cuboid syndromePosted by Jay S. on 1/20/04 at 11:07 (142445)
I recently had bilateral PF surgery--full release. I am quite positive I have cuboid syndrome in both feet--can hardly walk at all at 6 weeks post-op. I'm scared to death of not ever getting any better and being disabled the rest of my life.
Any suggestions of doctors that I might seek that know how to successfully deal with cuboid syndrome? I live in the Indianapolis, Indiana area. Thank you.
Re: cuboid syndromeSteve G on 1/20/04 at 12:53 (142452)
Jay - Dr. D has posted on this a number of times, including treatment options. Do a search on 'lateral column pain' 'cuboid syndrome', lateral column overload'. The treatments include PT, joint manipulations, orthodic adjustment, etc. You need to talk to your pod or surgeon about this ASAP
Re: cuboid syndromeDr. Zuckerman on 1/20/04 at 15:53 (142466)
Very important to treat this fast !!!
Re: cuboid syndromeJay S. on 1/21/04 at 07:29 (142520)
Thank you for your reply. I'm very nervous about this......
I've tried cuboid pads and alterations to my orthotics. The pain on the outside of my feet (and heels) persists. What should I seek next from my doctor? Cortisone injections? Hard casts? Non-weight bearing?
Thanks very much for your time.
Re: cuboid syndromeSteveG on 1/21/04 at 12:44 (142546)
Jay - as you will note from the search on the items I mentioned, there are several treatment options. This text below is taken from a post a couple of years ago. I would print this up and take it to your pod/surgeon, and let them know how concerned you are and that you want this treated in an agressive manner such as the one outlined below -
When the problem of calcaneocuboid syndrome does occur, it should be managed in an aggressive but conservative fashion. Barrett et al7 recommended that initial treatment consist of decreased ambulation and standing, stretching exercises, NSAIDs, orthoses, and physical therapy. If this regimen fails to alleviate the problem, they recommend a removable cast boot or referral to another surgeon experienced in the EPF technique, a pain management specialist, or a neurologist. In certain cases, where nerve entrapment or a potential chronic pain problem are possibilities, referral might be considered. However, in most cases, diligent continuation of conservative measures oriented towards the amelioration of inflammation and mechanical control of the calcaneocuboid joint will lessen or resolve the patient's symptomatology. I recommend orthotic management with a cuboid pad to help lock the calcaneocuboid joint, or a course of nonweight-bearing in a short leg cast for four to six weeks. Corticosteroid injections, NSAIDs, and physical therapy are used as adjunctive measures. As a last resort, in cases unresponsive to conservative treatment, calcaneocuboid joint arthrodesis or midtarsal joint arthrodesis may be necessary.25