Does calcaneal apophysitis occur in adults?


Of course it doesn’t. Its a disorder of the calcaneal growth plate that can not happen after the teenager stops growing as that growth plate merges with the rest of the calcaneus and is no longer there to cause problems. So why are you writing a blog post for on does calcaneal apophysitis occur in adults? Good question, glad you asked it. Here is why:

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Cupping For Plantar Fasciitis

We all have seen those photos of swimmers at the Olympics with bruises all over their bodies and wondered, “whaaaaaaaaaat?”.

It is an alleged therapeutic technique known as cupping where the therapist places special cups on your skin to create suction to supposedly help with with pain and inflammation and as a type of deep-tissue massage.

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The Dilemma Faced by Athletes

One of my favorite reads from a few years ago (2017) was ‘The Athletes Dilemma’ by John Weston and I have just now re-read sections of it. Anyone who is working with athletes needs to read this book or at least be familiar with the issues that are addressed in the book. While the book is heavily weighted to the USA sporting context, the issues are applicable to any sport in any country and those issues are faced by all those working in sports medicine on a very regular basis.

The book does a deep dive into the length that professional athletes go to compete with little or no regard to the long term health consequences to themselves. Weston does an excellent analysis as to why they are so willing to do that. The institutions that facilitate this are also critiqued.

The risk of seeing the elite professional athletes do this is the example that they are setting for children for their sporting careers and the lengths that they may feel empowered to go to in order to succeed.

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zinc supplements for verrucae

Zinc Supplements for Verrucae on the Foot

The bottom line is that supplements only work if there is a deficiency. If you take in any more than the body needs, the body just excretes it or stores it and it makes no difference except running the risk of an overload or an overdose. You can not “boost” anything by doing it. It also wastes your money, making for expensive urine.

Increasingly, you can see more advice to use zinc supplements to treat verrucae on the foot. Is that advice warranted?

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What is the best-selling product on for ‘Sever’s Disease’?

I was doing some digging around to see what sorts of products people are buying for the self-care of their foot problems and this one for Sever’s disease stuck out like a sore thumb. I can’t say I am surprised by this. What I was surprised by was I had never seen or heard of the product before and just how well it is selling.

It was this ‘half sock’ with a gel under the heel:


They are proving to be very popular on and just go to further illustrate what my not-so-scientific study on calcaneal apophysitis found in the most cases they seem to be self-managed and do just fine.

Link to the product on

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Hydroxychloroquine for COVID-19 … my take

I am far from being any sort of infectious disease, emergency medicine or pharmacology expert and way out of my lane on this one, but if ‘Karen from Facebook’ can have a view, then why can’t I? What I do think I am good at is reading, evaluating and critiquing published scientific research as well as evaluating consensus among real experts and not just those who have a YouTube channel, and it is that which informs what I am writing about here. Observing all the political shitfuckery that has gone on around this has also been fun as well as informing and there is a lot to be learnt from the whole episode.


Hydroxychloroquine is in a class of medications that were first used to treat malaria, but are now more commonly used as a disease-modifying anti-rheumatic drug (DMARD) to treat conditions like rheumatoid arthritis, lupus, childhood arthritis and some other autoimmune diseases. In March 2020, the then USA President, Donald Trump touted hydroxychloroquine as a ‘game-changer’ for COVID-19. We now know that it was not even close to being that. How did it end up there?

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