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Welcome to the Website of Drs. Michael Zapf, DPM, Darren Payne, DPM Lorie Robinson, DPM and Steve Benson, DPM Thank you for visiting the web site of Drs. Zapf, Payne, Robinson and Benson all practicing in two offices in the Conejo Valley. Our practice name is the Agoura-Los Robles Podiatry Centers. We have combined over 60 years of experience to better serve our patients. Dr. Michael Zapf is mostly responsible for hte content of this web site.. This site is intended for the patients of The Conejo- Los Robles Podiatry Centers. If you are not a patient, you are still welcome to visit the site and learn what you can about your problem. But the doctors cannot assume any responsibility for your care and cannot offer you any medical advice. You need to see your own professional. Your problem may well be different from what you think it is, even with the help of this site. Please note that all information and photographs on this site are copyrighted by the Conejo - Los Robles Podiatry Centers and cannot be used for any private or commercial use.
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| Question to Kay, a recent Shockwave Patient: Did it work? Podiatrists grade pain on a 10 point scale with 10 being the worse. Rarely do we see a 10. Kay was a 10. She lives and works in the relatively far away town of Palmdale, California. Because of her extreme heel pain she was not able to work or even walk without crutches. She gave up on a social life and her pain was so great that she rarely ventured out of the house. She tried shoe modifications, heel pads, orthotics from her podiatrist oral anti-inflammatory medications and even a series of cortisone injections. Nothing was helping and she was scheduled for the traditional open surgery. Her podiatrist was an acquaintance of mine and suggested that she give Shockwave a try. We met in my Agoura Hills office and discussed her options. Frankly I was skeptical that Shockwave could help such severe levels of pain. She has an HMO and had to pay for this one out of her own pocket. Fortunately the company I use charges only $500 maximum put of pocket for the treatment even if insurance pays nothing toward the procedure. Well, I asked her, was her experience worth $500? Did the treatment work? Answer: It did for me! I was experiencing pain in my heel with every step. I was limping, trying to prevent any flexing in my foot that would cause any pain. After the shockwave therapy was performed, I was in a soft cast for about 6 weeks. During that time I was careful not to traumatize it with excessive walking, standing or exercise. Today I can walk without pain, making sure I wear a shoe with a heel. (I feel some discomfort the day after if I wear a flat sandal or shoe.) I experience some minor stiffness in the heel area after getting up each morning from bed, but it works itself out in a short period of time. I am very pleased with the result as is my husband as he doesn't have to wait as I limp along behind him any more. I'd recommend it to anyone with similar pain ... Kay As a subscript, I have done the Shockwave procedure on 16 patients, all of whom have had heel pain for at least a year (some as long as 10 years) and at least a level of 6 (some (some, like Kay, at a 10!). My results for the procedure are as follows. 100% complete pain relief 2 Reduction of 7 or 8 points on the pain scale 2 Reduction of 4-8 points 8 Reduction of 2-3 points 3 Reduction of 0-1 points 1 I need to point out that the patient with 0-1 points reduction in pain also has a stress fracture of the heel that is causing pain. As she recovers from the stress fracture she is feeling better. We may never know how much pain reduction is due to the Shockwave and how much to healing her stress fracture.
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