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RADIAL SHOCKWAVE

EXTRACORPOREAL PULSE ACTIVATION TECHNOLOGY (EPAT)

Extracorporeal Pulse Activation Technology (EPAT) is an FDA approved, non-invasive procedure using pressure waves to enhance blood circulation and accelerate the healing process causing tissue to regenerate and heal. It’s beneficial for most soft tissue injuries, tendonitis, and trigger points in the following areas:  

  • Elbow and forearm 
  • Shoulder 
  • Neck 
  • Foot and ankle 
  • Jaw 
  • Back 
  • Upper and lower extremity

EXTRACORPOREAL PULSE ACTIVATION TECHNOLOGY (EPAT)

Physiotherapist performing shockwave therapy on a patient’s neck and upper back to treat muscle pain.
A therapist uses a shockwave therapy device on the patient’s foot to help treat chronic heel pain.
A physical therapist applies shockwave therapy to the shoulder to reduce pain and support tissue healing.
A physical therapist treats the lower leg with shockwave therapy to relieve muscle and tendon pain.

Cost: 

Insurance does not cover this. $150 per session, 6 sessions recommended for full benefit, packages available at 10% discount.

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Shockwave therapy device – Lakeshore Physical Therapy Chicago

What To Expect: 

  • 6 sessions, about 10 minutes each

  • 1 session per week

  • A physical therapist performs the treatment using a Storz Medical EPAT device

  • Possible side effects include minor discomfort similar to muscle soreness after an intense workout

Contraindications: 

  • Active cancer 
  • Deep vein thrombosis (DVT)

FAQ 

1.How does it work?

  • The procedure consists of applying a unique and proprietary set of acoustic pressure (sound) waves that are generated outside the human body to the treatment area via the device applicator.
  • The EPAT treatment will stimulate a cellular expression and improve blood and lymph circulation and thus accelerate the healing response and tissue regeneration. Moreover, faster blood and lymph circulation may also stimulate collagen production and fibrotic tissue breakdown in the treatment regions. As a result, we expect to see improvements in both pain reduction and functionality.

2. How was it developed for muscle pain and tendonitis?

  • High-intensity acoustic pressure waves, often called shock waves (ESWT or ESWL), have been used in medicine for more than twenty years. This procedure is considered the “Gold Standard” in urology for the fragmentation of kidney stones.
  • This non-invasive treatment method, which has proved its efficacy for many years and in millions of cases, utilizes focused acoustic pressure waves (shock waves) to disintegrate kidney and other urologic stones without invasive surgery.
  • More recently, acoustic pressure waves (EPAT) have been used in areas of orthopedics, traumatology, rheumatology, pain management, and rehabilitation with great success.

3. What are the benefits?

  • The innovative, non-invasive treatment is intended to treat root cause of your injury using a proprietary set of unique acoustic pressure waves to achieve the best possible clinical outcome and therapeutic effects of treating your issues and surrounding connective tissue.

4. What are the risks?

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  • The non-invasive Extracorporeal Pulse Activation Treatment (EPAT) has virtually no risks or side effects. In some cases, patients may experience some minor discomfort during and immediately following the procedure. Side effects from EPAT may include minor skin bruising, reddening, and swelling around the treated area.

5. What are contraindications or who should not use this?

  • Serious cardiovascular disorders
  • Implanted cardiac pacemakers that are not approved for pressure wave treatment
  • Malignancies or active cancer
  • Pregnancy, breast-feeding (in those areas, but consult with your OB regarding use)
  • Phlebitis or deep venous thrombosis in leg