Pain (arthralgia) at the calcaneocuboid (CC) joint. The (CC) joint is a gliding type of joint located between your heel bone (calcaneus) and cuboid bone, a cube-shaped bone on the lateral side (outside) of the foot just in front of the heel bone. The joint is supported and strengthened by five ligaments and assists with various foot movements.

Symptoms

Pain without swelling on the outside of the foot

Pain occurs when initially standing after sitting or lying down for prolonged period of time

Pain improves after short time of walking

Increased pain with barefoot walking

Causes

Abnormal biomechanical stresses from walking

Treatment

Treatment is aimed at reducing mechanical stress on the CC joint during walking.

Eliminate walking barefoot during recovery

Wear a supportive shoe that controls pronation (side-to-side movement that occurs while walking)

Use an over-the-counter or custom orthotic that provides firm support

Take an over-the-counter pain medication, such as ibuprofen (Advil, Motrin) or naproxen (Aleve) as needed for pain.

Use a CAM boot for severe pain

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“Arthrlagia” Greek for joint pain can be experienced in any joint of the body. This general word as it applies to the foot is most commonly seen in the joints of the midfoot and hindfoot which are located at the highest portion of the arch.

Unlike arthritis, in arthralgia x-rays do not reveal show visible signs of joint space narrowing, cyst formation within the bone as well as bone spurring.

The pain associated with Calcaneal Cuboid Joint Arthralgia is generally experienced with initial weight bearing after prolonged non weight bearing periods. Getting out of bed in the morning is typically painful in the middle of the arch with the pain improving after a brief period of walking

Although, many different causes of joint pain in the foot and ankle exist, abnormal biomechanical stresses occurring in the foot and ankle during walking are the main cause.
The articulation between the calcaneus or heel bone and the cuboid bone concentrates much of the mechanical stress during walking. The “keystone” or “apex” of the arch in the midfoot and hindfoot forms the peak of an imaginary triangle. During normal walking there are very high compressive and tension loads in this region of the foot which can lead to arthralgia.

Shoe and orthotic therapies are most commonly used to stabilize the midfoot region and reduce the mechanical stress in the arch during walking. It is critical to wear an orthotic that provides “firm support” as compared to “cushioned support. Together, the shoe and the orthotic create a platform to decrease the mechanical stress in the calcaneal cuboid joint. The decrease in joint stress with the shoe and orthotic accompanied with the appropriate use of anti-inflammatory measures work well to reduce the pain of this condition.

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