Extracorporeal Pulse Activation Treatment (E.P.A.T.)

Extracorporeal Pulse Activation Treatment for Heel Pain

Heel pain is one of the most common foot problems presenting in our office.  It is often attributed to plantar fasciitis. While most heel pain is responsive to conservative therapy including orthotics, strapping, physical therapy, NSAIDS, corticosteroid injections and rest, 10% of patients remain with pain. These patients are faced with the choice of having surgery or living with pain.

An alternative to surgery includes Shockwave Therapy, which does come with high success rates.  But until now, this method has been costly and requires anesthesia.  A new technology called EPAT, or Extracorporeal pulse activation treatment, canbe done in our office and is painless, inexpensive and uses the same technology.

What is EPAT?
Extracorporeal pulse activation treatment (EPAT®) is the most advanced and highly effective noninvasive treatment method approved by the FDA to treat acute or chronic muscle and tendon pain by stimulating blood circulation and accelerating the healing process. Damaged tissue gradually regenerates and eventually heals. Patients with heel pain (plantar fasciitis) or other tendon pain like Achilles tendonitis can benefit from this treatment.

How is EPAT performed?
During the EPAT procedure, the doctor will apply gel to the targeted area and then move the device applicator in circular motions over the area. The applicator delivers pressure waves into the painful area, which gradually regenerate the damaged tissue.

How long does this treatment take?
EPAT treatment sessions last about 15 minutes. Most patients require three sessions performed at weekly intervals in order to achieve their desired results.

What are the results of this EPAT?
After EPAT, some patients may experience immediate pain relief, while for others it may take up to four weeks before significant relief is felt.  Over 80 percent of patients treated report to be pain free and/or have significant pain reduction.

Is it safe?
Yes. This FDA approved technology was developed in Europe and is currently used around the globe. A wealth of medical experience, state-of-the-art engineering and optimal quality have been built into each EPAT device, and extensive studies and tests have confirmed its safety and efficacy.

Is EPAT covered by insurance?
In most cases, EPAT is not covered by insurance, although some patients may be able to use their employer's Flexible Payment Medical Savings Account to cover this treatment. Patients can also take advantage of our Elective Payment plan to make the EPAT more affordable.

Benefits of EPAT: 

  • Patients are immediately fully weight bearing.
  • No incision - No risk of infection at the treatment site - No scar tissue formation.
  • Patients are able to return to work/normal activities with 24-48 hours, resuming strenuous activities after 4 weeks.
  • Patients evaluated for success at 12 weeks.
  • Over 80% successful outcomes (published data-Long-term pain relief)
  • Non-invasive so biomechanics are not affected - future treatment options are not limited.
  • Cost effective.
  • Reduced conservative care-ends the cycle-Reduced after care and complication costs.
  • Reduced cost from lost work.
  • Fast, safe and effective.
  • Does not require anesthesia.