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, that contains registration forms, doctor information and directions to the office is located at:
Dr. Michael Zapf has been offering a full range of podiatric medical services, from ingrown nails to heel pain and foot surgery, in the Conejo Valley since 1985. This site is my responsibility only and 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 Things happen fast in medicine so whatever you read could well be outdated. In addition I have 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. Please note that all information and photographs on this site are copyrighted by 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 practices. Do not expect them to practice the way I do or even believe in any of the speculation I present on this site. 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 fisrst that "I am booked" I still want to see you and ask your to be flexible in your scheduling time. If there is any emergent nature to your visit, I know that you will be happy with either of my associates, Dr. Darren Payne and Dr. Steve Benson. They are exceedingly well trained and capable in any foot emergency.
Our office phone number is (818) 707-3668 and my e-mail address is zfootdoc [at] doctor [dot] com
For the address, hours and registration forms please see the practice web site: www.conejofeet.com
01/02/2010
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Sometimes a small cyst or ganglion will form on the toes at the joint just
behind the toe nail. If punctured a thick gelatinous fluid escapes. These are technically
tiny toe ganglions but in this location they are more correctly knows as a mucked cyst.
They are frequently treated by a "puncture" and the injection of a bit of
cortisone. Unfortunately they often recur. A more permanent correction involves the
removal of a little bone. This second picture is a copy of the x-ray of this
patient's toe. In this patient there is an unusual proliferation of bone at this joint.
This lady has a diagnosis of osteoarthritis (degenerative joint disease). The swelling in
this part of the toe is called Heberden's Nodes.
In the picture the same 4th toe as pictured above has been raised so that
you can see if from the side.
This
is a photograph of another woman with a little ganglion on her the inside
of her right 4th toe. It is that little swelling just below the center of the
picture.
