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

Dr. Ian Beiser

Washington, DC (19th Street)
Dr. Jason Birkel

Hampton, VA Newport News, VA
Dr. Man Cho

Reston, VA
Dr. Louis DeFazio

Clarksville, MD
Dr. Reema Dua

Rockville, MD (North Bethesda)
Podiatrist Dr. Mo Esmaili DPM Dr. Mohammad Esmaili

Kensington, MD
Dr. Casey Friske

Clarksville, MD
Podiatrist Dr. Ira Gottlieb DPM Dr. Ira J. Gottlieb

Pasadena, MD
Dr. Adam Grahn

Greencastle, PA Hagerstown, MD
Dr. Brandy Grahn

Gettysburg, PA Hagerstown, MD
Dr. Michelle Le

Rockville, MD (North Bethesda)
Dr. Enzo J. Leone

Pasadena, MD
Dr. Andrew Liss

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

Reston, VA
Dr. Alexander Mount

Richmond, VA
Dr. Jenny Nguyen

Pasadena, MD
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
Podiatrist Dr. Gina M. Saffo DPM Dr. Gina M. Saffo

Annapolis, MD Greenbelt, MD
Dr. Sagar Shah

Colonial Heights, VA Richmond, VA
Dr. Gregory Smith

Gettysburg, PA Hagerstown, MD
Dr. Mitchell Waskin

Richmond, VA

Locations

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

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

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

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

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

  6. Clarksville, MD
    6100 Day Long Lane Suite 208
    Clarksville, MD 21029
    Phone: (443) 535-8770
    Fax: (443) 535-8775

  7. Mt Airy, MD (South)
    1502 S. Main Street Suite 307
    Mt Airy, MD 21771
    Phone: 301-829-2244
    Fax: 301-696-8872

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

  9. Hampton, VA
    2210 Executive Drive Suite E
    Hampton, VA 23666
    Phone: (757)-896-8800
    Fax: (757)-896-8832

  10. Newport News, VA
    754 McGuire Place
    Newport News, VA 23601
    Phone: (757) 599-5710
    Fax: (757) 591-0522

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

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

  13. Rockville, MD (Shady Grove Rd)
    15215 Shady Grove Rd Suite 307
    Rockville, MD 20850
    Phone: (240) 268-7450
    Fax: (301) 949-8833

  14. Wheaton, MD
    2730 University Blvd. W. Suite 1000
    Wheaton, MD 20902
    Phone: (301) 949-3668
    Fax: (301) 949-8833

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

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

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

  18. Rockville, MD (North Bethesda)
    11801 Rockville Pike Suite 105
    Rockville, MD 20852
    Phone: (301) 881-6222
    Fax: (301) 881-1639

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

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

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

  22. Silver Spring, MD (International Drive)
    3801 International Drive Suite 204
    Silver Spring, MD 20906
    Phone: (301) 598-0130
    Fax: (301) 598-5091

  23. Pasadena, MD
    8028 Governor Ritchie Hwy Suite 100
    Pasadena, MD 21122
    Phone: (410) 768-5800
    Fax: (410) 768-5806

  24. Frederick, MD (Solarex Ct)
    604 Solarex Court Suite 103
    Frederick, MD 21703
    Phone: (301) 698-9260
    Fax: (301) 698-8962

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

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

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

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

  29. Silver Spring, MD (MedStar-Leisure World)
    3305 N Leisure World Blvd.
    Silver Spring, MD 20906
    Phone: 301-598-0130
    Fax: 301-598-5091

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

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

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

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

  34. Carrollton, VA
    13609 Carrollton Boulevard Suite 11
    Carrollton, VA 23314
    Phone: (757)-238-9600
    Fax: (757)-238-8750

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

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

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

  38. Urbana, MD
    3430 Worthington Blvd Suite 101
    Urbana, MD 21704
    Phone: 301-696-0818