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Extracorporeal Pulse Activation Technology (EPAT) for Plantar Fasciitis

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Plantar fasciitis is inflammation of the band of tissue that connects your heel bone to your toes (the plantar fascia) and a very common cause of heel pain. People suffering from plantar fasciitis generally report stabbing pain in the heel, which can be more severe in the morning. Treatment options for plantar fasciitis can range from simple stretching techniques to surgery, depending on the severity of the condition. I sat down to talk with Dr. David Hughes about EPAT, a nonsurgical treatment option for plantar fasciitis which is now available at TSAOG Orthopaedics.

What is EPAT?

EPAT stands for extracorporeal pulse activation technology, also known as shockwave therapy. The technique has been used for years in Europe and the US to treat numerous chronic inflammatory conditions.

How does it work?

EPAT uses high-intensity sound waves to break up scar tissue and increase blood flow to areas where there is poor circulation, which stimulates healing.

How long does EPAT treatment take and how many treatments will I need?

Each session lasts about five minutes and patients will generally require between a minimum of 3 and a maximum of 5 treatments.

What does an EPAT treatment feel like?

EPAT treatment feels like getting snapped with a rubber band repeatedly initially, then dulls to the point where light pulses are noted.

When should I start to feel the treatment working?

It can take up to four weeks to feel pain relief, though some patients report immediate pain relief after their treatment.

Is EPAT treatment covered by insurance? How much does it cost?

Unfortunately, EPAT is not covered by insurance. Treatment cost is $495 for three treatments of one foot and $695 for three treatments on both feet. If a 4th or 5th treatment is required, there is a fee of $100 per treatment regardless of one or both feet.

What are the benefits of EPAT?

The biggest benefit is pain relief. Over 80% of EPAT patients report significantly reduced or eliminated pain. While no treatment is 100% effective, EPAT can help to heal chronic conditions that don’t respond to traditional treatment.

Additionally, since EPAT is a non-invasive therapy, there is no anesthesia required, no scarring, no risk of infection, and no recovery period after treatment. Patients don’t have to take time off work or stop their activities.

Is there anyone who shouldn’t try EPAT for plantar fasciitis?

EPAT is not recommended for people who have a pacemaker or are on blood thinners.

Dr. David Hughes is a podiatrist with TSAOG Orthopaedics. He has a special interest in the correction of foot disorders and deformities including arch disorders, hammertoes, bunions, turf toe, and charcot foot. He has appointments available at our Medical Center and Westover Hills locations.

TSAOG Podiatrists Relocate to Babcock Office

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Effective Monday, January 19th, TSAOG podiatrists Dr. David Hughes and Dr. Jessica Rutstein have relocated from their former business address at the Foot and Ankle Treatment Center – 10114 Huebner Rd, San Antonio, TX 78240 – to TSAOG’s Medical Center Office – 2829 Babcock Rd, Ste 700, San Antonio, TX 78229.

The new location is not far from the old (about a 6 minute drive) and will allow the podiatrists to share space with our othopedic specialists, giving them faster access to multispecialty consults, physical therapy, and imaging and casting services.

We do not anticipate any interruption in service as a result of this transition. Learn more about San Antonio Podiatry.

TSAOG Customer Survey Highlights – December 2014

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When our patients have something nice to say about us, we like to brag about it! Please enjoy some of the highlights from TSAOG’s December 2014 Customer Survey:

