Extracorporeal Pulse Activation Technology (EPAT)
What is EPAT?
Extracorporeal Pulse Activation Technology (EPAT®) is an advanced and highly effective non-invasive treatment method cleared by the FDA. This proprietary technology is based on a unique set of pressure waves that stimulate the metabolism, enhance blood circulation and accelerate the healing process.
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. On behalf of the knowledge and experience gathered to date, these acoustic pressure waves do not cause any clinically relevant side effects.
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.
During the last few years, acoustic pressure waves (EPAT®) have been used in areas of orthopedics, traumatology, rheumatology, pain management, and rehabilitation with great success.
How does it work?
A unique set of acoustic pressure waves (EPAT®) will be applied to the target region identified as the pain generator in your specific case.
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.
The innovative, non-invasive treatment is intended to treat the root cause of your injury using a proprietary set of unique acoustic pressure waves to achieve the best possible clinical outcome and therapeutic effects.
Possible Risks of EPAT®Treatment:
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.
Preparation:
Your treatment provider will ensure that you are positioned for treatment in such a way that the applicator can be coupled to the target region. Ultrasound gel will be applied before the applicator is positioned on your skin surface.
The number of pulses to be applied depends on your specific diagnosis. The energy can be gradually increased based on your specific sensitivity levels. The treatment provider will then "scan" the treatment region with the applicator.
Procedure:
Each treatment session will take approximately 5-10 minutes. One treatment per week for a total of 3-5 treatment sessions will take place over a 2-4 week period. During this time, it is necessary to discontinue use of any/all NSAIDS and drink plenty of water before and after the treatment.
Contraindications:
The safety and effectiveness of the EPAT procedure has not been determined on people with the following health conditions. Your doctor will provide you with information about how these and other conditions might affect the decision to perform EPAT procedures.
- Serious cardiovascular disorders
- Implanted cardiac pacemakers that are not approved for pressure wave treatment
- Malignancies
- Pregnancy, breast-feeding
- Phlebitis or deep venous thrombosis in leg
Extracorporeal Shock Wave Therapy (ESWT)
What is ESWT?
Extracorporeal Shockwave Therapy (ESWT) is a non-invasive treatment that uses high-energy acoustic waves to stimulate your body's natural healing response. Originally developed to break up kidney stones, it is now widely used in sports medicine and orthopedics to treat chronic tendon injuries, plantar fasciitis, calcific tendinitis, and other musculoskeletal conditions. The treatment is performed in the office without surgery or injections.
How does it work?
ESWT works by creating controlled mechanical stimulation within injured tissues, which encourages new blood vessel formation, increases cellular activity, and promotes tissue regeneration. It can also help reduce chronic pain by decreasing pain receptor sensitivity while stimulating the repair of damaged tendons and soft tissues. Many patients experience improved function and gradual pain relief over the weeks following treatment.
Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive treatment that uses high-energy acoustic (sound) waves to stimulate the body's natural healing response. A handheld applicator sends the focused acoustic waves through the skin into the injured tissue. The shockwaves then create controlled mechanical stress within the injured tissue, which stimulates the biological healing process, improving blood flow and reducing pain.
Possible Risks of ESWT Treatment:
The non-invasive ESWT treatment has virtually no risks or side effects. In some cases, patients may experience some minor discomfort which may continue for a few days. It is normal to have some residual pain after intense exercise or a full day of work.
Preparation:
It is recommended to discontinue anti-inflammatory medication for 72hrs prior to treatment. It is best to wear clothing which will be treated visible. If this is not possible a disposable gown or shorts will be supplied.
Procedure:
Coupling gel is applied to the specified treatment area. The handheld applicator will be placed on the treatment area. Focal high energy acoustic shockwaves will be directed at the injured area. The targeted treatment intensity is around 4-5/10. There will be consistent communication throughout the treatment to ensure the proper area is targeted.
Treatment sessions take approximately 10-20 minutes depending on the treatment area. Generally, 3-6 treatment sessions are necessary at weekly intervals. More chronic conditions may require more sessions.
Contraindications:
The safety and effectiveness of the ESWT procedure has not been determined on people with the following health conditions. Your doctor will provide you with information about how these and other conditions might affect the determination to perform the ESWT procedures.
- Malignancies
- DVT (Deep Vein Thrombosis)
- Pregnancy
Extracorporeal Magnetotransduction Technology (EMTT)
What is EMTT?
EMTT is an advanced regenerative therapy that uses high-energy magnetic pulses to stimulate cells deep within injured tissues. Unlike traditional magnetic therapies, EMTT delivers significantly greater energy and reaches deeper structures such as cartilage, bone, tendons, ligaments, and joints without discomfort. The treatment is completely non-invasive and requires no needles or recovery time.
How does it work?
EMTT helps improve cellular metabolism and supports the body's natural repair processes by increasing energy production within damaged cells. It has been shown to reduce inflammation, decrease pain, and promote healing in musculoskeletal tissues. When combined with other regenerative therapies, EMTT may help create a healthier environment for tissue repair and improve overall treatment outcomes.
Possible Risks of EMTT Treatment:
The non-invasive EMTT® treatment is largely risk-free if performed by a qualified medical professional who will be able to advise whether this treatment is right for you. Possible side effects may include discomfort during treatment or reddening of the skin. It is advised to keep your phone, electronic devices, jewelry and metal out of the treatment field.
Preparation:
EMTT® is a very comfortable outpatient procedure that can be performed right in your medical professional’s office. The handpiece is positioned over the area of pain while you remain fully clothed – direct skin contact is not necessary.
Procedure:
Treatment sessions take approximately 15-20 minutes depending on the disorder to be treated. Generally, a total of 4-8 treatment sessions, 1-2 /week.
Contraindications:
Patients with the following should not receive EMTT® Treatment:
- Pacemakers and other sensitive electronic implants
- Implants, if not safe for MRI
- Epilepsy
- Pregnancy





