II. Indications

  1. Physical therapy modality to treat tendon or muscle injuries

III. 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

IV. 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

V. Protocol: Phonophoresis

  1. Apply medication (e.g. Dexamethasone or Ketoprofen) 10% concentration in aqueous base
  2. Apply continuous Ultrasound at 1-2 watts/cm

VI. Adverse Effects

Images: Related links to external sites (from Google)

Ontology: Phonophoresis (C0031582)

Definition (MSH) Use of ultrasound to increase the percutaneous adsorption of drugs.
Definition (ALT) Applying a substance topically to a client/patient's skin using an ultrasound device to transfer ions into his or her tissue. Service is billed per treatment.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D015612
SnomedCT 229557004
English Phonophoreses, Phonophoresis, phonophoresis, therapy phonophoresis, phonophorese, Phonophoresis therapy, Phonophoresis therapy (procedure), Phonophoresis therapy (regime/therapy), Phonophoresis application each treatment, phonophoresis aplkxn ea.Tx
Swedish Fonofores
Spanish terapia por fonoforesis (procedimiento), terapia por fonoforesis, terapia por fonoforesis (régimen/tratamiento), Fonoforesis
Czech fonoforéza
Finnish Fonoforeesi
Russian FONOFOREZ, ФОНОФОРЕЗ
Polish Fonoforeza
French Phonophorèse
German Phonophorese
Italian Fonoforesi
Dutch Fonoforese
Portuguese Fonoforese

Ontology: 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.
Definition (ALT) Using ultrasound waves on a client's body part or region to generate heat in an area for therapeutic effect(s) (for example, to relieve pain). Service is billed in 5-minute increments.
Concepts Therapeutic or Preventive Procedure (T061)
MSH D014464
ICD9 00.0
ICD10 96154-00
SnomedCT 146676004, 146668001, 169440002, 89002000
English Therapies, Ultrasonic, Therapy, Ultrasonic, Ultrasonic Therapies, Therapeutic ultrasound, NOS, Ultrasound therapy, NOS, ultrasound therapy, Ultrasound therapy NOS, ultrasound energy, ULTRASONIC THER, THER ULTRASONIC, Ultrasonic Therapy, ultrasonic therapy, Ultrasound therapy NOS (procedure), Ultrasound therapy (procedure), therapy ultrasonic, therapy ultrasound, therapeutic ultrasound, Ultrasound therapy, Therapeutic ultrasound, Therapeutic ultrasound (procedure), Therapeutic ultrasound (regime/therapy), Ultrasound Therapy, Ultrasound therapy each 5 minutes, US therp ea.5min
Italian Terapia con ultrasuoni, Terapia ad ultrasuoni
Swedish Ultraljudsterapi
Spanish ecografía terapéutica (procedimiento), Ultrasound therapy, Ultrasound therapy NOS, ecografía terapéutica, Terapia con ultrasonidos, ecografía terapéutica (régimen/tratamiento), Terapia por Ultrasonido
Japanese チョウオンパリョウホウ, 超音波療法
Czech ultrazvuková terapie, Léčba ultrazvukem
Finnish Ultraäänihoito
Russian UL'TRAZVUKOVAIA TERAPIIA, УЛЬТРАЗВУКОВАЯ ТЕРАПИЯ
French Diathermie à ultrasons, Thérapie par ultrasons, Traitement par ultrasons, Ultrasonothérapie
Portuguese Terapia por Ultrassom, Terapia de ultra-som
Croatian ULTRAZVUČNA TERAPIJA
Polish Terapia ultrasoniczna, Terapia ultradźwiękowa, Leczenie ultradźwiękami
Hungarian Ultrahang kezelés
Dutch echotherapie, Sonotherapie, Therapie, ultrageluids-, Therapie, ultrasone, Ultrageluidstherapie
German Sonotherapie, Ultraschalltherapie