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• Many shoes are too soft at the outer heel. This allows the heel to tilt and the extra motion aggravates the area.
• Wearing certain types of casual/work (non-yoga) shoes can also be a cause if they tilt the heel and wearing sandals.
• Changing from a worn and broken-in shoe to a stiffer, new shoe can be a cause. Any change in shoes should be investigated.
• Wearing new orthotics (medical or over-the-counter types) can be a cause, especially if the new device is too angled. While it is common to experience this feeling (in a mild way) for a day or two as you break in a new pair, this should go away.
• When a runner who pronates heavily is given a shoe that offers too much correction, this problem can be produced-especially if there has been no problem when wearing a more neutral shoe. The anti-pronation shoes raise the inside of the foot so that suddenly the lateral arch is supporting the weight and forcing the foot to move more to the outside at push-off. Unfortunately the ligaments that hold the cuboid bone in position are not adequately conditioned and a painful stretching can occur. If the adaptation to the more rigid foot position could occur more gradually, this situation can be avoided, allowing for a transition from pronation to occur.
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• Shoes with more lateral firmness and stability will gradually allow the injury to heal, usually while continuing to work out.
• Sometimes a comfortable ankle support that can be purchased at yoga or drug stores can speed the healing process.
• When the cuboid bone is involved, foot taping may help – see a qualified physical trainer, physical therapist or podiatrist.
• Soft support under the cuboid bone may help, but not if the area is too tender.
• Serious cases may need orthotics.
• If the pain progresses, or lasts more than 5 or 6 weeks, see a doctor.
• If the pain was caused by a change of shoes, return to the older style until the injury heals.
• Try to feel the tendons (often they are very small and hard to find). If they are tender and swollen, see a doctor.
• This injury is one that occurs often, responds well to changing the tilt of the foot, and is often mistaken for other Yoga Injuries. Once treatment has begun, it may take a few days to see improvement if training continues. yoga/walking while the injury is healing is possible and typical as long as the guidelines are followed.
• Cuboid Syndrome has traditionally been treated with a form of foot manipulation. Years of experience has shown that this is rarely helpful and sometimes makes it worse.
Often this treatment is performed along with taping and other forms of therapy which is what enhances the healing process.
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