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The Diagnosis of Cuboid Syndrome

Having a physical examination performed is often an effective method to properly diagnose cuboid syndrome. This is done by applying direct pressure over the cuboid bone. A limited range of motion is often easy to notice. Pain on the outside of the foot and possibly extending to the ankle and toes may bring the patient in for an examination, and the midtarsal supination test is often performed. This consists of flexing the ankle and putting pressure on the cuboid bone. Common symptoms that are associated with this condition include intense pain, inflammation, and swelling. Relief may be found when the foot is wrapped with a protective covering that may help to provide stability as daily activities are accomplished. Despite the urge to keep moving, frequently elevating and resting the foot is beneficial as the healing process occurs. If you have pain in this part of your foot, please contact a podiatrist who can perform a proper diagnosis using the most effective methods, in addition to guiding you toward treatment techniques that are best for you.
Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.
Causes
The most common causes of cuboid syndrome include:
- Injury – The most common cause of this ailment is an ankle sprain.
- Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
- Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.
Symptoms
A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.
Diagnosis
Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.
Treatment
Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
What Is Freiberg’s Disease?

Rare foot diseases will obviously not affect a wide majority of individuals across the country. However, it can be important and helpful to learn more about these unique conditions, such as Freiberg’s disease. This condition has a negative impact on the second or third metatarsal bones, which can lead to sensations of stiffness at the affected area. If you have Freiberg’s disease, you might even experience swelling or feel pain in the front of the foot. Typically, putting weight on the feet when walking, running, or jumping can exacerbate these symptoms. Although the precise cause of Freiberg’s disease is still elusive, it may be caused by microtrauma near the metaphysis. If you want to learn more about Freiberg’s disease and other rare foot conditions, contact a podiatrist today.
Some foot conditions may require additional professional care. If you have any concerns, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Rare Foot Conditions
The majority of foot conditions are common and can be treated by a podiatrist. Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care.
There are many rare foot conditions that can affect children. Some of these can include:
- Freiberg’s disease
- Kohler’s disease
- Maffucci syndrome
Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp.
Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.
Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking.
A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
Signs Your Child May Have Sever’s Disease

Calcaneal apophysitis is a foot condition that affects young teenagers and children. It is referred to as Sever’s disease, and it targets people in this age group who frequently participate in running and jumping activities. The growth plate in the heel is affected causing severe pain and discomfort and physical activities may have to temporarily be stopped as the healing process occurs. This condition happens as a result of excessive pressure that is placed on the growth plate, where it connects to the Achilles tendon. This tendon connects the calf muscles to the heel bone and can become sore and swollen when the growth plate endures this type of stress. You may notice your child limps while walking, or some children find it more comfortable to walk on their toes. There are specific stretches that can be performed which may be helpful in finding mild relief as well as wear shoes that fit correctly. If your child has heel pain, it is suggested that you confer with a podiatrist who can properly diagnose Sever’s disease and offer treatment techniques.
Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can treat your child’s foot and ankle needs.
Sever’s Disease
Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.
Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.
Symptoms
Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.
Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.
Gout Pain Can Be Managed
Bunion Formation

There are a number of foot conditions that you may encounter at one point during your lifetime. Some of them involve the formation of certain abnormal bony protrusions that can cause pain or discomfort. One such foot condition involving a bony protrusion is known as a bunion. Bunions typically develop on the side of the big toe, and in some cases, bunionettes might form on the smallest toe. Since bunions can be an annoyance to those afflicted by them, bunion formation and its causes are of the utmost importance. Bunions are commonly caused by ill-fitting footwear that makes the toes crowd together. Whenever an individual puts a significant amount of pressure on their big toe joint for an extended period of time, this can also potentially lead to bunion formation. Having other conditions or diseases might also lead to bunion formation. For example, having rheumatoid arthritis, cerebral palsy, and Down syndrome makes one particularly vulnerable to developing a bunion. After a bunion forms, it can cause soreness at the affected area or even swelling around the big toe joint. If you believe that you might be at risk of developing a bunion, contact a podiatrist who can help you either prevent or treat a bunion.
If you are suffering from bunion pain, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is a Bunion?
Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.
Causes
- Genetics – some people inherit feet that are more prone to bunion development
- Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development
Symptoms
- Redness and inflammation
- Pain and tenderness
- Callus or corns on the bump
- Restricted motion in the big toe
In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.
Juvenile Plantar Dermatosis

