Extracorporeal Pulse Activation Technology

One of two types of ‘shockwave’ therapies, EPAT® produces a radial pressure wave that penetrates though shallow (3-4cm) soft tissue areas in order to effectively break up scar tissue and adhesions that may be causing discomfort or limiting range of motion. In addition, EPAT® also serves as a non-invasive regeneration therapy that increases cell wall permeability and stimulates microcirculation within the affected areas, thus accelerating the healing process. Comprised of three primary parts – Ultrasonic Pulse, Audio Acoustical Pulse and a Slow Shear Wave – EPAT® is considered a more ‘Global’ therapy in that it affects a broader treatment area when compared to ESWT.

Extracorporeal Pulse Activation Technology or EPAT®, is an FDA approved technology that delivers high energy sound waves to a localized area.

These acoustic waves effectively produce pressure pulses that penetrate deep though soft tissue and in the process, effectively break up scar tissue and adhesions, stimulate blood flow to injured areas and accelerate the healing process.

EPAT® effectively treats a wide range of chronic and acute injuries including, but not limited to: Plantar Fasciitis, Achilles Tendonitis, Tennis Elbow, Shoulder Tendonitis, Muscle Pain and Myofascial Trigger Point Conditions. EPAT® treatment is completely non-invasive, and performed in the privacy of comfort of my office.

The EPAT® Therapy Process:

1) The first step in the process is a thorough evaluation of the affected area. When you schedule your initial consultation, we will ask that you bring all related medical records and prior treatment histories to your first appointment with Dr. Nathanson. It is critical that we get a complete picture of you, and an understanding of your unique situation before developing a treatment protocol.

2) For most patients, the initial consultation and assessment takes on average between 30 and 45 minutes. That said, we are exceptionally thorough in our approach, and our initial evaluation is critical to your ultimate success, so we do take as much time as is necessary to understand you and your condition.

3) Prior to the treatment sessions, and depending on your specific physiological circumstances, you may be advised to discontinue certain behaviors in advance of and immediately following EPAT® procedures. Also please note that individuals who have deep vein thrombosis, malignancies, or are on blood thinning medications may not be candidates for EPAT therapy, so please be sure to make Dr. Nathanson aware of these or similar medical conditions during your initial consultation. Women who are pregnant are generally not candidates for EPAT® therapy.

4) On the day of treatment we ask that, if possible, you wear loose fitting clothing. Treatment is similar to that used in an ultrasound in that, a gel is applied to the target area, and a soft applicator is used in a circular motion, applying light pressure to all aspects of the area. Treatments typically last between 15-20 minutes per region depending on the nature and extent of the injury or ailment.

Other Things to Know:

Because everyone’s situation is different, the number and frequency of total treatments varies according to the type and severity of condition being treated. While some people experience pain relief after only one treatment, most patients report measurable pain remediation after three to five sessions.

It is important to note that, even after your initial EPAT in-office treatments are complete, your body will continue to heal and improve for approximately 90-days following your last treatment. This is because EPAT® treatments are regenerative therapies which stimulate the body’s normal healing processes, so any remaining discomfort should continue to lessen, and your condition improve, over time.

The EPAT® process is simple, non-invasive, and the majority of patients return to their regular activities immediately following each treatment. If you are experiencing pain or chronic discomfort, even if you have tried other treatment option in the past, please contact to discuss your situation and see if EPAT® is the right solution for you.

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Just Give Me a Call At (203) 313-3844

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“After 3 treatments my mobility improved by 50%…”

“Just a quick note to say what a miracle your treatment with EPAT was for my frozen shoulder! After 18 months of trying EVERYTHING (physical therapy, cortisone shots, acupuncture, and more) I found you! EPAT changed my life as I knew it! After 3 treatments my mobility improved by 50% and after 5 treatments I was back to playing golf and working out regularly. When frozen shoulder hit my other shoulder, I knew where to turn and my recovery was short. Thank you for everything!”

Sports Chiropractic Therapies Designed for Optimal Performance and Recovery

128 East Avenue Norwalk, CT 06851

(203) 313-3844