EPAT (Extracorporeal Pulse Activation Technology) uses pressure waves delivered through the skin to stimulate the body's own repair response in tissue that has stopped healing on its own. No incisions, no anesthesia, no downtime.
Why stalled injuries stall
Tendons and ligaments have a poor blood supply compared with muscle. When one is injured badly enough, the repair process can run out of the circulation it needs and settle into a chronic state: persistently sore, never quite better, sometimes for years.
EPAT interrupts that. The pressure waves increase blood flow to the area, prompt new small vessel growth, and break up the disorganised scar tissue that has formed in place of properly aligned fibres.
What it treats
- Plantar fasciitis and heel pain
- Tennis and golfer's elbow
- Achilles tendinopathy
- Shoulder tendinitis and calcific deposits
- Patellar tendinopathy, or jumper's knee
- Shin splints and chronic muscular pain
- Scar tissue, including post-surgical adhesions
- Acute sports injury, to shorten recovery
What a session is like
A handpiece is applied to the area with gel and moved across it while pressure waves are delivered. Sessions run about ten to fifteen minutes. Most patients describe it as a firm, rapid tapping that is uncomfortable over the sore spot and tolerable throughout; intensity is adjusted as you go.
There is no anesthesia, no recovery period, and you walk out and carry on with your day. A course typically runs three to five sessions spaced a week apart.
What to expect
Some patients feel better immediately, more often there is a short period of increased soreness as the repair response kicks in, followed by steady improvement over the following weeks. Because EPAT works by restarting healing rather than numbing pain, results continue to build after the course finishes.
Who it isn't for
EPAT is not appropriate over an open wound, an active infection, a tumour, or for patients on blood thinners or with a clotting disorder, and not during pregnancy. We screen for all of it before treating.