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Therapeutic UltrasoundAka: Continuous Ultrasound Therapy, Pulsed Ultrasound Therapy, Phonophoresis

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  1. See Also
    1. Musculoskeletal Injury Management
    2. Iontophoresis
  2. Indications
    1. Physical therapy modality to treat tendon or muscle injuries
  3. Contraindications: Locations over-which to avoid ultrasound application
    1. Breast Implants
    2. Epiphyseal plates
    3. Eyes
    4. Malignancies
    5. Pacemakers
    6. Thrombophlebitis
    7. Laminectomy sites
  4. Types
    1. Continuous ultrasound
      1. Thermal effect to warm superficial tissues
      2. Frequency of ultrasound waves effects depth of tissues effected
        1. Lower frequency waves penetrate tissues as deep as 2 inches or 5 cm
      3. Indication: Symptomatic relief in chronic injuries lasting beyond 2 weeks
    2. Pulsed ultrasound
      1. Non-thermal effect theoretically speeds tissue healing at the cellular level
      2. Indication: Potential to speed healing when applied in first few days after injury
    3. Phonophoresis
      1. Transcutaneous medication (typically Corticosteroid) delivered to tissue via ultrasound
      2. Indication: Localized inflammation of a tendon, bursa or joint
  5. Protocol: Phonophoresis
    1. Apply medication (e.g. Dexamethasone or Ketoprofen) 10% concentration in aqueous base
    2. Apply continuous ultrasound at 1-2 watts/cm
  6. Adverse Effects
    1. Burn injury
  7. References
    1. Robertson (2001) Phys Ther 81:1339
    2. van der Windt (1999) Pain 81:257

Phonophoresis (C0031582)

Definition (MSH)Use of ultrasound to increase the percutaneous adsorption of drugs.
ConceptsTherapeutic or Preventive Procedure (T061)
MSHD015612
EnglishPhonophoreses, Phonophoresis, Phonophoresis therapy
Spanishterapia por fonoforesis
Parent ConceptsDrug Administration Routes (C0013153), Ultrasonics (C1456803), Ultrasonic Therapy (C0041620)
SourcesMSH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Ultrasonic Therapy (C0041620)

Definition (MSH)The use of focused, high-frequency sound waves to produce local hyperthermia in certain diseased or injured parts of the body or to destroy the diseased tissue.
Definition (CSP)use of focused, high-frequency sound waves to produce local hyperthermia in certain diseased or injured parts of the body or to destroy the diseased tissue.
Definition (NCI)A form of therapy being studied as an anticancer treatment. Intensified ultrasound energy can be directed at cancer cells to heat them and kill them.
ConceptsTherapeutic or Preventive Procedure (T061)
ICD900.0
MSHD014464
EnglishTHER ULTRASONIC, Therapeutic ultrasound, ULTRASONIC THER, Ultrasonic Therapies, Ultrasonic Therapy, ultrasound energy, Ultrasound therapy
Spanishecografia terapeutica
Parent ConceptsInduced Hyperthermia (C0020548), Therapeutic procedure (C0087111), Procedures and interventions, Not Elsewhere Classified (C1135435), Diathermy (C0012002), hyperthermia treatment (C0203597), Physical agent therapy (C0454526), Procedure by method (C1292784), Ambiguous concept (C1274012), Duplicate concept (C1274013)
SourcesAOD, CSP, ICD9CM, MSH, NCI, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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