EPAT® is a type of Shockwave therapy that delivers pulses of sound waves that cause “microtrauma” or microscopic injury to the soft tissue and bone it is treating. This trauma stimulates inflammation, which is critical to healing. It also helps to stimulate blood flow to the area. Damaged tissue begins to regenerate and eventually heal. 

What are the expected results?

The beneficial effects of Extracorporeal Pulse Activation Treatment (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 may eliminate pain and restore full mobility, thus improving your quality of life. Over 80% of patients treated report to be pain-free and/or have significant pain reduction. 

It is important to understand that not all injuries will respond to EPAT®. Some injuries are too advanced and other treatment methods may be necessary (including injections and surgery) for pain relief.

Is it safe?

Yes. This FDA cleared 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 caregiver, Extracorporeal Pulse Activation Treatment (EPAT®) has virtually no risks or side effects.

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

Treatment sessions take approximately 5-10 minutes depending on the disorder to be treated.

Generally, 3 treatment sessions spaced one week apart are necessary for full results.

What will happen after the treatment/procedure?

You will receive post-treatment instructions from your physician to follow during your recovery.

What if I have a special health condition?

The safety and effectiveness of the EPAT® procedure have not been determined on people with the following health conditions. Your doctor will provide you with information about how these and other conditions might affect the determination to perform the EPAT® procedures.

  • Malignancies (cancer or tumors)

  • Bleeding or clotting conditions

  • DVT (Deep Vein Thrombosis)

  • Pregnancy

  • Children

How is the treatment performed?

After the physician has identified problem areas, a small amount of coupling gel is applied to the treatment area. Then EPAT® pressure waves are released via the applicator moved over the area of interest in a circular motion. Typically 1,000-3,000 bursts are given per treatment area. The whole treatment takes about 15 minutes.

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) and without the risks, complications and lengthy recovery time. EPAT® is performed in our physician's office/clinic, does not require anesthesia, requires a minimal amount of time, patients can bear weight (i.e. walk) immediately, and return to normal activity within a few days of the procedure.

Benefits of Non-Invasive EPAT®

  • Little to no down time. (*for best results it is recommended to avoid over straining the area for 24 hours)

  • 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.

  • Lasting results. Studies found 80% success rates for patients at 12 weeks post treatment.

  • Non-invasive so biomechanics are not affected, and future treatment options are not limited.

  • Cost Effective.

  • No missed work for recovery.

  • Fast, safe and effective.

  • Does not require anesthesia.

What are the possible side effects/complications?

The non-invasive EPAT® treatment has virtually no risks or side effects. In some cases, patients may experience some minor discomfort which may continue for a few days. It is normal to have some residual pain after intense exercise or a full-day of work.

Will my insurance cover EPAT® treatment?

In almost all cases, insurances will not cover EPAT®. Treatments are affordable and patients can use their HSA/FSA/flex spending to help pay for them.