66 y/o female with lateral mid foot pain for 2 months. No trauma or infection or previous injury/symptoms. Acute pain over cuboid and on passive inversion/supination of foot. X-ray normal. MRI shows the whole of the cuboid giving an abnormal signal cosistent with regional bone marrow [o]edema/osteopenia - with the adjacent bones on the mid and rear foot giving a normal signal.
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Patient presently immobilised in a aircast walker. Two questions:
1. Any drug/meds that will specifically treat the osteopenia/reduce pain?
2. What is most effective way to offload the cuboid - during normal walking and playing golf!
Thanks
Mark Russell
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