Therapeutic Ultrasound

Therapeutic ultrasound is used primarily for two different effects: the deep heating treatment and non-thermal uses.

Deep Heating Effects: Ultrasound is often used to provide deep heating to soft tissue structures in the body. Deep heating tendons, muscles or ligaments increases circulation to those tissues, which is thought to help the healing process. Increasing tissue temperature with ultrasound is also used to help decrease pain.

Deep heating can be used to increase the “stretchiness” of muscles and tendons that may be tight. If you have shoulder pain and have been diagnosed with a frozen shoulder, your therapist may use ultrasound to help improve the extensibility of the tissues around your shoulder prior to performing range of motion exercises. This may help improve the ability of your shoulder to stretch.

Non-Thermal Effects (Cavitation): Ultrasound introduces energy into the body. This energy causes microscopic gas bubbles around your tissues to expand and contract rapidly, a process called cavitation. It is theorized that the expansion and contraction of these bubbles help speed cellular processes and improves healing of injured tissue.

Inside your therapist’s ultrasound unit is a small crystal. When an electrical charge is applied to this crystal, it vibrates rapidly, creating piezoelectric waves. These waves are emitted from the ultrasound sound head as ultrasound waves. The ultrasound wave then enters into your injured tissues during application of the modality. This increases blood flow and cavitation, leading to the theorized benefits of the treatment.

Ultrasound is performed with a machine that has an ultrasound transducer (sound head). A small amount of gel is applied to the particular body part; then your therapist slowly moves the sound head in a small circular direction on your body. The therapist may change various settings of the ultrasound unit to control the depth of penetration of the ultrasound waves or change the intensity of the ultrasound. Different settings are used in various stages of healing.

Your therapist may use ultrasound gel combined with a topical medication to help treat inflammation around soft tissue in the body. This process is called phonophoresis.