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Extracorporeal Pulse Activation Technology (EPAT) AKA Extracorporeal Shock Wave Therapy (ESWT)

At Impact Physical Therapy and Wellness, we believe in innovation and are dedicated to offering our patients the latest and most advanced evidence-based treatment options for the musculoskeletal system. As part of this dedication, we proudly offer EPAT, an advanced non-invasive treatment option for a broad range of orthopedic injuries and conditions.

EPAT Therapy is also known at Extracorporeal Shock Wave Therapy (ESWT)

We proudly offer this non-invasive treatment method from STORZ Medical and CuraMedix to provide relief for patients who are suffering from acute or chronic pain, soft tissue injuries, or another type of injury or condition of the musculoskeletal system.


What Is Extracorporeal Pulse Activation Technology?

Extracorporeal Pulse Activation Technology, or EPAT, is a form of extracorporeal shock wave therapy. It is the most advanced and highly effective non-invasive treatment method cleared by the FDA. It is an evidence-based technology platform that utilizes a unique set of proprietary acoustic pressure waves to stimulate the metabolism, enhance blood circulation, and accelerate the healing process. Damaged tissue gradually regenerates and eventually heals.

What Are the Benefits of EPAT?

An alternative to traditional treatment methods, such as surgery, EPAT improves the regenerative potential instead of further damaging an area that has degenerated due to poor blood flow, weakness, or a tissue or overuse injury. EPAT has a proven success rate that is equal to or greater than that of the traditional treatment methods, but it doesn't have the risks, complications, or lengthy recovery times that are associated with those methods.

When EPAT is performed by a qualified healthcare professional, like one of our physical therapy clinicians, it provides patients experiencing acute or chronic musculoskeletal pain with a multitude of benefits.

Those who receive EPAT in combination with other treatment techniques and exercises in physical therapy see even better and faster results.

In addition to providing pain relief or pain reduction, EPAT does the following:

  • Accelerates the healing process
  • Improves blood flow and circulation
  • Restores mobility
  • Stimulates the metabolism for tissue regeneration
  • Treats the source of the pain or injury

Other benefits:

  • 91% success rate (as per clinical studies)
  • Non-invasive
  • No anesthesia
  • No risk of infection
  • No scarring
  • No downtime
  • Over 80% patient satisfaction
  • Faster, easier healing

Is EPAT Safe?

EPAT is an FDA-cleared technology that when performed by a qualified healthcare professional, such as one of our physical therapy clinicians, has virtually no side effects or risks, including no risk of infection or scarring. This technology has undergone extensive clinical studies and tests to confirm its safety and efficacy and is currently used all around the world.

What Is an EPAT Treatment Session Like?

Application of EPAT is quick and usually only takes up to 5-10 minutes. However, the length can vary depending on what injury or condition of the musculoskeletal system is being treated.

During the treatment process, one of our clinicians will apply a coupling gel to the skin of the area being treated. After the gel is applied, a handheld applicator will be used to release EPAT pressure waves over the area of pain and surrounding tissues.

The pulses will slowly increase until the desired level is reached. EPAT does not require anesthesia and is generally well-tolerated.

After the session, patients are able to bear weight immediately as well as return to their normal activities within 24 – 48 hours.

Patients will typically have EPAT applied for 3 to 6 treatment sessions 1x per week, but could be more depending on their injury or condition. The beneficial effects of EPAT are often experienced after three treatments. However, it can vary between patients. Some patients may experience immediate pain relief while others may take up to four weeks to begin to feel relief.

What are the advantages of acoustic pressure waves and biologic effects of epat?

  • Trusted Non-invasive Source of Energy
  • Can Treat the Following Areas of the Body Including: The Epidermis, Dermis, Connective Tissue, Adiposity Tissue, Muscle Tissue, Tendons, Bone
  • Promotes Regenerative and Repairing Actions
  • Has Depth Capacity to Treat Structures Up To 6cm Into The Tissue
  • Provides Visible and Immediate Results with Long Lasting Effects
  • Blood and Lymphatic Circulation Improvement
  • Tissue Oxygenation Improvement
  • Cell Membrane Permeability Temporarily Increases (Leading to Reduced Swelling/Inflammation)
  • Lipase Activation
  • Modification of the Volume and the Shape of the Fat Cells
  • Fat and Adiposity Reduction
  • Relaxation of Reticular Fibers
  • Improvement of Substance Exchanges Between the Cells and Surrounding Environment
  • Improvement of the Cell Waste Elimination by the Lymphatic System
  • Improvement of Cell Turnover

Is EPAT Right for You?

EPAT is designed to treat a wide variety of conditions. Over 80% of patients treated with EPAT report to be pain-free or have significant pain reduction. EPAT is very effective for treating those who are suffering from chronic or acute pain as well as effective in treating athletes and sports injuries.

The following injuries or conditions generally experience relief with EPAT.

Foot and Ankle Pain

  • Plantar Fasciitis
  • Achilles Pain
  • Posterior Tibial Tendinitis
  • Peroneal Tendinitis
  • Neuromas
  • Shin Splints


Neck Pain

Shoulder Pain

  • Frozen shoulder
  • Rotator Cuff Tendinitis
  • Biceps Tendinitis
  • Calcific Tendinitis

Elbow Pain

  • “Tennis Elbow”
  • “Golfer’s Elbow”

Wrist and Hand Pain

  • DeQuervain’s Tenosynovitis
  • Trigger Finger
  • Carpal Tunnel Syndrome

Hip Pain

  • Tendinitis
  • Bursitis

Knee Pain

  • Patellar Tendinitis (Jumpers/Runner’s Knee)
  • Arthritis
  • Hamstring Issues
  • Quadriceps Issues
  • Muscle Pain (Strains, Myofascial Trigger Points)
  • Tendon Pain

Overuse injuries

Pain Relief (various conditions)

Stress Fractures

Ligament Sprains

Sports Injuries


And Much More…

Other organizations that use EPAT from Storz Medical/Curamedix…