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Dallas Metro / North Texas
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May 2025

Tuesday, 27 May 2025 00:00

Diagnosing Cuboid Syndrome in Athletes

Cuboid syndrome occurs when the cuboid bone in the foot becomes misaligned or partially dislocated, often leading to pain along the outer edge of the foot. It is commonly seen in athletes who engage in activities that involve repetitive stress, jumping, or quick directional changes. The condition can develop suddenly after an ankle injury or gradually due to overuse. Symptoms may include aching, weakness, and difficulty bearing weight on the affected side. Diagnosing cuboid syndrome can be challenging because it may not show up on standard imaging studies. Podiatrists often rely on a physical examination, medical history, and specific manipulation tests to confirm the diagnosis.  If you are an athlete and have pain in this part of your foot, it is suggested that you contact a podiatrist who can accurately diagnose and treat cuboid syndrome, allowing you to return safely to activity.

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 Kellvan Cheng, DPM from Elite Foot & Ankle. 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 Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

 

Read more about All About Cuboid Syndrome

Foot and heel pain in children is more common than many realize and can affect daily play, sports, and growth. One frequent cause is Sever’s disease, a condition linked to growing bones and tight tendons. Flat feet, overuse, wearing poor footwear, or injuries from running and jumping can also lead to discomfort. Children may limp, avoid activity, or complain of pain in the heel or arch. Pain may be worse in the morning or after exercise. Wearing supportive shoes, resting, and stretching can often bring relief. Custom orthotics may also help improve alignment and reduce strain. Children’s feet are still developing, so it is important to address pain early to avoid long-term problems. If your child often complains of sore feet or heels, it is suggested you see a podiatrist for an accurate diagnosis and appropriate treatment.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about How to Care for Your Child's Feet

Split toenails, medically known as onychoschizia, refer to the condition where the toenail becomes brittle and begins to separate or peel. This often occurs when the nail loses moisture and becomes fragile. Common causes include repeated trauma, excessive exposure to water, and harsh chemicals found in nail products. Fungal infections and certain medical conditions can also contribute to weakened nail structure. Aging naturally increases the risk, as the nails tend to dry out and thin over time. Nutritional deficiencies, particularly a lack of vitamin B7 or iron, may make nails more susceptible to splitting. Individuals who frequently wear tight footwear or perform repetitive movements involving their toes may face a higher risk. If your toenails have split, it is suggested that you promptly contact a podiatrist who can determine the cause and offer appropriate treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact Kellvan Cheng, DPM of Elite Foot & Ankle. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Tuesday, 06 May 2025 00:00

Understanding Neuropathic Foot Wounds

Neuropathic wounds are a common complication in individuals with peripheral neuropathy, particularly those with diabetes. Because nerve damage reduces the ability to feel pain, pressure, or injury, small wounds may go unnoticed and worsen over time. These ulcers often develop on the bottom of the foot or over bony areas that endure repetitive stress. Without prompt care, they can become infected, leading to more serious complications, including tissue death or limb loss. Proper footwear, regular foot inspections, and early intervention are essential to preventing these wounds from progressing. Managing blood sugar levels and maintaining good hygiene are also key components of prevention and care. A multidisciplinary approach that includes wound debridement, pressure relief, and infection control improves healing outcomes. If you notice a sore on your foot that does not heal or becomes increasingly painful, it is suggested that you see a podiatrist for a diagnosis and appropriate treatment.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Kellvan Cheng, DPM from Elite Foot & Ankle. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our office located in Carrollton, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care

If left untreated, an ingrown toenail can lead to more serious concerns, such as an infection. Knowing proper nail care can help in the prevention of an ingrown toenail. Give us a call, and get treated!

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