The Benefits of Shockwave (EPAT) Therapy for Overuse Injuries in Runners
- Ryan Matisko, PT, DPT, FAFS
- Aug 4
- 2 min read

If you’re a runner, you’ve probably dealt with some form of nagging pain or injury. Whether it’s plantar fasciitis, Achilles tendinopathy, or shin splints, overuse injuries are common in the running community. While traditional treatments like rest, physical therapy exercises, and manual therapy can be effective, there’s an advanced treatment option that’s gaining popularity—Shockwave Therapy, also known as Extracorporeal Pulse Activation Technology (EPAT).
What is Shockwave (EPAT) Therapy?
Shockwave therapy is a non-invasive treatment that uses high-energy sound waves to stimulate healing in injured tissues. It works by increasing blood flow, breaking down scar tissue, and triggering the body’s natural repair process. Originally used to break up kidney stones, this technology has been adapted for orthopedic and sports medicine applications with impressive results.
How Can Shockwave Therapy Help Runners?
Many overuse injuries that plague runners involve chronic inflammation, poor circulation, or microtears in tendons and soft tissue. Shockwave therapy directly targets these issues by stimulating cell regeneration and tissue healing. Here are some of the most common running-related injuries that can benefit from EPAT:
1. Plantar Fasciitis
This painful condition affects the bottom of the foot, making each step feel like you’re walking on glass. Shockwave therapy helps by increasing blood flow to the plantar fascia, reducing inflammation, and encouraging tissue repair—often providing relief in just a few sessions.
2. Achilles Tendinopathy
The Achilles tendon takes a beating with every stride. When it becomes inflamed or degenerative, recovery can be slow. Shockwave therapy helps accelerate healing by stimulating collagen production, which is essential for tendon strength and repair.
3. Posterior Tibialis Tendinitis
Pain along the shinbone is common in runners, especially those increasing their mileage too quickly. Shockwave therapy reduces pain and inflammation while promoting healing in the soft tissue and bone, helping runners get back to training sooner.
4. IT Band Syndrome
Tightness and irritation of the iliotibial (IT) band can cause lateral knee pain. Shockwave therapy helps break up adhesions and reduce tightness in the surrounding tissues, allowing for better mobility and pain relief.
5. Patellar Tendinopathy (Runner’s Knee)
Inflammation and degeneration of the patellar tendon can make running painful. Shockwave therapy enhances blood flow to the tendon, promoting faster recovery and reducing long-term discomfort.
Why Runners Should Consider EPAT
Non-invasive & No Downtime – Unlike surgery or injections, shockwave therapy doesn’t require any incisions or lengthy recovery periods. Most runners can continue training with only minor modifications.
Accelerates Healing – It stimulates tissue regeneration, often providing faster recovery compared to traditional treatments alone.
Pain Reduction – Many runners notice decreased pain after just a few sessions.
Long-term Benefits – EPAT not only relieves symptoms but also addresses the root cause of many overuse injuries, leading to more durable recovery.
If you’re struggling with a stubborn injury that’s limiting your running, shockwave therapy could be the missing piece in your recovery plan. Consult with a qualified physical therapist to see if EPAT is right for you and take the next step toward pain-free running!