Symptoms
Common symptoms
- Comprehensive foot & ankle evaluation
- Same-day imaging at most offices
- Conservative-first care plan tailored to your goals
- Coordinated specialty referrals when needed
- In-network insurance for most major carriers
Non-surgical treatment
Shockwave Therapy (EPAT) pressure-wave therapy
Extracorporeal pulse activation technology (EPAT) — also called shockwave therapy — uses pressure waves to stimulate healing in chronic tendon and soft-tissue conditions that have not responded to traditional treatment. Same-day or next-week evaluations across eight LA-area offices.
Live · Now Accepting
Shockwave Therapy (EPAT)
Conservative-first care, surgery only when it's the right call.
15+
Years caring
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This week
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4.9 · 7,500+
Key takeaways
- Shockwave Therapy (EPAT) is part of the full diagnostic and treatment toolkit our LAOSS specialists use every day.
- Extracorporeal pulse activation technology (EPAT) — also called shockwave therapy — uses pressure waves to stimulate healing in chronic tendon and soft-tissue conditions that have not responded to traditional treatment.
- Most patients improve when treatment starts early and is matched to the actual diagnosis.
- Same-day appointments available across eight Los Angeles–area offices.
Overview
About shockwave therapy (epat)
Shockwave Therapy (EPAT) is part of the comprehensive foot & ankle care we offer at LAOSS. Below, we walk through the anatomy involved, who benefits from this service, what it looks like at our clinics, and the recovery and risk considerations to weigh.
Our specialists move stepwise — start with the least-invasive option that fits, escalate only when it doesn't.
Anatomy of the foot & ankle — tibia, talus, calcaneus, metatarsals, and plantar fascia.
Anatomy
Inside the foot & ankle.
The foot and ankle have 26 bones, more than 30 joints, and over 100 ligaments and tendons.
What this service covers
What we offer with shockwave therapy (epat).
Causes
Common causes
- New patients exploring an orthopedic complaint
- Existing LAOSS patients continuing care
- Patients seeking a second opinion
- Athletes and active adults of every age
How LAOSS care works
How we start treatment
When you book with LAOSS for shockwave therapy (epat), here's the flow:
- Initial visit — detailed history, focused exam, on-site X-ray when needed
- Diagnosis & plan — most patients leave with imaging-confirmed answers and a written treatment plan
- Treatment — whether that's PT, an injection, or surgery, your specialist stays involved at every step
- Follow-up — measured benchmarks, direct line to your care team, plan adjustments as recovery progresses
Treatment options
Foot & ankle care, conservative-first.
We start with the least-invasive option that fits — and escalate only when it doesn't.
Conservative care
Step 1Conservative care first
Non-surgical options designed to relieve pain, restore movement, and avoid the OR when possible.
- Custom orthotics & footwear changes
- Physical therapy & calf-stretching protocols
- Image-guided steroid injections
- Shockwave therapy (EPAT)
- PRP for chronic tendinopathy
Surgical care
When neededSurgical options when needed
Minimally invasive and reconstructive procedures performed by board-certified orthopedic surgeons.
- Bunionplasty (Lapiplasty 3D)
- Hammertoe correction
- Plantar fascia release
- Ankle arthroscopy
- Achilles tendon repair
- Total ankle replacement
Surgeon expertise
Why experience matters.
Why experience matters
Foot & ankle care is highly technique-dependent. Volume, training, and judgment together determine the outcome you feel six months later.
- Precise diagnosis from imaging and exam
- Conservative-first care that avoids unnecessary surgery
- Technique refined over thousands of cases
- On-site imaging + coordinated PT through your in-network provider
The LAOSS approach
Our foot & ankle specialists move stepwise — start with the least-invasive option that fits, escalate only when it doesn't.
- Same-day imaging at most offices
- PT coordinated in your insurance network
- Board-certified specialists performing the procedures themselves
- Direct access to your specialist between visits
Candidacy
Am I a candidate?
If most of these match your situation, an evaluation with a foot & ankle specialist is the next step.
You may be
You may be a candidate if
These signs typically point toward this service being a good fit.
- Foot & ankle pain or dysfunction lasting more than a few days
- Swelling, instability, or noticeable change in function
- Symptoms that limit walking, lifting, sleep, or work
- Previous treatment that didn't fully resolve the problem
- Imaging or exam findings that suggest an underlying issue
Evaluation
What evaluation includes
Your first visit is built to give you an answer the same day, not just another referral.
