Are you experiencing Foot, Heel or Ankle Pain?

Before you consider surgery you should know that you do have other options for treatment.

Heel pain is the most common foot problem that we treat in our offices. It is often attributed to plantar fasciitis. While most heel pain is responsive to conservative therapy including orthotics, strapping, physical therapy, NSAIDS, cortisone injections and other methods, over 10% of patients remain with pain. These patients are faced with the choice of having surgery or living with chronic heel pain.

Experts now say that Pulse Activation/Shock Wave Therapy for heel pain is an alternative treatment before resorting to surgery, which has a lengthy recovery time and carries the risk of complications.

We have created this website to introduce you to and inform you about another option you have for the treatment of heel pain. Take a few moments to browse through the different pages and learn more about how EPAT can help reduce and successfully treat your foot and ankle pain.

We have also made requesting a consultation a simple process via our website. Contact us anytime you have a question or concern about foot or ankle care. Our podiatrist, Dr. Patrick DeHeer, is highly knowledgable and experienced in the treatment of all forms of foot and ankle conditions. At Hoosier Foot & Ankle we have 4 convenient locations in the Indianapolis Metro area that you can visit for treatment of your heel pain.

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Shockwave Can Help With:


What is EPAT®?

Extracorporeal Pulse Activation Treatment (EPAT®) is the most advanced and highly effective non-invasive treatment method approved by the FDA. This proprietary technology is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation and accelerate the healing process. Damaged tissue gradually regenerates and eventually heals.

What disorders can be treated?

Generally, acute or chronic muscle pain and/or tendon insertional pain that significantly impairs mobility or quality of life including:

  • Foot and Ankle
  • Shoulder
  • Back and Chest
  • Upper & Lower Extremities
  • Neck
  • Myofascial Trigger Points

What are the possible side effects/complications?

The non-invasive EPAT® treatment has virtually no risks or side effects. In some cases patients may experience some minor discomfort which may continue for a few days. It is normal to have some residual pain after intense exercise or a full-day of work.


Extracorporeal Pulse Activation Treatment FAQs

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What are the expected results?

The beneficial effects of Extracorporeal Pulse Activation Treatment (EPAT®) are often experienced after only 3 treatments. Some patients report immediate pain relief after the treatment, although it can take up to four weeks for pain relief to begin. The procedure eliminates pain and restores full mobility, thus improving your quality of life. Over 80% of patients treated report to be pain free and/or have significant pain reduction.

Is EPAT 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 clinical studies and tests have confirmed its safety and effectiveness.

If performed by a qualified caregiver Extracorporeal Pulse Activation Treatment (EPAT®) has virtually no risks or side effects.

What if I have a special health condition?

The safety and effectiveness of the EPAT&ref; procedure has not been determined on people with the following health conditions:

  • Malignancies
  • DVT (Deep Vein Thrombosis)
  • Your doctor will provide you with information about how these and other conditions might affect the determination to perform the EPAT® procedures.

How is the treatment performed?

Coupling gel is applied to the treatment area of interest to enhance effectiveness. After these preparations, EPAT&ref; pressure waves are released via the applicator moved over the area of interest in a circular motion.

What is the duration of the treatment and how many treatments will I need?

Treatment sessions take approximately 15 minutes depending on the disorder to be treated. Generally, 3 treatment sessions are necessary at weekly intervals.

What will happen after the treatment/procedure?

You will receive post-treatment instructions from your podiatrist to follow during your recovery.


Why Consider Non-Invasive EPAT®?

EPAT® has a proven success rate that is equal to or greater than that of traditional treatment methods (including surgery) and without the risks, complications and lengthy recovery time. EPAT® is performed in your foot & ankle clinic, does not require anesthesia, requires a minimal amount of time, patients can bear weight (i.e. walk) immediately, and return to normal activity within a few days of the procedure.

Benefits of Non-Invasive EPAT®

  • Patients are immediately fully weight bearing.
  • Bilateral patients can be treated at the same time.
  • No incision-No risk of infection at the treatment site-No scare tissue formation.
  • Patients are able to return to work/normal activities within 24-48 hours, resuming strenuous activities after 4 weeks.
  • Patients evaluated for success at 12 weeks.
  • Over 80% successful outcomes.
  • 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 complications costs.
  • Reduced cost from lost work.
  • Fast, safe, and effective.

Costs & Payment Options

How Much Does It Cost?

For most patients, the out-of-pocket costs are much less than you would expect. If you have a Health Savings Account or Medical IRA, 100% of the cost can be covered. However, in most situations, health insurance plans do not provide coverage.