and muscles in your feet.

Call Bloor Jane Physiotherapy & Active Rehab at 416-766-2050 for an assessment with a physiotherapist or call Feet First Clinic at 416-769-3338 for an assessment with a chiropodist. You can find us online at and Check out Feet First Clinic’s latest blog article to learn more about cuboid syndrome and many other common foot conditions.


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