Treatment of Cuboid Syndrome Secondary to Lateral Ankle Sprains: A Case Series

Jason Jennings, George J. Davies

DOI: 10.2519/jospt.2005.1596

Study Design: Case series. Background: Plantar flexion/inversion ankle sprains are one of the most frequently occurring sports injuries. Cuboid syndrome, which is difficult to diagnose, may result from a plantar flexion/ inversion ankle injury and could become the source of lateral ankle/midfoot pain. The objective of this case series is to describe the examination, evaluation, and treatment of the cuboid syndrome following a lateral ankle sprain. Case Description: Seven patients were seen in our clinic 1 to 8 weeks following a lateral ankle sprain with a chief complaint of lateral ankle/midfoot pain. In these 7 patients, 2 examiners identified the presence of cuboid syndrome independently. Treatment consisted of a cuboid manipulation. Outcomes: All 7 patients returned to sports activities following 1 to 2 treatments consisting of the 'cuboid whip' manipulation. No recurrence of symptoms was reported upon immediate return to competition or during the remainder of the season (mean follow-up, 5.7 months; range, 2 to 8 months). Discussion: Based on those 7 patients, our results suggest that patients who are properly diagnosed with cuboid syndrome and receive the cuboid manipulation can return to competitive activity within 1 or 2 visits without injury recurrence. J Orthop Sports Phys Ther. 2005;35(7):409-415. Key Words: foot, manipulation, manual therapy

 

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