Boulder Foot and Ankle Clinic

Extracorporeal Pulse Activation Technology

Extracorporeal pulse activation technology is an advanced and highly effective non-invasive treatment method approved by the FDA.
The technology is based on a unique set of pressure waves that generates a vascular response to stimulate and reactivate the body's repair mechanism to promote normal tissue healing.
Damaged tissue gradually regenerates and eventually heals.

This non invasive office based procedure is a treatment option for a broad range of musculoskeletal disorders. In podiatric medicine it is used most commonly for:

  • Plantar fasciitis
  • Achilles tendinosis

Benefits vs. Traditional treatment options

  • non -invasive
  • no chance for infection
  • no scar tissue
  • no hospitalization
  • no restrictions for normal daily activity
  • can treat bilaterally
  • no side effects
  • does not narrow future treatment options
  • does not require anesthesia

Effects of EPAT Pressure Waves

  • Stimulates neovascularization (development of new blood flow) that appears to play a role in anti-inflammation, pain relief
    and initiates the regeneration of soft tissue and bone with bone improvement in blood supply.

Contraindications to EPAT

  • Malignancies
  • Patients with pacemakers
  • Patients taking medications that may prolong or interfere with blood clotting
  • Patients with a bleeding disorder (i.e. hemophilia)
  • Pregnancies

Side effects

  • temporary pain
  • temporary swelling
  • blistering of the skin

Treatment protocol:

  • Prior to treatment: discontinue taking any blood thinners and all medications containing aspirin or non-steroidal anti-inflammatory medications (i.e. Advil, ibuprofen) one week prior to treatment.
  • Treatment sessions take approximately 5-10 minutes. Generally 3 treatment sessions are necessary at weekly intervals.
  • After treatment: No anti-inflammatory medications for 6 weeks after treatment.
  • Resume wearing supportive shoe gear with prescribed orthotic if needed.

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