Ivan Zamorano

Acupunture Treatment

Cuboid Syndrome | Chronic Lateral Ankle Pain

Cuboid Syndrome | Chronic Lateral Ankle Pain

in this video I’m going to talk about the coo bite syndrome secondary to lateral ankle sprains hi welcome back to physio Judah’s ankle sprains account for a big portion of lower extremity injuries with up to 40 percent of cases having residual symptoms there’s a hypothesis that the cuboid may be responsible for those cases in which lateral ankle pain persists it appears that the condition has a higher prevalence in professional ballet dancers the hypothesis for cuboid syndrome is based on history clusters of signs and symptoms differential diagnosis clinical expertise and of course mechanism of injury it’s assumed that during a severe initial inversion trauma portion between the cuboid and navicular bone and cuneiform as well as the calcaneus leaves the cuboid in a relatively supinated position this disposition remains painful specifically over the calcaneal cuboid joint while tenderness over lateral ankle ligaments subsides patients display intelligent gait with an increase in pain during the push-off phase and of pain allows for mobility testing joint players absent a technique that’s described in the literature is the reposition manipulation into relative pronation it’s reported that following the manipulation patients were pain free the following day and could return to their activities for the technique the patient lies supine with the leg extended and the foot hangs over the edge of the bench you’re going to position yourself medially to the foot and place the hypothetical contralateral hand on the lateral and plantar aspect of the cuboid just proximal to the base of the fifth metatarsal the hypothenar of the other hand is placed dorsally and medially on the cuboid which is lateral and proximal to the line between the third and the fourth digit in this position the forearms form a straight line and after you fold your hands together ask the patient to make active maximal dorsiflexion which pretentions the but in submaximal aversion build-up compression through your elbows as well as increase the pronation pre-tensioned erection ask the patient to relax the foot and then perform a pronation swing with both elbows combined with a compression impulse of both high patinas as previously mentioned differential diagnosis is necessary and the first step of assessing ankle sprains should be to exclude a fracture so make sure to watch our video on the ottawa ankle rules next if you didn’t know yet we have published our very own assessment ebook which you can check in the bottom left corner or click the link in the video description while you’re there there are other handy links in the video description and if you haven’t subscribed yet please do so to support this channel as always this was ondrea’s for physio tutors I’ll see you next time bye

13 Replies to “Cuboid Syndrome | Chronic Lateral Ankle Pain”

Leave a Reply

Your email address will not be published. Required fields are marked *