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Welcome to the personal website of Dr. Michael A. Zapf, DPM, MPH, FACFAS, FACFAOM Thank you for visiting the web site of Dr. Michael Zapf. He is a member of the Agoura-Los Robles Podiatry Centers The "real" practice web site, the one that contains registration forms, doctor information for all the office and directions to the office is located at: www.conejofeet.com ç Click here I am Dr. Michael Zapf. I have been offering a full range of podiatric medical services, from ingrown nails to heel pain and foot surgery, to my friends and neighbors in the Las Virgenes, Conejo and Simi Valleys since 1985. This is my personal web site. It has been up since 1990 and has received more than 2 million visits. The entire site is my responsibility only and nearly everything on the site was written by me. You are welcome to peruse this site and learn what you can about me, your feet and the problems your feet can develop. Things happen fast in medicine so whatever you read could well be outdated, especially if it was written many years ago. On this site you will read historic articles that I wrote for a lay audience as long as 25 years ago, so please do not take anything on this site as definitive or as applying directly to your condition. You may wonder why I have my own site even though there is also an official practice site. Well, my partners are of a younger generation raised on tweets, e-mails and iPhones. They want a professional site that they believe better represents the professional nature of our practice. They also believe that people no longer take the time to read anything of length. I, on the other foot, think there is still a world out there full of people who still read lengthy descriptions of problems and solutions. if you are one of those old fashioned readers, then this site if for you. Let me know what you think. Let me know you are out there. Please note that all information and photographs on this site are copyrighted by me, Michael Zapf, DPM, and cannot be used for any private or commercial purposes. I work with two other podiatrists in my practice who may or may not share any of my ideas and philosophy. Do not expect them to practice the way I do or even believe in any of the speculation I present here. If you appreciate what I have written and want me to be your treating doctor, you will have to ask for me specifically. Even if my office says at first, " He is booked until next month", I still want to see you as long as you are a little flexible with your schedule. If your visit is an emergency, I know that you will be happy with either of my associates, Dr. Darren Payne or Dr. Steve Benson. They are exceedingly well trained and capable in any foot emergency.
Michael Zapf, DPM, MPH, FACFAS, FACFAOM (If you want to know what all those initials mean, click here è Our office phone number is (818) 707-3668 and my e-mail address is zfootdoc [at] doctor [dot] com Agoura Hills Office: 28240 Agoura Road, Suite 101, Agoura Hills, CA 91301 Thousand Oaks Office: 555 Marin Street, Suite 290, Thousand Oaks, CA 91360 For the address, hours and registration forms please see the practice web site: www.conejofeet.com
To Order Foot Supplies è ç click For Information about
Laser Treatment for Fungal Nails Click hereè For information about Shockwave Therapy for heel pain click here è Exciting news!!! New Thousand Oaks Location è
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| My responses are in italics ... Dr. Zapf
Hi! Thanks for responding to my email. In my last message
I had a question about my Morton's Neuroma. I have really appreciated the
information on your website; it is very helpful. I have struggled with what we
assume is a M.N. for 2 1/2 years. I was a runner, but now can hardly walk to my
mailbox without a flare-up. I've tried all the basic treatments with no real
success. In March this year I had a cortisone shot and since then my symptoms
have worsened (which I know isn't supposed to happen!) Since then I have had
numbness/tingling which moves up into my leg (at first occasionally) and now is
consistently affecting me with activity (including driving, swimming, biking).
I have had an MRI (which just showed some inflammation) and an EMG which was
normal. Now I'm considering surgery... My question/concern is that I
have several atypical M.N. symptoms and I worry that surgery may make things
worse, especially if I actually have a different diagnosis (Chronic Regional
Pain Syndrome, etc???)My basic method to diagnose this
problem is to inject a small quantity (1 CC) of Marcaine into the area of the
suspected neuroma. The Marcaine produces profound anesthesia for 6 to 12 hours.
If the pain is entirely relieved for the length of time the anesthetic is
working then I conclude that it is a neuroma, not some other causative factor.
Unusual symptoms:
-numbness ascending into the leg never
-no
real numbness into my toes
-most forefoot pain is in the morning for the first 5 minutes of walking OK
-red/purple coloring lately in the MN area at times not
typical
Have you seen some of these symptoms in other folks with M.N? No
Thank you so much for your help! It's been hard to find anyone in my area who
really seems extremely knowledgeable about this. I live in Minnesota. I am
coming to CA on vacation in a few weeks and may try to make an appt with you if
possible. Look forward to seeing you
Also, I've been reading about the sclerosing injections - do you know of anyone in the Midwest who
can do this??? No, you have to call a few local
podiatrists and ask the office staff if the doctor does sclerosing injections
for neuromas. If you do not find any, ask the most local doctor if he or she
will let you be the first test case for sclerosing injections. Good Luck.
Sincerely,
Anna
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Send mail to (zfootdoc at doctor
dot com) with questions or comments about this web site.
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