Juvenile plantar dermatosis is a common and chronic dry skin condition of the feet that usually affects pre-adolescent children between the ages of three and 14 years. It is also known as atopic winter feet and forefoot dermatitis. This condition affects boys slightly more often than girls. It is rarely seen in adults but can persist into adulthood. Juvenile plantar dermatosis can be caused by repetitive frictional movements, the occlusive effect of wearing covered footwear (particularly synthetic shoes), excessive sweating, genetic sensitivities, or warm or cool climate changes. This problem is usually visible on the weight-bearing areas of the soles, ball of the big toes, and forefoot of the foot with itchy, sore, shiny, red skin that has a glazed appearance and a loss of the epidermal ridge pattern. Typically, both feet are affected. The most common complication of juvenile plantar dermatosis is painful cracks and fissures, which may become infected. This affliction is sometimes confused with other skin conditions, such as atopic eczema, plantar psoriasis, or tinea pedis. Wearing well-fitting leather shoes, two or more pairs of cotton and wool socks, and changing socks regularly will help reduce friction. Moisturizing the feet will help prevent dry skin. Resting the feet to allow any fissures to heal will help as well. If your child is experiencing problems with the skin of their feet, consult with a podiatrist who can diagnose any conditions and provide options for treatment.
Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Keeping Children's Feet Healthy
Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...
Although babies do not walk yet, it is still very important to take care of their feet.
Avoid putting tight shoes or socks on his or her feet.
Allow the baby to stretch and kick his or her feet to feel comfortable.
As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’.
As your child gets older, it is important to teach them how to take care of their feet.
Show them proper hygiene to prevent infections such as fungus.
Be watchful for any pain or injury.
Have all injuries checked by a doctor as soon as possible.
Comfortable, protective shoes should always be worn, especially at play.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Methods That May Help to Prevent Running Injuries

Preventing running injuries is a common concern for people who enjoy running, even though they may feel that there is not enough time to effectively warm up and cool down. This can be detrimental to incurring injuries. It takes minimal effort to practice good running habits. Preventing running injuries can consist of gradually increasing speed and distance and this is important so that the legs and feet can become acclimated to running. Some people prefer to use props to stay strong and healthy, including a foam roller that can help to increase range of motion and flexibility. Additionally, when a medicine ball is used, it may increase overall body strength. People who enjoy running often set goals as part of their running strategy, and it is beneficial to the body to consistently stay on point. If you would like more information about how running injuries can affect the feet and injury prevention methods, please consult with a podiatrist who can address any concerns you may have.
Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Steven Spivak, DPM of Mount Holly Family Footcare. Our doctor will treat your foot and ankle needs.
How to Prevent Running Injuries
Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.
What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.
Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Plantar Fasciitis Is a Common Type of Heel Pain

Because heel pain can be caused by several conditions, it is important to have it diagnosed correctly and treated properly. The most common form of heel pain is plantar fasciitis. This is an inflammatory condition of the plantar fascia, which is the long rubber band-like connective tissue that connects the front of the heel bone with the toes. The plantar fascia is on the bottom of the foot. It undergoes a great deal of stress and pressure while doing its duty of helping to form the arch, aiding in the propulsive phase of the walking cycle, and acting like a shock absorber of sorts. Excessive wear and tear and stretching of the plantar fasciitis can irritate it, inflame it, and even create micro-tears where it inserts at the heel bone. This is known as plantar fasciitis, a very painful form of heel pain. Plantar fasciitis can be brought on by certain sporting activities like running, being obese, standing for prolonged periods, and more. If you have heel pain that is at its worst in the morning when you take your first steps of the day, or after periods of rest, you may have plantar fasciitis. Consult with a podiatrist to have your heel pain diagnosed and treated.
Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
What Is Plantar Fasciitis?
Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.
What Causes Plantar Fasciitis?
- Excessive running
- Non-supportive shoes
- Overpronation
- Repeated stretching and tearing of the plantar fascia
How Can It Be Treated?
- Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
- Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
- Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel
While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.
If you have any questions please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.
Are Bunions Affecting Your Everyday Life?
Arthritis May Cause Toe Pain

Pain, swelling, and stiffness often accompany arthritis in the feet. Many people have their toes affected by arthritis and it can be difficult to walk. Additionally, there may be a bump that forms as a result of the joints rubbing together and the toes may curl. The most common form of arthritis is known as osteoarthritis and it affects the cartilage between the joints generally causing pain and discomfort. The condition that is known as gout can cause pain in the big toe and comes from having excess uric acid in the bloodstream. This can cause crystals to lodge between the joints in the big toe and can cause debilitating pain. An autoimmune disease can cause psoriatic arthritis and typically affects the toes. Another form of toe pain can come from having an infection within the joint and this is referred to as infectious arthritis. Mild relief may be found when the shoes that are worn fit properly and it is advised to refrain from wearing high heels. If you have pain in your toes, please consult with a podiatrist who can effectively diagnose arthritis in the feet as well as offer correct treatment advice.
Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Steven Spivak, DPM from Mount Holly Family Footcare. Our doctor can provide the care you need to keep you pain-free and on your feet.
Arthritic Foot Care
Arthritis is a term that is commonly used to describe joint pain. The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it. Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.
Symptoms
- Swelling
- Pain
- Stiffness
- Decreased Range of Motion
Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.
Risk Factors
- Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
- Obesity – Excess weight can contribute to osteoarthritis development
- Infection – Microbial agents can infect the joints and trigger arthritis
- Joint Injuries – Damage to joints may lead to osteoarthritis
- Age – Risk increases with age
- Gender –Most types are more common in women
- Genetics – Arthritis can be hereditary
If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.
If you have any questions, please feel free to contact our office located in Lumberton, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.