Ultrasound: Effective for Tendonitis, Bursitis, Muscle Tears? Buy Home Unit?
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- Опубліковано 22 сер 2024
- "Famous" Physical Therapists Bob Schrupp and Brad Heineck discuss ultrasound therapy, how it works, and if it is effective for conditions such as tendonitis, bursitis, and muscle tears. They also discuss phonophoresis, and the use of home ultrasound units.
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As a mailman, I had crippling, painful, plantar fasciitis in both feet for 13 years. I tried everything. Custom orthotics, pain meds, steroid injections, ice, stretching...nothing worked. After one ultrasound treatment, my feet were 50% better. By the 3rd treatment, my pain was completely gone. It's been two years now, and I'm still pain-free. I wish that I had known about this years ago. Better late than never, though.
David Lacinski Gluten intolerance is linked to PF. Mine was 90 percent better 1 week gluten free. It’s fine now and never came back.
Can you tell us which brand you used?
Thanks for the video. The title is "Ultrasound: Effective for Tendonitis, Bursitis, Muscle Tears?" but I didn't hear you guys say if it's effective or not. Or if it is, just how effective it is, in my case, for shoulder bursitis that radiates to the arm. I read that its effectiveness is debatable. Your feedback is appreciated!
Not only is it debatable, in another of B&B's videos THEY say they barely use it as there is no good evidence, so I don't get this video at all.
Great video! The first I have seen on the topic. As a PT student these types of videos are very beneficial, have you ever considered making videos specifically for students or prospective therapist? Maybe a day on the job type thing, lots of potential topics there and hasn't really been done yet!
Appreciate video content! Apologies for butting in, I would appreciate your opinion. Have you considered - Parlandealey Flexible Elbow Process (should be on google have a look)? It is a good one off guide for learning how to cure tennis elbow minus the hard work. Ive heard some incredible things about it and my mate got cool success with it.
I bought my own a few years ago. I use it for aches and pains all the time. I like the thing very much!
Which brand did you get?
@@melindaturner3311 - It's a SoundCare.
And when you switch it off the pain comes back immediately, right ???
@PaulanthonyBridge-kt4eg - No. I haven't used mine for about a month now. The pain went away because of using it.
@@HardRockMiner Remarkable. Will try it soon. I build my own devices, nice next project.
Came to this video on accident, but stayed because these guys are great! Love the introduction.
My physical therapist used it in my lower back for the ligaments that had been injured. It brought much blood flow back to the ligaments that do not recover well because ligaments do not get full blood flow back usually after an injury.
whenever I have an issue can always depend on Bob & Brad
Guys, Truly, this was a terrific video. It answered all by questions about this option. I’ve turned to you two for so many things. If I could hug you both, I would! Thank you. 🤗
Our pleasure! We are happy it helped :)
I have a small handheld and I use it for muscles because I have m. s. It works great. For the past two years I have had lymphedema and I am going to try it on my lower legs.
Checking the unit, someone told me how to verify its operation, fill a small clear glass with water and place coffee grounds in the bottom, place the unit head through the surface water, and turn it on, and you will see the coffee grounds respond and move all around. Easy way to assure its working properly
You absolutely want to use ultrasound on a healing MCL or LCL or, for example, on a healing patellar tendon if its used as part of an ACL reconstruction. I know, I had one done, and spent about 18 monthis in physical therapy until I was 100%. Without exception, in this physical therapy group that also served the sf 49ers, ultrasound was used for all areas of the knee that scar after injury or surgery particularly to 1. promote circulation and 2. assist with scar tissue breakdown and collagen reformation in the healing area.
I was even taught how to perform the ultrasound myself. It's very simple. It's very effective. And in my opinion, the physical therapist here who recommends not using ultrasound (just because it is around a bone) is mistaken, or being too cautious, or doing it incorrectly. Sorry.
Thank you for clarifying that! I want to do it on bunions to see if it helps with decalcifying them
Completely agree. If these 2 guys did a bit more research they would have found out that the ultrasound technology is used not only for muscle and ligament tissue healing, but especially for fractured bone healing. I fractured recently my tibia and most likely snapped few knee ligaments. I use my US Ultrasound Pro Second Edition daily and it helps me a lot during my recovery. Just be careful not to overdo it. 5-10 minutes is more then enough for a small area. If you are a beginner and you don’t have an experience with ultrasound tools, better start with 5 minutes because 10 minutes might be too much for you. Also, you MUST educate how to use the ultrasound tool so you won’t injure yourself. Blessings.
Thank you for your help and wisdom. Keep up with the great videos
I work for a foot doctor, and I use ultrasound on our patients, and electric simulation together.
Think I burned 🥵 the inner workings of nerves in soft tissue in the inner ankle malleola area. It burns now. I used it too long pressing in. Ugh. I’m praying for repair
i got treated with ultra sound for my inflammation of the muscle or something like that and the pain is completely gone.
Not certain about the points made but ,if anyone else needs to find out about best tennis elbow therapy try Freds Elbow Helper (do a search on google ) ? Ive heard some incredible things about it and my partner got amazing results with it.
Excellent Video clip! Apologies for butting in, I would appreciate your initial thoughts. Have you tried - Kiyaria Yanenry Rule (probably on Google)? It is a smashing exclusive product for unlocking the secret to get rid your tennis elbow minus the normal expense. Ive heard some extraordinary things about it and my mate finally got cool success with it.
Did you feel pain during the treatment?
@@puthutwinoto164 I had this done. No pain just warmth.
As a PT student, we learn that no studies showed ultrasound has any benefical effect and other ways are more effective in treatments. Would you please link studies that support what you say?
