The #1 Myth About EPAT – And What Physicians Have to Say About It

November 28, 2018  |  By Elise Hamann

Myth image

For physicians who are considering integrating EPAT (Extracorporeal Pulse Activation Technology) into their continuum of care, some hit an all-too-familiar stumbling block:


“If it’s not covered by insurance, my patients won’t pay for it.”

If this is what you’ve been thinking, then we’re here to clear the air. To help you better understand patients’ perceptions of EPAT, check out these first-hand insights from your medical peers:

“With the climate of health insurance today, most patients have very high deductibles and therefore they often essentially become non-insured patients. Secondly, many patients who suffer with chronic pain will pay for great cutting-edge care.”

Dr. David Nadler, DC
Dr. David W. Nadler & Associates

“In my experience, if a patient has gone through cortisone injections as well as orthotics, and still has pain, EPAT is a great alternative to surgery. And with insurance deductibles high and rising, cost is not an issue. Most of my patients who opt for EPAT are those who have had failed treatment from other doctors. If a physician advertises that he/she has this technology, patients will seek it out!”

Dr. Eric Abrams, DPM
Foot & Ankle Affiliates of Central NJ

"The majority of tendon issues cannot be surgically corrected, especially when the diagnosis is partial tearing or tendinosis. Most treatment options for this type of condition are not covered by insurance (i.e. PRP, stem cell therapy). EPAT is the least invasive and often the most cost-effective of these options."

Dr. Brice Blatz, MD
Pacific Regenerative and Interventional Sports Medicine

When patients see results, they do not mind paying. Also, those patients tend to refer other patients who come in already knowing that EPAT is not covered by insurance. They are ready to pay out of pocket.

I’ve found that when other providers in the area find out that you offer EPAT, you get referrals for treatment. Again, these patients have been told that EPAT is not covered by insurance and they come in anyway.”

Dr. Lyresa Pleskovitch, DC
The Spine & Therapy Center

“When I first started doing shockwave in 2001, there was only one machine in the area – high-energy Dornier that cost $2,500 for one treatment. Patients that I’ve had a long-standing relationships with will pay for EPAT just as they do for orthotics.”

Dr. Ira Meyers, DPM
Montgomery Podiatry Associates

“The vast majority of my patients who are candidates for EPAT are very willing to pay out of pocket. This may be due to a relatively affluent patient population, but I think it is more so due to exhausting a number of other treatment approaches before offering ‘non-covered’ EPAT. By then most patients are quite eager to do it.”

Dr. John Hester, DPM
Pro Sports Orthopedics

“Active individuals with musculoskeletal pain are interested in safe treatments with evidence to support use. Costs should be considered in any treatment provided. Many patients will elect for EPAT, despite out of pocket costs, given the safety profile and evidence that shock wave can be helpful for a portion of patients receiving treatment.”

Adam Tenforde, MD
Spaulding Rehabilitation Hospital Network

“My experience is that when you explain the time commitment of multiple PT visits and multiple follow-up office visits, plus the expense in terms of PT, office visits and prescription co-pays, cost of night splints or pneumatic boots, pain of a cortisone injection, loss of mobility related to a pneumatic boot, not to mention potential deductibles, as compared to the cost of 3, 4, 5 or even 6 EPAT treatments, most people see the value. In addition, it is perceived as ‘new technology’ which patients like these days.”

Norm Wortzman, DPM
Mass General Hospital Foot & Ankle Center

Still have questions and concerns about EPAT, including how it works and how your patients can benefit? We’re happy to discuss! Give us a call at 401-333-6500 or contact us at any time.

Related article:  Think EPAT isn't effective as a treatment option? Think again! Read "EPAT  Is Voodoo!" Here's What Physicians Have To Say About This Myth.

shock wave

Topics: EPAT Myths