Possible cuboid fracture

I have recently increased my running distance (4-6miles every few days) and have been experiencing pain in the fourth metatarsal – cuboid region of my foot. The intensity of pain increases during my runs and decreases with rest. I can elicit the pain when palpating it. I recently saw a DPM who diagnosed it as cuboid subluxation and ordered new orthotics. I am concerned it is a stress fracture of the metatarsal. What would lead you to diagnosing it as the cuboid and not a stress fracture?

One Response

  1. Foot.com

    Hello and thank you for your question. What’s most likely happening is you are jamming your midfoot which is causing excess stress / inflammation. You are perceiving this inflammation as pain. Inflammtion makes bone weak which means if you continue to jam your midfoot it can become a stress fracture. So technically you could say you may have a subacute stress fracture. This should be treated with 2 weeks off from running to allow the inflammation to decrease. You can consider new orthotics if you’d like but it may be wort having your running mechanics evaluated. I hope this helps!