Therapeutic ultrasound in physiotherapy.


Therapeutic ultrasound is the mode of treatment commonly used in physical therapy. It is used to guarantee deep heating of soft tissues in the body.These tissues include muscles, tendons, joints and ligaments.

Ultrasound in physiotherapy should not be confused with diagnostic ultrasound, which is anullrasound, which is used to see the inner body, as a fetus check during the pregnancy.

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What does the ultrasound do?

Therapeutic ultrasound is used mainly for two different effects:Defend-processing heating and numerous uses. Effects of deep heating

Ultrasound It is often used to guarantee deep heating to soft tissues from the structures in the body.Deep heating tendons, muscles or packets increase the circulation of tissues, which is believed to help the healing process. An increase in the temperature of the ultrasound fabric is also used to reduce pain.

Deep heating can be used to increase the ‘stretch’ of the muscles and tendons that can be adjusted.

If you have a pain in the shoulder and has been diagnosed with frozen shoulder,Its physiotherapist can use ultrasound to help improve tissue expansion ability around your shoulder before execution range of movement . You can help improve your shoulder ability to stretch.

Effects notral (cavification)

Ultrasound of the meeting meeting to the body. This energy causes gas bubbles Microscopic in its tissues for rapid expansion and contract, the process is called cavitation.It coincides with the expansion and reduction of these bubbles help the speed of cellular processes and improve the healing of damaged tissues.

Two types of cavitation include stable and unstable cavitation.Sustainable cavitation is desirable when its physiotherapist applies ultrasound to his body. The current cavitation can be dangerous for the fabrics of your body, and your physiotherapist guarantees that it does not happen during ultrasound.

How does the ultrasound work?

Inside the ultrasound of your physiotherapist is a small glass. When the electric charge is applied to this crystal, it vibrates quickly, creating piezoelectric waves.These waves are emitted from an ultrasonic sound head as ultrasound waves.

Ultrasound wave then falls into its damaged tissues by applying the modality. It reviews the blood flow and cavitation, which leads to theoretical advantages of the treatment.

How does the ultrasound apply?

Ultrasound is performed using a machine that has an ultrasonic converter (sound head).A small amount of gel is applied to a specific part of the body; Then, his physiotherapist slowly moves the sound head in a small circular direction in his body.

The therapist can change the various configurations of the ultrasonic device to control the depth of the penetration of the ultrasonic waves or the change in the intensity of the ultrasound. Several settings are used in several stages of healing.

Alternative methods of ultrasonic application are available if part of the body is bone and full of potholes, or if there is an open wound.(Ultrasonic gel and sound head can cover bacteria that can enter the wound.)

The physiotherapist can use an ultrasonic gel in combination with topical medications to help inflammation around soft tissues in the body.This process is called TA> phonophoresis .

While there is some evidence that ultrasound waves help deliver a gel of medicines to damaged tissues, published studies indicate that this processing can be Be ineffective.

What ultrasound feels like

, when it receives ultrasound treatment, most likely do not feel any source, except perhaps a small feeling of Heating or tingling around the area is treated.If the ultrasonic sound head remains in place on your skin and does not move in a circular direction, you may experience pain. If this happens, tell your physiotherapist at this time.


There are several cases when you should not use ultrasound at all.These contraindications to ultrasound may include:

  • on open wounds
  • on metastatic lesions or any active area of cancer
  • on the areas of reduction of the feeling
  • on the parts of the body withMetallic implants, as in general, the knee of the lumbar melting
  • below or above the pacemaker
  • pregnancy
  • around the eyes, chest,o Sex organs
  • on broken bones
  • close or above the implanted device of electrical stimulation
  • about active times in children
  • About the area of acute infection

General Injuries Are processed

The generally orthopedic lesions are treated with ultrasound. They may include:

In general, any soft tissue injury in the body can be a candidate for ultrasound therapy.Its physiotherapist can use the ultrasound for back pain, neck pain, tears for the rotator cuff, tears of the knee meniscus or ankle stretching.

Ultrasound for chronic pain

There is some evidence that if you have chronic pain, you can use ultrasound procedures.It is believed that ultrasound waves help improve the expansion and circulation of tissue, which leads to high mobility and, ultimately reduce pain.

Ultrasound may not work for everyone, but it is worth trying if it has an unreasonable chronic pain. People can argue that the advantage of ultrasound for chronic pain is associated with the placebo effect.But, if it gives you relief, this is the right treatment for you.

The studies no They make it show advantages

If you go to physical therapy and get ultrasound,You should know that many studies have discovered ultrasound offer unhestable for the overall result of physiotherapy. For example, if you have a back pain in the back, it was shown that ultrasound procedures offer very little benefit.

In fact, ultrasound was evaluated by ‘C’ (without proven manual) for knee pain, low back pain and neck pain in a series of papers published in Physical Therapy Magazine in 2001. The test has many tasks if the ultrasound really helps it in physiotherapy.

Study in 2014 in 2014 in the US magazine Physical medicine and rehabilitation inspected the effect of ultrasound on pain and functions in patients with knee osteoarthritis . The researchers did not find a difference in the function of the knee and rehabilitation pain, using ultrasound, without ultrasound, as well as simulated (false) ultrasound.

If your physiotherapist provides ultrasound for you, you can interrogate if it is really necessary as part of your general rehabilitation program.Many people argue that ultrasound can have a negative impact on their physical therapy, unnecessary to extend their attention.

Ultrasound – passive processing.In other words, you can not provide treatment yourself; You are only a passive ultrasound receiver.If your physiotherapist uses ultrasound during treatment, be sure to participate in the active exercise program to help improve functional mobility.

Exercise and active participation should always be the main components of program rehabilitation.

Word of obtaining information medications

Your physiotherapist can use ultrasound to help improve your condition.If so, be sure to ask about the need for ultrasound and possible risks . Also, be sure to be performing an active exercise program for self-confidence at the PT and home clinic.If you are actively involved in your rehabilitation, you can ensure that it has a safe and fast recovery to normal function.

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