#epat

4/22/2019 3.35 miles/5.39 kilometers Top of the morning? Sure! YTD: 259.43 miles

Might as well get these started again. Ran west until I hit Ogden, followed it to Ashland, and went south until I got to at least 1.50 on my outish-and-backish. Circuitously wound my way back towards Washington and didn’t realize I had hit it so ran a bit eastward on Randolph. Oops?

Had my first podiatrist treatment appointment today. He hit me with an Extracorporeal Pulse Activation Treatment (EPAT, AKA Extracorporeal Shock Wave Therapy (ESWT)) machine. I didn’t believe it would be extraordinarily different from ultrasound, but indeed it was. And in fact I could FEEL the shockwave traversing through my tissues and radiating through my toe bones on the other side of my foot from where he was applying it.

EPAT Therapy Treatment - Relief for Patients

EPAT Therapy

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®:​​

Plantar Fasciitis  

Achilles Tendonitis  

Posterior Tibial Tendonitis

Anterior Tibial Tendonitis

Plantar Plate Injuries

Peroneal Tendonitis

Interdigital Neuromas

Calcific Tendinopathy

Bone Spurs

Hamstring Tendinopathy

Knee Tendinopathy

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

​Plantar Fasciitis

Achilles Tendinopathy

Elbow Pain (lateral epicondylitis)

Hamstring Pain

Shin Splints (MTSS)

Knee Pain (patellar tendinopathy)

Tiffany’s Torture Therapy

https://elaineambrose.com/wp-content/uploads/2019/10/img_7966.mov

Her name was Tiffany. She was young and beautiful, and I wasn’t. She led me down a narrow hallway to a private room and shut the door.

“Don’t be nervous,” she said as she tugged blue surgical gloves over her smooth manicured fingers. “Lie back and relax.”

“At least you didn’t make me weigh on scales that mock me,” I said,…

Extracorporeal Pulse Activation Treatment of Heel Pain in America

If you are worried and tired with your Heel Pain that’s won’t go away, don’t take stress Heel Pain Institute of America offers you Extracorporeal Pulse Activation Treatment (EPAT) an FDA approved technology, which is most advanced technology for the treatment of heel pain.

Heel Pain Institute of America offers you the best ever EPAT (Extracorporeal Pulse Activation Treatment) an FDA approved technology proven to increase the rate of healing for painful foot and ankle ailments.

Know more at