Not what you're looking for? CLICK HERE INSTEAD
Hello, I have been having this issue for many years now. I get this pain on the outside edge of my foot, close to the middle. There is like a knobby spot, which is normal, but that is where the pain is. I have it every morning when i get out of bed and sometimes at random times during the day/evening when walking around. I know the only way to get the pain to go away is to "pop" that part of my foot by pushing down and out to the side. Sometimes it is really painful and hard to pop. One podiatrist said it could be this rare condition, but wouldn't tell me what it it's called. I'm very frustrated and hope you can give me some insight.Thank you for any information you can give me.RESPONSEHi Bre,Although a couple of things come to mind, the condition that jumped out at me based on your narrative is what is known as a subluxed cuboid.The knobby spot that you refer to more than likely would be the base of the fifth metatarsal bone, which appears as a protrusion to a varying degree in different individuals.Adjacent to that bone, just behind it is the cuboid bone.This is a roughly square bone that for some reason can slightly pop out of place periodically, and when it does, it will begin to hurt. Many times the bone can be pushed back into place which for the most part will relieve the pain.Truthfully, I have never seen or heard of a case of a subluxed cuboid that happens so frequently and for so many years.I do not know how old you are, but it would seem to me that at some point in time it will become harder and harder to actually push the bone back in place, in fact, you may reach the point where you will no longer be able to push it back into place.Most cases of a subluxed cuboid occur when there is inversion of the foot, in other words, the foot bends inwards relative to the leg, which puts excessive pressure on the bottom of the cuboid and forces it to move upwards.What I find interesting is that you say this occurs during your sleep, or maybe I am misunderstanding and it occurs as you step out of bed on to the floor, which makes a little more sense to me.If the cuboid bone is unstable and you step out of bed barefoot in a certain manner, in theory, you could force the cuboid upward and out of the way.So, the obvious question is what can you do about this?The diagnosis is usually made on clinical grounds based on your history. An x-ray or MRI is generally not very helpful in making the diagnosis. A CAT scan is considered the best test for making the diagnosis, but quite frankly if you can demonstrate the movement of the bone in front of your doctor, no other tests will be necessary.Usually, people who are prone to this condition can be put into an orthotic which has a cuboid pad built into it to prevent motion. The problem with you is that it happens very frequently and it occurs when you are barefoot. An orthotic is worn in shoes and you cannot sleep with one attached to your foot.If this is happening very frequently, which it sounds like it is, then you might have to entertain a surgical approach, where the cuboid bone is fused to the adjacent bone, to keep it from popping out.You should see another foot specialist in your area as it sounds like the first doctor you went to, did not offer you much information or help.Marc Mitnick DPMDISCLAIMER
Click here to post comments
Join in and write your own page! It's easy to do. How? Simply click here to return to Ask the doctor.
Michael D. Ebeling
Tampa, Florida 33624
Thanks for a most interesting website, which has helped a lot.
I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.
I thank you for putting together this incredible website.
....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!
You have an unusually clear, informative and well-written website for laypersons. Thank you for that.
Mansfield Ctr, CT
First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.
First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)
I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.
I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.
Pacific Grove, CA
I used to work for a podiatrist (front desk) back during summers in
college years ago, so I know the benefits of good care. Again, I want
to thank you for an EXCELLENT website. It was so great to get to your
site (top of google search) and actually find all the answers I needed
EASILY and QUICKLY! Clearly you put a ton of work into it and I really
All the best,
By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!
Thank you for your very interesting and informative site!
By Marc Mitnick DPM © 2006-2018, foot-pain-explained.com LLC
Solo Build It!