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 it 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 this 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 the 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?

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.

 

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.

 

What should I expect following the procedure?

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.

 

When will I see improvement?

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?

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

 

Are there any contraindications?

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

 

What is the cost of EPAT®?

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

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

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

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

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

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

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

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

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

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

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

  13. Greenbelt, MD
    7501 Greenway Center Dr Suite 810
    Greenbelt, MD 20770
    Phone: (301) 577-4464
    Fax: (301) 577-4702

  14. Harrisburg, PA
    4033 Linglestown Road Suite 1
    Harrisburg, PA 17112
    Phone: 717-651-0000

  15. Mechanicsburg, PA
    2025 Technology Parkway Suite 201
    Mechanicsburg, PA 17050
    Phone: 717-651-0000