If you think you have tried EVERYTHING and your heel pain still won't go away, surgery may not be the next step.  EPAT (extracoporeal pulse activation treatment) is a non-invasive procedure done in the office. This treatment option offers one final step before considering surgery.  The machine used transmits pulsed sound waves into the inflammed tissue of the plantar fascia to stimulate an acute inflammatory reaction, which re-starts the healing process.