Extracorporeal Pulse Activation Therapy

EPAT is performed under ultrasound guidance to ensure accuracy 

Reduction of pain felt by nerve fibers


Beginning of healing process triggered by stem cells activation

Extracorporeal Pulse Activation (EPAT) also known as shockwave therapy is the application of Shock Waves in medicine. It is clinically proven that pressure waves when applied to injured tissues, stimulate metabolic reactions. 

We have over six years experience and thousands of treatments performed in using Radial Shockwave Therapy for a number of musculoskeletal disorders including


  • Tendinitis, Tendinopathy and Tendon Tears

  • Ligament Injuries

  • Delayed Bone Healing

  • arthritis

What is EPAT?

Extracorporeal Pulse Activation Therapy involves the delivery of high-intensity ultrasound waves through a special handpiece. The therapy was initially used in assisting the removal of kidney stones via the external application on the skin. This therapy demonstrated changes in the soft tissues in the skin, muscles and tendons which lead to the use of this therapy for tendons and other soft tissues. EPAT has many roles in treating musculoskeletal disorders which allows for the immediate improvement of symptoms and in combination with other treatment approaches, can completely resolve all symptoms.

  • Plantar Fasciitis

  • Patella Tendinopathy and Tears

  • Hamstring Tendinopathy and Tears

  • Achilles Tendinopathy

  • Calcific Bursitis

  • Rotator Cuff Disorders

  • Trochanteric Bursitis and Gluteal Tendinopathy


Treatment only lasts 10-15 minutes, and patients just feel mild discomfort during the treatment. There are no needles, and the procedure is a walk in walk out with no impact on activity or lifestyle.

What can be treated?

A shock wave is a single acoustic pulse characterised by a rapid rise to a high peak pressure followed by a rapid drop to below ambient pressure. They are sent to the affected area from the point of contact on the skin’s surface. 


The Swiss DolorClast® Method uses single acoustic pressure waves to treat musculoskeletal pathologies. It offers and combines two technologies – the propagation of radial and/or focused shock waves – to optimise treatment results.

How does it work? 

The exact way shockwave works is still a matter of debate. Studies show shockwaves stimulate the release of growth factors and increase blood supply to the area to facilitate healing. It is also thought that this form of treatment can alter nerve function in the area to decrease the neuroinflammatory processes and muscle spasms.  The nerves that cause pain settle so that patients will do a task that usually causes pain and find that this is almost pain-free. Extracorporeal Pulse Activation Therapy (EPAT) is the application of Shock Waves in medicine.

It is clinically proven that pressure waves when applied to injured tissues, stimulate metabolic reactions.  

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