Two examples of "cuboid syndrome" with active bone pathology: why did manual therapy help?

Matthews, Mark Lewis Gordon and Claus, Andrew Philip (2014) Two examples of "cuboid syndrome" with active bone pathology: why did manual therapy help?. Manual Therapy, 19 5: 494-498. doi:10.1016/j.math.2013.11.007

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Author Matthews, Mark Lewis Gordon
Claus, Andrew Philip
Title Two examples of "cuboid syndrome" with active bone pathology: why did manual therapy help?
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
Publication date 2014-10
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.math.2013.11.007
Open Access Status
Volume 19
Issue 5
Start page 494
End page 498
Total pages 5
Place of publication London, United Kingdom
Publisher Churchill Livingstone
Collection year 2014
Language eng
Formatted abstract
Cuboid syndrome describes lateral midfoot pain localised to the cuboid bone. Previously reported case studies promoted joint mobilisation or manipulation interventions. The assumed mechanism was correction of a subtle disruption to the calcaneocuboid joint position. There is an absence of evidence for correction of joint position, but there is evidence of neurophysiological mechanisms for pain modulation. This case study reports on a patient who suffered two occurrences of cuboid syndrome on opposite feet, three years apart. With both occurrences, joint mobilisation achieved rapid and lasting resolution of severe pain and functional limitations. This occurred despite the presence of an active bone pathology at the symptomatic cuboid (demonstrated with nuclear imaging), which could represent a stress reaction, transient osteoporosis, ischaemic necrosis, infection or neoplasm. This case contributes three considerations for clinical reasoning and manual therapy research. 1. Active local bone pathology could exist in other patients with pain at the cuboid, and other conditions where symptoms resolve with joint mobilisation. 2. Rapid and lasting symptom resolution fits with a hypothesis that joint mobilisation acted to reverse neurological sensitisation. 3. Lasting symptom resolution may be clinically associated with manual therapy, but mechanisms extending beyond temporary analgesia are yet to be identified.
Keyword Manual therapy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 19 December 2013

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 1 times in Thomson Reuters Web of Science Article | Citations
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Created: Fri, 04 Apr 2014, 11:58:14 EST by Kathleen Reinhardt on behalf of School of Health & Rehabilitation Sciences