Cuboid syndrome is a common problem seen in podiatry clinical practice. The reason for cuboid syndrome is related to the anatomy and function of the cuboid. It acts as a pulley for the tendon of peroneus longus, so when the peroneus longus muscle contracts, that pulley has to be very stable to act as that pulley. The anatomy and function is designed in such as way to give the cuboid its stability. If, for whatever reason, not is not stable, contraction of the peroneus longus and it’s tendon are going to want and sublux the bone. This is what cuboid syndrome is, it’s a strain and dysfunction of the joints around the cuboid. It also explains why cuboid manipulation often works so well for cuboid syndrome. Longer term foot orthotics are often needed to enhance that stability of the joints so they can act as a pulley for the peroneus longus prior to that time that the heel comes off the ground. Most cases of cuboid syndrome do respond to the mainpulation and foot orthotics.
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