What Is Ultrasound Used For In Physiotherapy
Therapeutic ultrasound has been around since the 1940’s and is just one of many effective and common techniques used in modern-day physiotherapy. This process provides deep-heating effects to different soft-tissue parts of the body such as tendons, ligaments, and muscles. The process increases blood circulation to these tissues, which in turn helps the body’s healing process and decreases the pain. In addition, deep heating may increase the flexibility of tight tendons and muscles which will improve the tissues’ range of motion.
Energy can be introduced to your body via ultrasound and this can create rapid expansion and contraction of microscopic gas bubbles near the soft tissues. This process is known as cavitation and it can speed up your cellular processes and help the healing of the tissue. Physiotherapists apply ultrasound to their patients with a machine which comes with a probe, wand or round sound head (ultrasound transducer). Before the machine is used, the therapist will apply gel to a specific part of the body as well as the sound head and then slowly move the transducer in a constant circular motion over the body area
The gel helps reduce friction and also helps transmit the ultrasound waves. The intensity and depth of the penetrating ultrasound waves can be controlled by the therapist via the machine’s settings and it will depend on the specific injury and the stage of healing the patient is in. If the soft tissue is inflamed the therapist might use a topical medication as well as ultrasound gel to help treat it in a process known as phonophoresis. As far as feeling ultrasound treatment goes. Most patients may just feel the gel and perhaps a slight tingling or warming sensation.
The ultrasound waves pass through a patient’s skin and vibrate the soft tissues with a deep heat even though the patient can’t feel a warming sensation. There are some injuries which don’t require a deep-heat effect such as a new injury that has acute inflammation. In this case, the ultrasound waves are applied in pulses rather than on a continuous basis. Ultrasound is also known to relax your tissues, break down scar tissue and increase your blood flow around the affected area. An increased blood flow can help reduce swelling and heal fractured bones.
Typically, an ultrasound treatment will last between three and five minutes depending on the injury and size of the body area which is being treated. However, if the goal of the treatment is to break down scar tissue it could last longer. There are numerous types of common injuries which can be treated by ultrasound at Fit Physiotherapy. These include: tendonitis, frozen shoulder, bursitis, muscle tears, spasms and strains, and ligament sprains and tight joints. However, ultrasound alone will rarely heal your pain or injury as it is typically combined with other aspects of physiotherapy such as active physical exercise and stretching etc.
For medical applications, shock waves succeed in healing faster compared to ultrasound. This is done by supplying the treatment area with a high intensity energy in a short period of time and with synergistic effects at both macro and micro tissue levels. To obtain the same amount of energy from ultrasound (without the guarantee of healing success), it would be necessary to supply the relatively low power energy generated by ultrasound for much longer periods of time and in increased number of treatment sessions. The result of the longer treatment time would be storage of energy in tissue, with concomitant heating and tissue degradation, which practically eliminates this option. The alternative is to give small dosages of energy in increased number of treatments, which is harder to achieve due to poor patient compliance. Patients in general do not like to come by the doctor’s office for many treatments and the increased financial burden created by additional treatments represents another deterrent for majority of the patients, which results in poor compliance.
The effect of therapeutic ultrasound via an increase in local blood flow may help reduce local swelling and
chronic inflammation, and, according to some studies,promote bone fracture healing. The intensity or power
density of the ultrasound can be adjusted depending onthe desired effect. A higher power density (measured in
watt/cm2) may soften or breakdown scar tissue.
As the probe glides over the skin's surface, sound waves penetrate the skin's surface causing soft tissues to vibrate, creating heat. In turn, the heat induces vasodilation: drawing blood into the target tissues. Increased blood flow delivers needed oxygen and nutrients, and removes cell wastes.
The heat helps relieve pain and inflammation, reduce muscle spasms, and accelerate healing. Depending on the treatment area, range of motion may be increased.
*Bursitis
*Tendonitis
*Muscle Strain and tears
*Osteoarthritis
*Ligament and tendon injuries
* Soft tissue injuries.
* Chronic strains and sprains.
* Myositis – the inflammation of muscle tissues.
* Bursitis – inflammation of the fluid-field pads surrounding joints.
* Tendonitis – inflammation of the tissue connecting the muscles to the bones.
* Tendon Sheath Inflammation.
* Osteoarthritis.
* Plantar fasciitis.
Precautions in Ultrasound Treatment
Always use the lowest intensity which produces a therapeutic response
The head of the applicators should be moving throughout the treatment
The ultrasound beam (treatment head) should be perpendicular to the treatment area for best results.
All parameters (intensity, duration, and mode) need to be considered carefully for desired therapeutic effects.
Parameters
| Ultrasound Pysiotherapy Machine |
| 1MHz |
| 0.2-3W/CM² |
| 3-5 CM |
| AC110-240V |
Ultasound wave Principle:
1.Mechanical function: the ultrasound have the [micro massage" to the tissue substance and tiny cell. It could soften tissue, enhance penetration, improve metabolism, promote blood circulation, stimulate nerve system and cell, relief pain.
2.Heating function: it forms heat during ultrasound therapy, so it is also called
as"ultrasound diathermy therapy". it is deep heating, that penetrate below the muscle.
Thus, ultrasound therapy is applied to chronic soft tissue pain, arthritis, rheumatism.
3.Physical therapy function: based on the mechanical and heating function,
it will trigger physical therapy.