Welcome to the Website of

Dr. Michael Zapf, DPM, MPH, FACFAS

 Thank you for visiting my website. I have been placing information and articles on this site for many years and have received millions of  hits during that time (and not that many of them were mine). I have designed it for people who like to read about their foot and ankle problems. Since I started the web site, I have added two associates to my practice, Dr. Darren Payne and Dr. Stephen Benson.  Since my site is filled with just my thoughts and opinions they are not, necessarily, shared by my colleagues. To see our less controversial (and less windy) practice web site, I offer you: www.ConejoFeet.com, the practice site for The Agoura Los Robles Podiatry Centers (ALRPC). The ALRPC practice site has a lot of material about our office, many of our policies and the registration forms to be filled out before your visit. I suggest all prospective patients visit www.ConejoFeet.com.

 I made the web site to give my patients the extra depth information that I don’t always have time to cover in the office visit. Visitors who are not my patients are welcome to browse the information found here. My younger colleagues are both under 50 and they, like many their age, do not favor in depth reading. They prefer their information presented to them in a few short, crisp bullet points. I, being of the, ahem, older generation, like to read about my ailments in greater depth. Here, I present the greater depth. If you ask a question about heel pain or bunions that I have not answered in my two monographs, I will quickly add it so that it is as complete as I can make it. If you agree with this philosophy, welcome to my page. If you correspond with me please let me know if you like the in depth reporting.

 Remember, this site is in no way intended to tell you how your own ailment or problem should be treated, only the approach I use when confronted with certain situations. Your problem may well be different from what you think it is and should always be evaluated by the appropriate professional, whether podiatrist, orthopedist or other authority. Please understand that I, nor anyone else, can offer you a proper diagnosis or treatment plan without seeing and feeling the problem at hand (foot?) Happy reading.

 Sincerely, Michael Zapf, DPM, MPH, FACFAS, FACFAOM

 P.S. All the information in this web site is © by me and it is mine alone. No picture or any of the articles cannot be used by anyone without permission from me, personally.

 


01/08/2012HomeNews+FAQShock Wave

 

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This article appeared in an Agoura magazine, Canyon and Country Times about 1997. there is still quite a bit of relevance for today.

Walk Your Way to Fitness!

Dr. Michael Zapf, of Agoura Hills, is among a growing number of doctors who recommend walking for fitness. “Walking keeps your heart strong, weight down, energy up, muscles toned, and spirits lifted!”, says Dr. Zapf. “But what really sets walking apart from other aerobic exercises is its inherent safeness and simplicity. Just about anyone -anywhere can walk!”

Walking offers you more freedom than you can imagine! You can walk around a track, through your neighborhood, down a wooded path, or in a shopping mall. You can roam the halls of your hotel, explore the nearest park, or simply wander through a city or town. It can be done in the morning or in the moonlight. You can go it alone, bring a friend along, or join a club! And you can do all this while giving your body a workout that rivals running, swimming, or biking.

Before you step out your front door, though, there are a few things you should keep in mind. First, check with your doctor if you have any questions about your health. Are you overweight? Have you been sedentary for a long time? Do you have heart trouble, diabetes, or emphysema? Although walking is often used as a treatment for many ailments it is still wise to discuss your walking program with your physician. He or she can give you specific pointers about what’s best for your body.

Next, look at your feet. For the casual walker any athletic shoes are fine. Says Dr. Zapf, “For my more serious walkers, say those walking more than three times a week, I recommend a shoe specifically designed for walking. I find that the most common injury of walkers is heel and arch pain. Many times a good pair of walking shoes can prevent this. For those with more serious discomfort I have to reach into my bag of tricks to get them back on the road.”

How do you choose a good shoe? With the latest walking “boom” manufacturers have been busy producing quality shoes made just for walking, but not every shoe is right for every foot. For the best fit, go to a store that specializes in athletic shoes and try on as many walking shoes as you can. It is best to go in late afternoon or early evening after your feet have expanded during the day. A good shoe should, above all, be comfortable. If it passes the comfort test, then look for the following features: a good deal of cushioning; enough room in the toe box to wiggle your toes; a ½ inch elevate heel for maximum shock absorption; no tightness around the edge of your feet, but tight enough so that your foot doesn’t slip from side to side; flexibility at the ball of the foot, but firmness in the heel counter. If you have questions, ask the salesperson for assistance.

Now, plan your workout schedule by choosing a convenient time and place to walk. To get yourself into a routine, you might want to plan three or four routes at first and stick to those. But don’t become rigid about when you walk or you might get discouraged. One rainy morning, you might want to head over to your local shopping mall and exercise with the regular mall walkers, but the next day you might feel like walking on a city street at lunch. Maximum flexibility is one of the beauties of walking.

Next, do your warm-up and stretching exercises. Without them, you could get injured and your program may suffer. A warm-up is necessary before stretching. To warm up, just walk slowly for a few minutes. Next, gently stretch the muscles in your legs. You should never stretch a muscle that hasn’t had a chance to warm up because you could run the risk of pulling it. When you stretch, move slowly and easily; never bounce. Stretching should not be painful. If it is, you’re doing more harm than good.

You are now ready to walk. Go at a pace that feels comfortable. If you can’t carry on a conversation or if you feel any discomfort, slow down. And if you feel any pain, stop. You are striving to make yourself feel good, so listen to your body!

To attain aerobic fitness, you’ll want to ultimately build up to walking at least 20 or 30 minutes three or four times per week at your target heart rate. Target heart rate is the rate at which your heart should beat while you walk. If your doctor hasn’t told you what your target heart rate is, you can figure it out yourself. Subtract your age from 220 and take 60% to 75% of that figure by multiplying by .60 and .75. Example for a 70-year old: 220- 70= 150. 150 x .60 =  90 beats per minute. 150 x .75 = 112 beats per minute. Thus, a 7O~year-old’s target heart rate range is between 90 and 112 beats per minute. If you’re over fifty and exercising for the first time, you can even gain aerobic benefit by exercising at 50% to 60% until you become more fit.

While walking, take your pulse (either at your wrist or on one side of your Adam’s apple) for 15 seconds and then multiply this number by number 4. That’s your pulse, or heart rate, for one minute. Are you walking at your target heart rate? If you’re under this range, then speed up a bit. If you’re over, then slow down.

After you finish walking, cool down for about five minutes by slowing down and stretching. Stretching is essential after exercising because your muscles will stay in a contracted position until they’re stretched. If this happens, you run a high risk of pulling or tearing a muscle.

Walking is a fun, safe way to stay fit! If you’ve been sedentary, you must build you program slowly over a period of weeks or months. On the other hand, you might surprise yourself and go farther faster than you ever expected! Slip a walking routine into your life today and reap the benefits of a strong, healthy body.

If you have any questions about the benefits of walking, Dr. Zapf suggests that you contact the American Running and Fitness Association, 9310 Old Georgetown Road, Bethesda, MD 20814, (301) 897-0197. If you have any questions about your feet, Dr. Zapf suggests that you contact your local podiatrist.

   

 

 

 

 

 

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Copyright © 2000 Michael A. Zapf, D.P.M., F.A.C.F.A.S., F.A.C.F.AOA.M.
Last modified: January 08, 2012