EPAT (Extracorporeal Pulse Activation Technology)

What is EPAT®?

EPAT® stands for Extracorporeal Pulse Activation Technology.  EPAT® is a form of ESWT (Extracorporeal Shock Wave Therapy) which is an evidence-based, emerging, proven treatment option for patients suffering from both acute and chronic musculoskeletal injuries. This technology was developed in Europe and is considered a standard of care in most of the world for treating chronic musculoskeletal conditions.  If you are tired of being in pain and not able to participate in activities you love, EPAT could be right for you.

 

How does EPAT® work?

EPAT® uses acoustic pressure waves to safely increase metabolism and blood flow, stimulating or enhancing healing of the injury.  The microtrauma induced, triggers a cascade of inflammatory factors such as cytokines and chemokines that help regenerate the damaged tissue.  These inflammatory factors are essential for healing and are present at high levels in acute injuries, but diminish or cease to exist over time in chronic injuries.  Think of EPAT® as a way of pushing the reset button on healing.

   

Examples of conditions treated with EPAT®:

  • Plantar Fasciitis  
  • Achilles Tendonitis  
  • Posterior Tibial Tendonitis
  • Anterior Tibial Tendonitis
  • Plantar Plate Injuries
  • Peroneal Tendonitis
  • Interdigital Neuromas
 

Who is a candidate for EPAT® technology?

We recommend EPAT® for acute injuries as part of first line therapy, since it will allow for a faster recovery, so that you can return to the activities you love. It is also recommended for patients coming to us with chronic injuries who have failed to respond to other therapies. EPAT® allows our patients to avoid major downtime during treatment.

 

How do I prepare for a EPAT® procedure?

We recommend patients discontinue all anti inflammatories at least 1 week prior to the procedure.  This includes Ibuprofen (Advil), Aleve and all prescription anti inflammatories. Since EPAT® produces an inflammatory response, it is important to taking avoid anti-inflammatory medications, since they will inhibit this inflammatory response. Tylenol is allowed since it is not an anti inflammatory.

 

What should I expect from EPAT®?

Treatment is performed in the office and usually consists of 3 sessions on a weekly basis.  Patients with more chronic injuries may require a 4th or 5th treatment. EPAT is usually well tolerated and does not usually require the uses of any use of anesthesia or nerve block.  A hand held applicator along with coupling gel is applied to the skin over each of the injured areas. Patients will then be exposed to a series of pulses, which will slowly be increased as tolerated to a therapeutic level during the session.  Expect each session lasts 10-15 minutes. Most patients will leave the office with a temporary reduction in pain.  Patients are able to walk out of the office and resume normal weight bearing activities.

   

Are there any risks to EPAT®?

EPAT® is FDA cleared for the treatment of acute and chronic musculoskeletal pain and connective tissue disorders; there are no known risks or complications.

 

When will I see improvement from EPAT®?

Patients may begin to see improvement 4 weeks after their last treatment.  More significant improvement often occurs 8-12 weeks after the last treatment.

 

What are the success rates of EPAT®?

Over 80% of patients see significant or complete resolution of symptoms.  

 

Are there any contraindications with EPAT®?

EPAT® is not recommended for patients on blood thinners, those with malignancies and those who are pregnant.

 

Is EPAT® covered by insurance?

EPAT® is an elective pay modality and is not covered by insurance.

To learn more about EPAT® and if this treatment could help you address your pain, please see our list of doctors below who offer this service.

FASMA Doctors Performing This Specialty / Service

Dr. Ian Beiser

Washington, DC (19th Street)
Dr. Man Cho

Reston, VA
Dr. Mohammad Esmaili

Kensington, MD
Dr. Adam Grahn

Greencastle, PA Hagerstown, MD
Dr. Brandy Grahn

Gettysburg, PA Hagerstown, MD
Podiatrist in Columbia, MD Dr. Andrew Liss

Columbia, MD Kensington, MD
Podiatrist Dr. Eric Masternick DPM Dr. Eric Masternick

Reston, VA
Dr. Alexander Mount

Richmond, VA
Dr. Alex Olivera

Columbia, MD Kensington, MD
Dr. Robert Pica

Richmond, VA
Dr. Mark Roemer

Hagerstown, MD
Dr. Betsy F. Rosenthal

Hagerstown, MD
Dr. Seth Rubenstein

Reston, VA
Dr. Sagar Shah

Colonial Heights, VA Richmond, VA
Dr. Gregory Smith

Gettysburg, PA Hagerstown, MD
Dr. Mitchell Waskin

Richmond, VA

Locations

  1. Charlottesville, VA (Abbey Road)
    2050 Abbey Road Suite C
    Charlottesville, VA 22911
    Phone: 434-295-4443
    Fax: 434-295-8598