  • “Well organized and on time. I was very pleased with Dr. Balldin’s assessment and treatment plan and his answers to my questions”
  • Dr Bell and his staff always addressed each patient by name and treated individuals with warmth and compassion. Over the last year I never waited more than 10 minutes to see Dr Bell and for most of my appointments he was right on time.”
  • “[I liked] that there are multiple docs under one roof whose specialties overlap and they can collaborate.”
  • “[Dr. Brenman] and his nursing staff are always super efficient and even though I know they see a huge amount of patients they offer me really personalized care.”
  • Dr. Brown is extremely knowledgeable and explains procedures and options well, and PA Rice has been very helpful and thorough.”
  • “I never feel like I am in an assembly line like I have when I am a patient in other practices.”
  • Dr. Burkhart gave me my life back by successfully operating on my rotator cuff injury. No more pain and can do anything I did before the surgery. Great Man Dr. Burkhart!”
  • “I don’t like coming to the SAOG only because it means I am injured or starting to fall apart due to age, BUT I like coming to SAOG because I’m cared for very well and am very satisfied with my care and the customer service. Thanks to all of the staff, keep up the great work!” (Dr. Connor)
  • “I was very impressed with how well the office was run overall. There was a calm atmosphere and everyone I encountered was very pleasant.”
  • Dr. Drukker was already my physician, but also a lady in Houston recommended him. He is great!”
  • “Very happy with Dr. Garcia. Also with his regular follow-ups”
  • “I like Dr. Gonzalez and think he is an excellent surgeon and physician.”
  • “Although Dr. Hartzler is listed as a shoulder/ elbow specialist, he agreed to see me regarding my foot/ankle problem. He was very kind and I felt well taken care of.”
  • Radiologist and Leticia (Technician) were awesome. I was nervous and scared and they made me feel at ease and explained everything.”
  • “I was actually surprised at the speed with which I was able to get a new patient appointment.”
  • “Doctors are friendly and listen carefully” (Dr. Hibberd)
  • “Keep up the great work — both the office and the practice seem to run like well-oiled machines, with great resources and availability.”
  • Dr. Hughes listens well, takes my lifestyle into consideration when making recommendations on treatment.”
  • “I have always been able to be seen promptly by my doctor and the staff has always been courteous and professional.” (Dr. Jacobs)
  • “I would like to thank Dr. Kaiser for the wonderful job he did on my knee.”
  • Dr. Kirk was very gentle, patient & explained in great detail everything I needed to know.”
  • “I loved the care I received from Dr. Marx and would highly recommend him to anyone needing surgery.”
  • “Able to get seen quickly, Dr Ochoa is a good guy. I would recommend him to anyone.”
  • “With a complete state of the art facility each and every detail was handled perfectly. An amazing staff and an equally amazing set of doctors. I was completely impressed and 100% pleased!”
  • Dr. Paul Pace and his staff are amazing and I am so thankful to each and every member of his team that were involved in any aspect of my surgery and continued treatment. Thank you thank you thank you”
  • “The doctor shows an interest in my overall well being.” (Dr. Rowland)
  • “The doctors are fully informed in the field of orthopaedics. They offer a storage of information to help me understand my condition and the plan of treatment. They are friendly and make you feel very comfortable.”
  • “It was my first visit with Dr. Rutstein and I was very impressed. She is well informed in her field and had answers to all of my concerns. She took a lot of time to explain and offer suggestions. It was a beautiful experience. Her treatment plan is making a big difference in my condition. “
  • “…chiropractic services help me a lot.” (Dr. Seidel)
  • Dr Taber has a great bedside manner, very professional. I completely trust him with my care”
  • “From the first visit, my care has been exceptional, personalized, and caring. This is the best orthopedic organization I have ever had the honor of using. You have extensively improved my daily functioning and reduced my pain significantly, improving my overall lifestyle.”
  • Dr. Tolin exhibits exceptional patient relations. He is PROFESSIONAL, focused on the patient, and educational. I have never had the superior attention he provides to me.”
  • “Very pleased with all aspects of the hip replacement process. I would and have recommended Dr. Ursone to anyone considering hip or knee replacement. Extremely pleased with the care provided by North Central Baptist Hospital.”
  • “Excellent customer service!” (Dr. Valdez)
  • “Excellent experience. Some of my favorite docs in the past have had poor staff. Not SA Orthopedic! Everyone is top notch!” (Dr. Viroslav)
  • “I know that the good Lord sent me to Dr Woodbury and his staff.”

We encourage you to review and rate your experience with TSAOG.  The next time you visit us, please take the time to fill out our patient survey and you may see one of your comments online the next month! You can also choose to submit a testimonial online anytime

Please note: Spelling and punctuation errors may have been corrected for readability.

TSAOG Welcomes Dr. David Hughes and Dr. Jessica Rutstein

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TSAOG is very pleased to welcome Dr. David Hughes and Dr. Jessica Rutstein to our practice!  Their first day is Tuesday, September 2nd.

HughesRutstein

Dr. Hughes and Dr. Rutstein are podiatrists, specializing in the treatment of conditions of the foot and toes. Both Dr. Rutstein and Dr. Hughes have been in private practice at the Foot & Ankle Treatment Center of San Antonio since 2007 and we are thrilled to have these established San Antonio podiatrists joining our group.

Dr. Hughes and Dr. Rutstein will treat patients aged 2 years and up.

Their special interests include:

  • Ingrown Toenails
  • Heel Pain
  • Arch Pain
  • Bunions and Hammertoes
  • Nerve Pain
  • Neuromas
  • Plantar Heel Spurs
  • Plantar Fasciitis
  • Toe Pain
  • Warts
  • Corns and Calluses

Without further ado, meet Dr. David Hughes:

Without further ado, meet Dr. Jessica Rutstein:

To schedule an appointment with Dr. Hughes or Dr. Rutstein, please call 210.281.9595.

To learn more about Dr. Hughes’ background and training, please visit his webpage. To learn more about Dr. Rutstein’s background and training, please visit her webpage.

Bringing in specialists to provide comprehensive foot care is one more way TSAOG makes your health our mission.

 

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