- Detailed history — onset, mechanism, what makes it better or worse
- Hands-on exam focused on the affected joint or region
- On-site imaging at most offices (X-ray, ultrasound)
- Clear plan with options ranging from conservative to surgical
- Same-day or next-day scheduling for any follow-up tests
ImportantSeek urgent evaluation for sudden severe pain, numbness, progressive weakness, loss of bowel or bladder control, or any sign of infection (fever, increasing redness or swelling).
Recovery
Your foot & ankle recovery roadmap.
Recovery is rarely a straight line — but a clear plan with measurable milestones makes the path predictable.
01Days 0–14
Right after care
In the first two weeks we focus on protecting the foot & ankle, calming inflammation, and restoring basic motion.
- Activity modification with clear do/don't guidance
- Ice, elevation, and pain control as needed
- Gentle range-of-motion within safe limits
- Follow-up scheduled to track healing
02Weeks 2–8
Rehabilitation
Targeted physical therapy rebuilds strength, mobility, and confidence in the foot & ankle.
- Progressive strengthening and neuromuscular work
- Manual therapy and soft-tissue treatment
- Sport- or job-specific movement re-training
- Coordinated PT through your in-network provider
03Months 2+
Long-term care
Once function is restored, the focus shifts to keeping you there — and catching any recurrence early.
- Return-to-activity plan with measured benchmarks
- Home program tailored to your sport or job
- Maintenance visits or imaging if symptoms change
- Direct line back to your specialist if needed
Risks & considerations
What to weigh before you decide.
We talk through the risks and benefits with every patient — informed consent is a conversation, not a form.
General
General considerations
Every orthopedic intervention carries a small set of standard risks. We screen, prepare, and monitor for these on every patient.
- Infection (rare with modern technique and prophylaxis)
- Bleeding or bruising at the treatment site
- Reaction to anesthesia or medications
- Need for additional procedures in some cases
Specific
Foot & ankle-specific considerations
Some risks are tied to the structures we're treating in the foot & ankle. We discuss these in detail at your visit so you can weigh them against the benefits.
- Temporary stiffness or weakness during recovery
- Incomplete pain relief in a small percentage of cases
- Nerve or vessel irritation near the treatment area
- Need for follow-up therapy to fully restore function
Your care team
Meet our foot & ankle specialists
At LAOSS, our foot & ankle specialists combine advanced surgical expertise with a patient-first approach. From minimally invasive techniques to comprehensive rehab coordination, our physicians bring decades of experience to every case. Trusted across Los Angeles, our team is dedicated to restoring mobility, relieving pain, and helping you return to the activities you love.
Your care team
Specialists, not generalists.
About this care
Reliable shockwave therapy (epat) care starts here
At LAOSS, expert care is close to home. With same- or next-day appointments at eight Los Angeles–area offices, you'll never wait weeks or months for answers. Whether you need physical therapy, injections, or surgery, you'll receive coordinated, personalized care every step of the way.
Call or schedule online today to begin your recovery with a trusted foot & ankle specialist in Los Angeles.
Patient reviews
What patients say about us.
★★★★★4.97,500+ Google reviews
Got my PRP injection here for tennis elbow. Big difference within a couple weeks. The doctor was honest about what to expect and the team made the whole thing easy.
Sara Nazari
Encino, CA · 25 February 2025
Common questions
FAQ.
- The right candidate depends on your diagnosis, prior treatments, and goals. We start with a focused orthopedic exam and review your imaging — and your specialist explains whether shockwave therapy (epat) is the best next step or whether a different approach makes more sense.
- We accept most major PPO and HMO plans. Coverage depends on your specific plan and diagnosis — our team verifies coverage before scheduling so there are no surprises. Self-pay pricing is available for patients without insurance.
- Same-day appointments are available for acute injuries. Routine evaluations are typically within the week at any of our eight LA-area offices.
- If you have a PPO plan, no referral is needed — book directly with any of our specialists. HMO plans require a referral from your PCP. If you are unsure, call us at (323) 264-7600 and our team will walk you through it.
Ready when you are
Find out if shockwave therapy (epat) is right for you.
Same-day and next-day appointments at eight Los Angeles–area offices. Book a visit and meet your specialist.
Booking now
21 specialists · 8 offices
Greater Los Angeles
On-site X-raySame visit
Most insurers acceptedIn-network