Alamitos - Seal Beach Podiatry Group

Extracorporeal Pulse Activated Technology - EPAT®

Extracorporeal Pulse Activated Technology or EPAT® is the most advanced and highly effective non-invasive treatment solution for acute and chronic musculoskeletal pain cleared by the FDA. This scientifically proven procedure represents a breakthrough in regenerative medicine treatment options for a broad range of musculoskeletal disorders/conditions utilizing a proprietary set of unique acoustic pressure waves that stimulate the metabolism, enhance blood circulation and accelerate the healing process.

EPAT® enables doctors to provide the most advanced, highly effective treatment options more quickly and economically. 

The benefits of EPAT® compared to traditional treatment methods include:

  • No down time
  • No anesthesia
  • Better access to innovative care and movement solutions 
  • Earlier intervention and non-invasive treatments 
  • No risk of infection
  • Improved Clinical outcomes 
  • Faster, easier healing 
  • Reduced expenditures (Cost benefit)
  • Healthier patients who are enjoying their active lives again

How Non-Invasive EPAT® Procedures Work

Extracorporeal Pulse Activation Technology (EPAT®) is proprietary technology based on several unique sets of acoustic pressure waves that activate biologic and angiogenic responses including new vascularization and microcirculatory improvement, helping to restore the body’s normal healing processes and tissue regeneration.

EPAT® Technology offers gentle, fast, and highly effective non-invasive treatment without the need for ultrasound guidance, anesthesia, medication or surgical intervention to achieve effective and sustaining results. There are no incisions, no risk of infection, no needles, and no down time. 

The beneficial effects of EPAT® are numerous and are often experienced after only 3 treatments with some patients reporting immediate relief. In fact, clinical research shows over 80% of patients treated have experienced a significant reduction in pain or are completely pain free.

EPAT® benefits include:

  • Quicker Recovery – Since a non-invasive procedure requires no incisions, no scaring, your body typically heals much faster.
  • No Downtime – No restrictions on normal use. Non-invasive procedures help get you back to your active life immediately.
  • No scarring – No incisions means no scaring or fibrotic tissue build-up
  • Less pain – Because these procedures are non-invasive, there is typically less pain involved.


Indications for EPAT® Therapy in the Lower Extremity

  • Achilles tendinitis / tendinosis 
  • Plantar fasciitis 
  • Fracture non-union / delayed-union
  • Shin splints 
  • Stress fracture 
  • Muscle strains / cramps / spasms 
  • Myofascial trigger points

What people are saying about EPAT® SHOCKWAVE THERAPY

My name is K.C., I’m 46 years old & I’ve had plantar fasciitis for over a decade. I have very high arches & sometimes I’m on my feet for hours at work. I was always limping & in pain despite cortisone shots, custom orthotics & lots of physical therapy. I was a bit skeptical when Dr. Richie first described the EPAT / Shockwave Therapy because nothing had really worked before. At the most I was hoping that it would at least get me to where I could take my dog for a walk without hobbling.

The Shockwave Therapy hurt but it was bearable because Dr. Richie can adjust the intensity of the acoustic pressure waves. I found it helpful to have a towel to squeeze during my treatments. He had warned me that the full effects of the 3 weekly treatments would take months, but by the next week I had noticed a positive change! After the third appointment, the pain in my heel had gone from a constant 9 to a dull 2. Pretty soon after that I noticed I didn’t limp anymore, no matter how far I walked. The only time I felt twinges of pain was if I jogged for maybe 20 yards while playing with my dog.

For less than $400 I finally had a pain free foot! It was definitely money well spent. After a year, I asked for & went through another round of EPAT treatments. My hope is to have a completely healed ligament in the near future.

I also have tennis elbow & mentioned my results from EPAT to my orthopedist & she NEVER said it can be used for elbows! I was about to pay $1000 for PRP even though it has pretty mixed reviews & I really don’t like needles. I am lucky I told Dr. Richie what I was planning for my elbow because he said that EPAT is very effective for lateral epicondylitis too.

Dr. Richie I am so very grateful that you offer the most effective treatments available! You are not the first podiatrist I’ve ever seen, but you will certainly be the last!

Thank you so much!

— — K.C.

Articles on Shockwave Therapy