Sports Medicine Book


Therapeutic Ultrasound

Aka: Therapeutic Ultrasound, Continuous Ultrasound Therapy, Pulsed Ultrasound Therapy, Phonophoresis
  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 81:1339-50 [PubMed]
    2. van der Windt (1999) Pain 81:257-71 [PubMed]

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, 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
Polish Fonoforeza
Norwegian Fonoforese
French Phonophorèse
German Phonophorese
Italian Fonoforesi
Dutch Fonoforese
Portuguese Fonoforese
Derived from the NIH UMLS (Unified Medical Language System)

Ultrasonic Therapy (C0041620)

Definition (NCI_NCI-GLOSS) 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 (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 (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 169440002, 146676004, 146668001, 89002000
English Therapies, Ultrasonic, Therapy, Ultrasonic, Ultrasonic Therapies, Ultrasound therapy NOS, ULTRASONIC THER, THER ULTRASONIC, Ultrasonic Therapy, therapy ultrasonic, ultrasound therapy, therapy ultrasound, ultrasonic therapy, therapeutic ultrasound, Ultrasound therapy NOS (procedure), Ultrasound therapy (procedure), ultrasound energy, Ultrasound therapy, Therapeutic ultrasound, Therapeutic ultrasound, NOS, Ultrasound therapy, NOS, 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), 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
French Diathermie à ultrasons, Thérapie par ultrasons, Traitement par ultrasons, Ultrasonothérapie
Portuguese Terapia por Ultrassom, Terapia de ultra-som
Polish Terapia ultrasoniczna, Terapia ultradźwiękowa, Leczenie ultradźwiękami, Sonoterapia
Hungarian Ultrahang kezelés
Norwegian Ultralydbehandling, Ultralydterapi
Dutch echotherapie, Sonotherapie, Therapie, ultrageluids-, Therapie, ultrasone, Ultrageluidstherapie
German Sonotherapie, Ultraschalltherapie
Derived from the NIH UMLS (Unified Medical Language System)

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