Marjorie C. Ravitz, DPM, PC

Podiatric Medicine • Foot & Ankle Surgery

  • Marjorie Ravitz, DPM
  • Lisa M. LaRocca, DPM
  • Lisa Schirripa, DPM
  • Anthony Zizzamia, DPM

Call: 631-724-1166

Experience Foot Pain?

Call 631-724-1166 or click here to request an appointment.

EPAT (Extracorporeal Pulse Activation Technology)

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 tendon 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.

What does EPAT treat?

  • Plantar Fasciitis
  • 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
  • Non-unions of Bones
  • 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 ( due to chronically shortened and thickened muscle tissue)

The D-Actor 200 with EPAT (Extracorporeal Pulse Activation Technology) the First High Frequency pain management system with a broad range of applications make the D-Actor 200 system the most advanced and versatile non-invasive, in-office treatment solution.

The highlights of this High-Frequency Pain Management System include: broad range of non-invasive applications, no anesthetics required, shortened recovery, excellent results, short treatment sessions, safe application, low capital expenditure and maintenance costs, ergonomic compact design for maximum mobility.

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

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

What are the expected results?

The beneficial effects of 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 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?

If you have a Health Savings Account or Medical IRA, 100% of the cost can be covered. However, in most situations, health insurance coverage varies.

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.

Marjorie C. Ravitz, DPM, PC

Podiatric Medicine • Foot & Ankle Surgery

Diplomate, American Board of Podiatric Surgery
Fellow, American College of Foot and Ankle Surgeons