Houston Methodist. Leading Medicine

Ankle News

Whipping Cuboid Syndrome Back into Place

In this report two physical therapists review the exam and results of treatment for seven athletes with cuboid syndrome from a sprained ankle. Cuboid syndrome occurs when the cuboid bone inside the ankle partially or fully dislocates. A partial dislocation is called a subluxation.

In the cuboid syndrome a strained or sprained ligament allows the cuboid to angle downward. The person with this problem has increased pain when trying to stand on the toes or when rolling the arches toward the outer edge of the foot.

All patients were treated with a specific manipulation called the cuboid whip. Pain was decreased or gone completely after manipulation. Some patients returned to sports activity the same day. No one had a relapse or return of symptoms.

More studies are needed to find out what works best to treat cuboid syndrome. Based on this study, joint manipulation has good results. Other treatment may include taping, orthotics, and stretching.

Jason Jennings, DPT, SCS, ATC, MTC, CSCS, and George J. Davies, PT, DPT, MEd, SCS, ATC, LAT, CSCS, FAPTA. Treatment of Cuboid Syndrome Secondary to Lateral Ankle Sprains: A Case Series. In Journal of Orthopaedic & Sports Physical Therapy. July 2005. Vol. 35. No. 7. Pp. 409-41


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