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Dr. Lana Schikman’s Foot and Ankle Center, provides expert diagnosis and treatment of ankle and foot disorders for children, adults and seniors. Our practicing philosophy is defined by providing comprehensive personalized diagnosis and treatment plan for every patient. Our conveniently located offices are equipped with latest technology and strive to provide an environment of excellent care with a family atmosphere.

Dr. Lana Schikman is an experienced Podiatrist with the Medical Doctor background in Internal Medicine and Endocrinology.

Dr. Schikman and friendly supportive staff are committed to the continued medical education and staying up-to-date on the latest technologies. The benefit of this commitment is that our patients’ conditions are treated quickly, comfortably, and effectively with up to date technology in a cost-effective environment.

Dr. Lana Schikman

All Foot & Ankle Disorders

Diagnosis & Treatment 

Our Locations

Queens

119-60 Metropolitan Ave
Kew Gardens, NY 11415

Brooklyn

208 Avenue U, Brooklyn, NY 11223


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EPAT® - PLANTAR FASCIITIS & ACHILLES TENDONITIS Featured

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What is EPAT®?

EPAT® stands for Extracorporeal Pulse Activation Treatment. EPAT® is an FDA approved technology proven to increase the rate of healing for soft tissue injuries and for the relief of painful conditions of the foot and ankle, specifically; plantar fasciitis and Achilles tendonitis. It is the most advanced non-invasive and highly effective treatment method that enhances blood circulation, accelerates the healing process causing damaged tissue to gradually regenerate and heal.

 

What conditions can be treated with EPAT®?

 

  • Plantar Fasciitis
  • Achilles Tendonitis
  • Insertional Achilles Tendonitis
  • Achilles Tendonosis
  • Tendonosis of the Foot and Ankle
  • Chronic Heel Pain
  • Acute and Chronic Muscle Pain
  • Morton's Neuroma of the Foot
  • Plantar Plate Tears
  • Sesamoiditis

How does EPAT® work?

EPAT® stands for extracorporeal pulse activation treatment. It has been developed in Europe by the Storz Medical and represented in the USA by CuraMedix. EPAT® is an FDA approved treatment modality that delivers non-invasive low frequency (8-12 Hz) acoustic sound waves into an injured or painful area. The sound waves act as pressure, and penetrate deep through your soft tissue. The energy emitted causes the cells in the soft tissue to release certain biochemicals that intensify the body's natural healing process. These biochemicals allow for the building of an array of new microscopic blood vessels in the soft tissue. Overall, EPAT® increases the nutrient flow to the chronically injured tissue. This treatment is highly effective for conditions such as Achilles tendonitis, Plantar Fasciitis, Posterior Tibial Tendonitis, and other tendon and soft tissue disorders in the foot.

How is EPAT® performed?

EPAT® is a small machine with a trigger end that looks like an ultrasound. It is administered once a week for a series of 3 to 6 treatments a week apart. Each treatment takes approximately 5 to 10 minutes depending on the size and number of areas treated.

All treatments are performed by Dr. Lana Schikman. The doctor applies a coupling-gel to the affected area and administers the pressure waves via the applicator by moving over the affected area in a circular motion. During the treatment there may be some minor discomfort and pain. Painful areas are helpful in isolating the truly injured areas.

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, without the risks, complications, and lengthy recovery periods. There are no incisions and no risk of infection, or scar tissue, like surgery. There is no need for anesthesia to be administered during the treatment, as opposed to high-energy shockwave therapy. Patients treated with EPAT® may bear weight on the foot immediately and resume normal activities within a few days. Many patients find a significant and immediate reduction in their pain. For some patients the pain relief may take up to 4 weeks to begin. Patients are followed up at after completing the treatments.

What are the possible side effects?

There have been very few side effects reported. In rare cases, skin bruising may occur, and patients may feel soreness to the area for a day or two afterwards, similar to a strenuous workout.

What are the contraindications of EPAT® treatment?

Patients who choose EPAT® treatment should not take NSAIDs (including ibuprofen, Motrin, Advil, Naproxen, Aleve, and Aspirin) for two weeks prior to and one month after the administration of EPAT®, as they interfere with the hormones that regenerate your cells.

EPAT® treatment is contraindicated in the following cases:

  • Pregnancy
  • History of deep venous thrombosis (DVT)
  • History of malignancy
  • Currently using blood thinners

Pregnant women should wait approximately 4 months after pregnancy to receive EPAT® treatment.

Last modified on Thursday, 29 May 2014 02:39
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Insurance Info

In an effort to minimize out-of-pocket expense, we accept and participate in most managed care and insurance plans. If you have a question about your insurance, please call our expert staff. We have a trained full-time insurance coordinator to assist every patient with insurance forms and questions.

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