Kentucky Sports Clinic is the only facility in Louisville, Kentucky to offer EPAT Therapy! 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.
How does EPAT® 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®:
Posterior Tibial Tendonitis
Anterior Tibial Tendonitis
Plantar Plate Injuries
Who is a candidate for EPAT® 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 a EPAT® 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 from EPAT®?
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. 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.
Clinical Evidence Showing Efficacy of EPAT
Elbow Pain (lateral epicondylitis)
Knee Pain (patellar tendinopathy)
Shoulder Pain (calcific tendinitis)