{"id":66493,"date":"2026-05-04T08:00:24","date_gmt":"2026-05-04T06:00:24","guid":{"rendered":"https:\/\/mivisalud.com\/blog\/epi-with-ultrasound-guidance-advanced-treatment-for-chronic-tendinopathies\/"},"modified":"2026-05-04T08:00:24","modified_gmt":"2026-05-04T06:00:24","slug":"epi-with-ultrasound-guidance-advanced-treatment-for-chronic-tendinopathies","status":"publish","type":"post","link":"https:\/\/mivisalud.com\/en\/blog\/epi-with-ultrasound-guidance-advanced-treatment-for-chronic-tendinopathies\/","title":{"rendered":"EPI\u00ae with ultrasound guidance: advanced treatment for chronic tendinopathies"},"content":{"rendered":"<h2><strong>What Is Ultrasound-Guided EPI?<\/strong><\/h2>\n<p><a href=\"https:\/\/mivisalud.com\/en\/treatment\/percutaneous-intratisular-electrolysis-pie\/\">Percutaneous Intratissue Electrolysis (EPI\u00ae)<\/a> is an invasive physical therapy technique used to treat chronic tendinopathies and degenerative tendon injuries.<\/p>\n<p>It involves applying a galvanic current through a needle directly to the injured tissue.<\/p>\n<p>When performed under ultrasound guidance, the accuracy is much higher, since the physical therapist can clearly see the injured area.<\/p>\n<p>What types of injuries are treated with EPI?<\/p>\n<h3><strong>EPI is frequently used in:<\/strong><\/h3>\n<p>&#8211; patellar tendinopathy<\/p>\n<p>&#8211; Achilles tendinopathy<\/p>\n<p>&#8211; epicondylitis (tennis elbow)<\/p>\n<p>&#8211; rotator cuff injuries<\/p>\n<p>&#8211; plantar fasciitis<\/p>\n<p>&#8211; muscle fibrosis<\/p>\n<p>These injuries usually result from repetitive strain or tissue degeneration.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>How EPI Affects the Tendon<\/strong><\/p>\n<p>The current delivered through the needle triggers a controlled inflammatory response.<\/p>\n<p>This process stimulates:<\/p>\n<p>\u00b7 tendon regeneration<\/p>\n<p>\u00b7 the removal of degenerated tissue<\/p>\n<p>\u00b7 the synthesis of new collagen<\/p>\n<p>As a result, the tissue gradually regains its functional capacity.<\/p>\n<p><strong>PPE + therapeutic exercise<\/strong><\/p>\n<p>To achieve lasting results, PPE must be combined with:<\/p>\n<p>\u00b7 eccentric exercise<\/p>\n<p>\u00b7 muscle strengthening<\/p>\n<p>\u00b7 load control<\/p>\n<p>This approach helps restore tendon function and reduce the risk of recurrence.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Frequently asked questions:<\/strong><\/p>\n<p>Does EPI hurt?<\/p>\n<p>It may cause some discomfort during the session, but it is usually tolerable.<\/p>\n<p>&nbsp;<\/p>\n<p>How many sessions are needed?<\/p>\n<p>Usually between 3 and 6 sessions.<\/p>\n<p>&nbsp;<\/p>\n<p>Does EPI replace surgery?<\/p>\n<p>In many cases, yes\u2014it can help avoid surgical treatments.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Author:<\/strong> <a href=\"https:\/\/www.linkedin.com\/in\/hugo-quintana-lavado-76a3a0175\/\">Hugo Quintana<\/a><\/p>\n<p>Director of MIVI Advanced Physical Therapy<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What Is Ultrasound-Guided EPI? Percutaneous Intratissue Electrolysis (EPI\u00ae) is an invasive physical therapy technique used to treat chronic&hellip;<\/p>\n","protected":false},"author":15,"featured_media":65701,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_ppma_block_editor_authors":""},"categories":[977],"tags":[],"ppma_author":[1383],"class_list":["post-66493","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-physiotherapy","author-alejandro"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Eco-guided EPI: Treatment for Chronic Tendinopathies | Mivi<\/title>\n<meta name=\"description\" content=\"What Is Ultrasound-Guided EPI? When Is It Used? How Does It Affect the Tendon? 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