  2. Culpeper, VA
    530 Sunset Lane Suite A
    Culpeper, VA 22701
    Phone: 540-825-6113
    Fax: 540-825-4937

  3. Washington, DC (19th Street)
    1145 19th Street NW Suite 605
    Washington, DC 20036
    Phone: 202-833-9109
    Fax: 202-833-5762

  4. Frederick, MD (Thomas Johnson Drive)
    63 Thomas Johnson Dr Suite C
    Frederick, MD 21702
    Phone: 301-696-0818
    Fax: 301-696-8872

  5. Mt Airy, MD (South)
    1502 S. Main Street Suite 307
    Mt Airy, MD 21771
    Phone: 301-829-2244
    Fax: 833-915-0243

  6. Holly Springs, NC
    1004 Werrington Drive, Ste. 300
    Holly Springs, NC 27540
    Phone: 919-850-9111
    Fax: 919-850-2499

  7. Raleigh, NC (Millbrook)
    1418 E. Millbrook Road
    Raleigh, NC 27609
    Phone: 919-850-9111
    Fax: 919-850-2499

  8. Charlottesville, VA (Rio East Ct)
    887 Rio East Ct. Suite A
    Charlottesville, VA 22901
    Phone: 434-979-8116
    Fax: 434-979-8880

  9. Fishersville, VA
    66 Parkway Lane Suite 102
    Fishersville, VA 22939
    Phone: 540-949-5150
    Fax: 540-932-8535

  10. Reston, VA
    1860 Town Center Drive Suite 220
    Reston, VA 20190
    Phone: 703-391-0211
    Fax: 703-880-1192

  11. Kensington, MD
    10901 Connecticut Avenue Suite 200
    Kensington, MD 20895
    Phone: 301-949-2000
    Fax: 301-949-2002

  12. Chevy Chase, MD
    5530 Wisconsin Avenue Suite 945
    Chevy Chase, MD 20815
    Phone: 301-913-5225
    Fax: 301-913-9145

  13. Washington, DC (2021 K Street)
    2021 K Street NW Suite 520
    Washington, DC 20006
    Phone: 202-223-4616
    Fax: 202-223-0740

  14. Silver Spring, MD (Fenton)
    8630 Fenton Street Suite 1
    Silver Spring, MD 20910
    Phone: 301-587-5666
    Fax: 301-589-4479

  15. Washington, DC (1775 K Street)
    1775 K Street NW Suite 580
    Washington, DC 20006
    Phone: 202-331-9727
    Fax: 202-887-0741

  16. Greencastle, PA
    50 Eastern Ave Suite 122
    Greencastle, PA 17225
    Phone: 717-643-0795
    Fax: 717-643-0833

  17. Hagerstown, MD
    11110 Medical Campus Road Suite 100
    Hagerstown, MD 21742
    Phone: 301-739-1575
    Fax: 301-739-1578

  18. Gettysburg, PA
    506 W. Middle Street
    Gettysburg, PA 17325
    Phone: 717-778-3338
    Fax: 717-778-3340

  19. McConnellsburg, PA
    214 Peach Orchard Road
    McConnellsburg, PA 17233
    Phone: 301-739-1575
    Fax: 301-739-1578

  20. Columbia, MD
    11055 Little Patuxent Pkwy Suite 204
    Columbia, MD 21044
    Phone: 410-730-2623
    Fax: 410-992-4779

  21. Annapolis, MD
    129 Lubrano Drive Suite 303
    Annapolis, MD 21401
    Phone: 410-266-7575
    Fax: 410-266-7366

  22. Silver Spring, MD (White Oak)
    2415 Musgrove Road Suite 103
    Silver Spring, MD 20904
    Phone: 301-384-6500
    Fax: 301-384-6670

  23. Richmond, VA
    1465 Johnston Willis Drive
    Richmond, VA 23235
    Phone: 804-320-3668
    Fax: 804-320-2600

  24. Orange, VA
    175-C Spicers Mill Road
    Orange, VA 22960
    Phone: 540-672-1402
    Fax: 540-825-4937

  25. Colonial Heights, VA
    4730 Puddledock Rd.
    Prince George, VA 23875
    Phone: 804-320-3668