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cuboid syndrome
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I did Lake Placid Ironman 05', since then have foot pain near the 5th metatarsal on bottom. Undergoing active release w/o much success. Anyone had experience good or bad regarding how log till you got releif or what really worked or not! Doesn't hurt in flip/flops, only when wearing running shoes! All bone scans and MRI's have been negative!
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Re: cuboid syndrome [jaws] [ In reply to ]
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Can you tell us who wins?
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Re: cuboid syndrome [jaws] [ In reply to ]
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I had a dislocated cuboid in college. Found a doc who could pop it back into place (and it did "pop"), when had to have my foot taped in what's called a lo-die cofiguration for 6 weeks. No running, and couldn't swim. But I could ride. Never had a problem since.

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Re: cuboid syndrome [jaws] [ In reply to ]
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I thought this post would be about how we go insane working in little cubicles. I'm so looking forward to my ride home today. Good luck.




Your favorite mafia sucks.
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Re: cuboid syndrome [jaws] [ In reply to ]
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Just read an article in Journal of Orthopaedic & Sports Physical therapy that discussed a case series on cuboid syndrome. As brider said, if properly diagnosed as cuboid syndrome, a manipulation may be all you need. Since you have had your pain for a while, it may require more than one manipulation, but all of the patients in this case series that I read were able to return to sports after either 1 or 2 treatments. It's worth a look. The difficult part may be finding someone who is familiar with the technique.


Dan Hollingsworth

Nobody grows old by merely living a number of years. People grow old only by deserting their ideals. Years may wrinkle the skin, but to give up interest wrinkles the soul." - Douglas MacArthur
Last edited by: Lieutenant_Dan: Jul 22, 05 9:50
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Re: cuboid syndrome [jaws] [ In reply to ]
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Yes, I do this (and this is the ONLY manipulation that I do). A quick "snap" back in and a low-dye taping (as another poster has mentioned) is usually all that is needed. Try to fix you biomechanics that are causing this as well, obviously.

____________________________________
Fatigue is biochemical, not biomechanical.
- Andrew Coggan, PhD
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Re: cuboid syndrome [jaws] [ In reply to ]
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[reply]I did Lake Placid Ironman 05', since then have foot pain near the 5th metatarsal on bottom. Undergoing active release w/o much success. Anyone had experience good or bad regarding how log till you got releif or what really worked or not! Doesn't hurt in flip/flops, only when wearing running shoes! All bone scans and MRI's have been negative![/reply]

Beware missed diagnosis. See spained ankle thread.

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Frank,
An original Ironman and the Inventor of PowerCranks
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Re: cuboid syndrome [Frank Day] [ In reply to ]
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:)

____________________________________
Fatigue is biochemical, not biomechanical.
- Andrew Coggan, PhD
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Re: cuboid syndrome [jaws] [ In reply to ]
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I've dealt with numerous cases of this. ART is not the treatment of choice for this. There is a chiropractic "adjustment" specific for the cuboid bone. Usually works very well after a few treatments. In difficult cases I've also ordered custom orthotics.
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Re: cuboid syndrome [cerveloguy] [ In reply to ]
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Do you have an article or actual adjustment term that I can give to my PT or chiropractor/ART doc to try? I have been messing with this since Lake Placid last july! My chiro doc/ART doc does lots of Ironman tri's and would be willing to try anything for me. She is actually at Lake Placid now! I will also try orthotics !
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Re: cuboid syndrome [jaws] [ In reply to ]
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search achives on any orthopedic/podiatric online journal for "cuboid syndrome" and the "whip" will be there. Relatively easy to perform. Don't know if chiro's publish this kind of stuff.

____________________________________
Fatigue is biochemical, not biomechanical.
- Andrew Coggan, PhD
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Re: cuboid syndrome [jaws] [ In reply to ]
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the technique I am referring to is known as the "cuboid whip". Tell your PT it's in the current issue of JOSPT, it's the feature article.


Dan Hollingsworth

Nobody grows old by merely living a number of years. People grow old only by deserting their ideals. Years may wrinkle the skin, but to give up interest wrinkles the soul." - Douglas MacArthur
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Re: cuboid syndrome [jaws] [ In reply to ]
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"Do you have an article or actual adjustment term that I can give to my PT or chiropractor/ART doc to try?"

I've got some photos in one of my text books. Just did a google and came up short for an actual technique. The "cuboid whip" that Lt. Dan mentions is one method but I prefer a method where the patient lays prone. I cradle the foot with my left hand and take a pisiform contact of my right hand over the cuboid on the bottom of the foot. I then traction with my left hand and do a quick thrust with my right hand. Quite often you'll hear a nice "crack" sound as the cuboid releases.

I've used both methods but find the whip move a little harder to do sometimes.
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