![]() Treatment for this condition is usually non-operative. X-rays will rule out damage, such as arthritis to the calcaneal cuboid joint, as well as stress fracture of the 5th metatarsal. An MRI or bone scan will potentially reveal areas of increased loading activity, either in the anterior calcaneus or cuboid. They are often negative, other than identifying any type of foot shape (flat foot or high arched). Pain may be exacerbated by manipulation of the joints of the outside midfoot (the calcaneal cuboid and the cuboid 4-5 metatarsal). There is often an associated foot deformity, such as noticeable flat foot or a high arched foot. Pain will be localized to the outside midfoot. The clinical presentation of this condition can be similar to other conditions that produce pain on the outside of the foot, such as peroneal tendonitis or flat foot deformity with lateral impingement, or even a stress fracture of the 5th metatarsal. In either situation, this can lead to excessive force through the outside mid-part of the foot. Typically, patients will have a high arched foot or a flat foot. Symptoms will often be chronic in nature, without necessarily inciting injury. Pain in the outside mid-part of the foot, aggravated by standing and walking, is characteristic of conditions that lead to lateral column overload. Treatment is usually non-operative, with a focus on protecting the area and dispersing force away from this area with the use of comfort shoes or orthotics. It’s often associated with a high arched foot or a very flat foot, as both of these conditions will increase the force through this part of the foot. ![]() ![]() It results from excessive loading through the bones on the outside part of the foot (calcaneus, cuboid, 5th metatarsals). Lateral column overload is a somewhat non-specific condition that leads to pain in the outside part of the midfoot. ![]()
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