Intratissue Percutaneous Electrolysis

Intratissue Percutaneous Electrolysis Therapy is an ultrasound-guided physiotherapeutic and medical technique that produces a non-Thermal electrochemical ablation using a cathode flow directly oriented toward the tendon degeneration. The EPTE treatment causes an organic reaction that produces localized inflammation, exclusively in the treatment  zone, that leads to rapid regeneration of injured tendon.

The EPTE technique was applied using a specifically
developed medically certified (Directive 93/42/EEC)
device, which produces modulated galvanic electricity through the negative electrode cathodic flow. This is applied using a modified electrosurgical scalpel that uses acupuncture needles (0.3 mm in diameter) with different lengths. The intensity can be adjusted by changing the duration or the milliamps of the device. Conversely, the polarity of the machine is fixed (i.e. only the cathodic flow is usable).
During the procedure, performed by the same experienced operator, the patients are supine so as to minimize any
potential vagal reaction.
Isopropyl alcohol was used to prepare the skin despite the bacteriostatic action of the EPI” system. Polyvidone iodine was avoided to prevent a tattoo effect of the catholic flow.


Ultrasound-Guided Application of Percutaneous Electrolysis as an Adjunct to Exercise and Manual Therapy for Subacromial Pain Syndrome: A Randomized Clinical Trial.
de Miguel Valtierra L, Salom Moreno J, Fernández-de-Las-Peñas C, Cleland JA, Arias-Buría JL.J Pain. 2018 Oct;19(10):1201-1210.

Effectiveness of the Intratissue Percutaneous Electrolysis (EPI) technique and isoinertial eccentric exercise in the treatment of patellar tendinopathy at two years follow-up.
Abat F, Diesel WJ, Gelber PE, Polidori F, Monllau JC, Sanchez-Ibañez JM.Muscles Ligaments Tendons J. 2014 Jul 14;4(2):188-93.

Ultrasound-guided percutaneous needle electrolysis in chronic lateral
Valera-Garrido F, Minaya-Muñoz F, Medina-Mirapeix F.Acupunct Med. 2014 Dec;32(6):446-54.

Intratissue Percutaneous Electrolysis vs Corticosteroid Infiltration for the Treatment of Plantar Fasciosis.
Iborra-Marcos Á, Ramos-Álvarez JJ, Rodriguez-Fabián G, Del Castillo-González F, López-Román A, Polo-Portes C, Villanueva-Martínez M.Foot Ankle Int. 2018 Jun;39(6):704-711.

Clinical results after ultrasound-guided intratissue percutaneous electrolysis(EPI) and eccentric exercise in the treatment of patellar tendinopathy.
Abat F, Gelber PE, Polidori F, Monllau JC, Sanchez-Ibañez JM.Knee Surg Sports Traumatol Arthrosc. 2015 Apr;23(4):1046-52.

Comparing two dry needling interventions for plantar heel pain: a protocol for a randomized controlled trial.
Al-Boloushi Z, Gómez-Trullén EM, Bellosta-López P, López-Royo MP, Fernández D, Herrero P.J Orthop Surg Res. 2019 Jan 25;14(1):31.

Intratissue percutaneous electolysis combined with active physical therapy for the treatment of adductor longus enthesopathy-related groin pain: a randomized trial.
Moreno C, Mattiussi G, Núñez FJ, Messina G, Rejc E.J Sports Med Phys Fitness. 2017 Oct;57(10):1318-1329.

Minimally invasive non-surgical management of plantar fasciitis: A systematic review.
Al-Boloushi Z, López-Royo MP, Arian M, Gómez-Trullén EM, Herrero P.J Bodyw Mov Ther. 2019 Jan;23(1):122-137.

Percutaneous Electrolysis in the Treatment of Lateral Epicondylalgia: A Single-Blind Randomized Controlled Trial.
Rodríguez-Huguet M, Góngora-Rodríguez J, Lomas-Vega R, Martín-Valero R, Díaz-Fernández Á, Obrero-Gaitán E, Ibáñez-Vera AJ, Rodríguez-Almagro D.J Clin Med. 2020 Jul 1;9(7):2068.

Effectiveness of Ultrasound-Guided Percutaneous Electrolysis for Musculoskeletal Pain: A Systematic Review and Meta-Analysis.
Gómez-Chiguano GF, Navarro-Santana MJ, Cleland JA, Arias-Buría JL, Fernández-de-Las-Peñas C, Ortega-Santiago R, Plaza-Manzano G.Pain Med. 2020 Nov 6:pnaa342.

[Molecular repair mechanisms using the Intratissue Percutaneous Electrolysistechnique in patellar tendonitis].
Abat F, Valles SL, Gelber PE, Polidori F, Stitik TP, García-Herreros S, Monllau JC, Sanchez-Ibánez JM.Rev Esp Cir Ortop Traumatol. 2014 Jul-Aug;58(4):201-5.

Therapeutic results after ultrasound-guided intratissue percutaneouselectrolysis (EPI) in the treatment of rectus abdominis-related groin pain in professional footballers: a pilot study.
Moreno C, Mattiussi G, Núñez FJ.J Sports Med Phys Fitness. 2016 Oct;56(10):1171-1178.

Prospective Randomized Trial of Electrolysis for Chronic Plantar Heel Pain.
Fernández-Rodríguez T, Fernández-Rolle Á, Truyols-Domínguez S, Benítez-Martínez JC, Casaña-Granell J.Foot Ankle Int. 2018 Sep;39(9):1039-1046.

Ultrasound-Guided Percutaneous Electrolysis and Eccentric Exercises for Subacromial Pain Syndrome: A Randomized Clinical Trial.
Arias-Buría JL, Truyols-Domínguez S, Valero-Alcaide R, Salom-Moreno J, Atín-Arratibel MA, Fernández-de-Las-Peñas C.Evid Based Complement Alternat Med. 2015;2015:315219.