Ultrasound therapy uses high-frequency sound waves to produce heat that can reduce pain. It may be used to treat conditions such as musculoskeletal injuries, arthritis and fibromyalgia.

Typically performed during physical therapy, occupational therapy or manipulation therapy, ultrasound therapy provides deep heat to the affected tissues. It may help:

Stimulate healing without causing irritation
Speed metabolism and improve circulation
Break up and soften scar tissue and adhesions
Reduce chronic inflammation or swelling
Reduce irritation to nerve roots
Enhance the body’s natural healing process

Ultrasound therapy is generally safe. However, it does carry some risks, such as the potential for burns. Patients are advised to consult with their chiropractic physician before receiving therapeutic ultrasound and should only receive treatment from a liscensed professional. It is not recommended in some cases, such as over a pacemaker, near the abdomen of a pregnant woman, or over the skull, eyes, heart or reproductive organs.

Therapeutic ultrasound differs from diagnostic ultrasound, which uses less-intense sound waves to create images of internal structures.

Thermal Effect:

As the ultrasound waves pass from the treatment head into the skin they cause the vibration of the surrounding tissues, particularly those that contain collagen. This increased vibration leads to the production of heat within the tissue. In most cases this cannot be felt by the patient themselves. This increase in temperature may cause an increase in the extensibility of structures such as ligaments, tendons, scar tissue and fibrous joint capsules. In addition, heating may also help to reduce pain and muscle spasm and promote the healing process.

Effects on the Inflammatory and Repair Processes:

One of the greatest proposed benefits of ultrasound therapy is that it is thought to
reduce the healing time of certain soft tissue injuries.

* Ultrasound is thought to accelerate the normal resolution time of the inflammatory process by attracting more mast cells to the site of injury. This may cause an increase in blood flow which can be beneficial in the sub-acute phase of tissue injury. As blood flow may be increased it is not advised to use ultrasound immediately after injury.

* Ultrasound may also stimulate the production of more collagen- the main protein component in soft tissue such as tendons and ligaments. Hence ultrasound may accelerate the the proliferative phase of tissue healing.

* Ultrasound is thought to improve the extensibility of mature collagen and so can have a positive effect to on fibrous scar tissue which may form after an injury.

Application of Ultrasound:

* Ultrasound is normally applied by use of a small metal treatment head which emits the ultrasonic beam. This is moved continuously over the skin for approximately 3-5 mins. Treatments may be repeated 1-2 times daily in more acute injuries and less frequently in chronic cases.

* Ultrasound dosage can be varied either in intensity or frequency of the ultrasound beam. Simply speaking lower frequency application provides a greater depth of penetration and so is used in cases where the injured tissue is suspected to be deeply situated. Conversely, higher frequency doses are used for structures that are closer to the surface of skin.