Jonathan T. Michael, DPM, FACFAS

Bayonne (201) 535-8978

Randolph (973) 446-0021

Kearny (201) 997-5000

Jersey City (973) 446-0021

EPAT (Extracorporeal Pulse Activation Technology)

Heel pain is the most common foot problem 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.

Swiss made EPAT is used extensively in Europe and Canada. The mode of action during Pulse Therapy is to stimulate chemical processes providing improved blood circluation in the pain regions to promote natural healing.


What does EPAT treat?

  • Plantar fascitis
  • Bursitis ( Bursitis is inflammation of a bursa. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.)
  • Tibialis anterior syndrome
  • Achilles tendonitis
  • Heel spurs
  • Hallux limitus
  • Various chronic enthesiopathies (painful irritation of tendon attachments due to overexertion and improper strain, or due to a degenerative process)
  • Various sports injuries
  • Painful trigger points(acute and chronic painful neck,back, shoulder and etc. due to chronically shortened and thickened muscle tissue)


Benefits of 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 scar 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 [Published Data-Long-term pain relief (Results retained)].
  • 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.
  • Does not require anesthesia


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

Treatment sessions take approximately 5-10 minutes. Generally, 3-4 treatment sessions are necessary at weekly intervals.


What are the expected results?

The beneficial effects of EPAT are often experienced after only 3-4 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 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 clinical studies and tests have confirmed its safety and efficacy.

If performed by a qualified medical professional, EPAT has virtually no risks or side effects.


Is it covered by Insurance?

In most cases, EPAT is not covered by insurance, although patients may be able to use their employer's Flexible Payment Medical Savings Account to cover this treatment.


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"Excellent physician, very knowledgeable, caring, and painless surgery."

Mike Davies, Bayonne, NJ

"Dr. Michael is a wonderful doctor. He has taught me how to take care of my feet properly after being diagnosed diabetic. He takes his time to explain everything as he goes. He's a true jewel. His office staff is courteous and very professional."

Mary Headrick, Bayonne, TX

"I just started seeing Dr. Michael after my previous doctor left his practice. I wish I had found him sooner! I highly recommend this practice!"

Melissa Brown, Randolph, NJ