EPAT Benefits

  • Patients are immediately fully weight bearing.
  • Bilateral patients can be treated at the same time.
  • No incisionNo risk of infection at the treatment siteNo scar tissue formation.
  • Patients are able to return to work/normal activities within 24-48 hours, resuming strenuous activities after 4 weeks.
  • Patients evaluated for success at 12 weeks.
  • Over 80% successful outcomes [Published DataLong-term pain relief (Results retained)].
  • Non-invasive so biomechanics are not affectedfuture treatment options are not limited.
  • Cost Effective.
  • Reduced conservative careends the cycle Reduced after care and complications costs.
  • Reduced cost from lost work.
  • Fast, safe and effective.
  • Does not require anesthesia.
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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

image

Complete tear of rectus femoris
with large hematoma (blood)

image

Separation of muscle ends due to tear elicited
on dynamic sonography examination

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