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Extracorporeal Pulse Activation Technology (EPAT), sometimes referred to as ESWT or Shock Wave Therapy, is an innovative, non-invasive treatment that is currently recognized as one of the most effective and advanced approaches to treating acute or chronic musculoskeletal pain or pain that significantly impairs mobility or quality of life.


EPAT can be used to treat:

  • Foot and heel pain
  • Achilles pain
  • Tendon and/or tendon insertion pain
  • Neuromas
  • Trigger points

How it Works

EPAT is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation, and accelerate the healing process. In turn, damaged tissue gradually regenerates and eventually heals.

As a non-invasive, office-based procedure, EPAT represents a breakthrough treatment option for a broad range of musculoskeletal conditions.


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 prolonged recovery period.

EPAT is performed in your podiatrist’s office, does not require anesthesia, and requires a minimal amount of time. Patients who use this method can immediately bear weight (i.e. walk) and return to normal activity, with some modification to exercise if and as needed.

Benefits of EPAT

  • Evidence based
  • Non-invasive
  • No anesthesia
  • No risk of infection
  • No scarring
  • No downtime
  • Over 80% patient satisfaction
  • Faster and easier healing

Expected Results

EPAT is being used by an increasing number of medical professionals to help patients get better faster. The benefits of EPAT are typically experienced after only 3 treatments.  Some patients report immediate pain relief after 3 treatments, although it can take up to 4 weeks to begin. Over 80% of patients treated report being pain free and/or experiencing a significant reduction in pain. 

Side Effects

EPAT has virtually no risks or side effects. In rare cases, patients may experience minor discomfort for a few days. Slight residual pain after intense exercise or a full day of work is normal.


EPAT is FDA cleared and has had extensive clinical studies and tests confirm its safety and efficacy. The technology was originally developed in Europe and is currently in use around the globe.

Treatment Duration

EPAT treatment sessions take approximately 5-10 minutes. Generally, 3-5 treatment sessions are needed at weekly intervals.

Treatment Application

To enhance effectiveness, coupling gel is applied to the treatment area. After applying the gel, EPAT pressure waves are released via the applicator which is moved over the area in a circular motion.



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