Therapies for this condition
Three mechanisms, often combined.
We layer PRP, EPAT, and prolotherapy more often than we use them in isolation, each addresses a different lever (signaling, mechanical stimulation, ligament repair) and the combination compounds.
01 · Platelet-rich plasma
Platelet-rich plasma (PRP)
Blood-derived · in-office · 60–90 min
Concentrated platelets and growth factors from your own blood, prepared in our lab and delivered into the target tissue under ultrasound guidance. The most-studied autologous biologic across orthopedic indications.
- Best fit when
- Chronic tendinopathy that hasn't responded to PT
- Partial-thickness intra-tendon defects
- Anchor therapy when combining with EPAT or prolo
Read the full Platelet-rich plasma page →
02 · Non-invasive pulse therapy
EPAT (Pulse Activation)
No needles · series of 3–6 sessions
Extracorporeal Pulse Activation Technology, non-invasive acoustic pulses delivered to tendons and entheses to stimulate microcirculation and repair signaling. Used alone or layered with PRP.
- Best fit when
- Plantar fasciitis, Achilles, lateral epicondyle
- Patients who prefer a non-needle option to start
- Adjunct before/after a PRP injection to amplify response
Read the full EPAT page →
03 · Ligament & joint stabilization
Prolotherapy
Dextrose-based · stimulates ligament repair
A series of small injections of a dextrose solution into ligaments and entheses, intended to stimulate a local repair response and improve passive joint stability. Useful where laxity, not cartilage, is the dominant issue.
- Best fit when
- Chronic ligament laxity around a joint
- Recurrent strains in the same tendon-bone junction
- Patients with concurrent joint instability
Read the full Prolotherapy page →