Thank you for understanding, different sources providing different informations is quite confusing for a future PT :)
alex cookiemonster search online google scholar
Personally as a physio and having lots of athletic injuries, YES it does work. Only problem is the therapist actually applying the treatment. There are many factors why it doesnt work including what they said in the video wherein in the head of the therapist starts to wander.
Agreed, it's annoying when people make claims without providing evidence.
Anyway, from Page MJ, Green S, Mrocki MA, Surace SJ, Deitch J, McBain B, Lyttle N, Buchbinder R. Electrotherapy modalities for rotator cuff disease. Cochrane Database of Systematic Reviews 2016, Issue 6. Art. No.: CD012225. DOI: 10.1002/14651858.CD012225 (www.cochrane.org/CD012225/MUSKEL_electrotherapy-modalities-rotator-cuff-disease):
"Based on low quality evidence, therapeutic ultrasound may have short-term benefits over placebo in people with calcific tendinitis, and LLLT may have short-term benefits over placebo in people with rotator cuff disease. Further high quality placebo-controlled trials are needed to confirm these results."
this device actually damaged my muscle further, stay away
Really? What happened? How do you know it was from the ultrasound and not just a progression of your injury?
Does health insurance cover this?
Thanks for this informative video. I have used ultrasound on the tissue surrounding my fractured radial head for 10+ years. It works great. After 4 treatments it starts to calm the inflamed tissue.
What kind of ultrasound machine do you have?
@@barbaramazzocca4605I use Chattanooga Intelect Mobile 2
Why wasn’t he moving it while he was using it ? I heard yall talking bout it in your other video that you wasn’t suppose to hold it still on someone while in use and that you need to keep it moving inCircle position?why
I have an Ultrasonic Cleaning Machine !!! You are not supposed to use it with no liquid in it, just the same as you must not use an Ultrasound probe without gell on it. The Crystal will get very hot so you have to use it with gell when it's switched on !!!! 30,000 vibrations per second gets hot very fast !!!! They are Brilliant Machines !!!!
You say "no benefit after 14 treatments." That does not make any sense. If someone is getting relief from pain by using ult sound, then it seems obvious that it is still helping. As long as someone is using it properly, it should never be causing any damage. You can buy a machine from India on ebay that puts out 3W cm2 @ 1 mhz or 3 mhz from $160 to $200
Bob & Brad thank you for the awesome info!
Thank you for posting this. I see you are a Packer's fan, Bob and Brad.
Good explanation guys ! Starting my clinicals now, will be using your way of wording for that . Thanks !
Hi, what device do you recommend? I wish to buy one of these ultrasound devices for my wife's frozen shoulder. Of course, I will collect all the information and good advise from gentlemen like Bob and Brad before we continue with the therapy.
Bob & Brad, I'm in physical therapy for severe L. shoulder pain. with a history of two arthroscopic surgeries requiring microfracture and glenohumeral repair. I have a history of breast cancer that required radiation on my left shoulder and breast followed with chemo & radiation, severe systemic osteoarthritis and osteoporosis. I have had Ultrasound treatment in the past and believe it really helped with my oain. My therapsit here in Goodyear, AZ told me that there's no scientic evidence that Ultrasound helps with pain. I disagree with her. I like to know your thoughts, and if you know of a good Physical therapist in our area. Thank you!
nice....finally a video related with electrotherapy...makes me happy,thankyou physios....hope more in future related to electrotherapy. .......
Doesn't it do 3 things?
Deep heat to promote healing, increased circulation (blood flow), and relaxation of tight muscles?
@@somespanishgirl9399 Where are you getting this information? All the meta-analysis say there is no evidence of this.
Hi , Thanks for the great vedios . you said 2 to 3 treatments with US should be enough , how often should the treatments done? dayly or weekly?
Thanks and appreciation from Calcutta, India
Is Ketoprofen gel available by prescription only? What is the brand name of the product shown in the video?
i like these two gentlemen
I wish you guys were in Australia. I've been going to physios and none of them have been as knowledgable as you guy. 5 years and still no solution to tendonitis
The PT I saw recently refused to use ultrasound therapy on my Achilles tendonitis. He said current research evidence is inconclusive on its effectiveness. I'm Aussie by the way.
The studies he is referring to are probably not current. I just went through school and many of the old studies used incorrect parameters that actually caused cell necrosis rather than healing.
Thank you for making this video I'm looking into these I wish you do it on a lot more other gadgets 😉
Nice physiotherapy expert sir
do you know what's the frequency they're using? it seems like we can use an air humidifier, it comes with a pwm controller for cheap plus all the hardware you need to do that, i just need the frequency you're using and the power scale right, the ultrassonic oscillator in my humidifier is isolated and operated by 24v, plus i have a set of battery operated electrostimulators, that seems perfect to use together. I have a diy ultrassound doppler too to see the progress.I have a problem in the ligaments of my hands.Great, i just listened it's 1mhz, exactly the same, i put it in the t
spectrometer and 1.02mhz, perfect.
so the same frequency of my air humidifier,great. Thanks for helping me make a device like yours for 5usd.
Goodluck on pressing it down on your skin.
This is hilarious
Engineering 🤓
Sirs: Thanks for your great videos. Can Cancer Bone patients use Ultrasound to treat the pain ? Thanks a million Sirs
Does the medium have to be gel- can you use Biofreeze or Mineral Ice?
Studying for the NPTE right now, this was so helpful. Thank you.
How has it worked for you.
@@kxrsuperstar It worked out well. I’ve been a practicing PT for almost 5 years now.
You guys are having too much fun.
What if your trochanteric bursa is very tender, swollen and inflamed? Is ultrasound treatment still appropriate/safe? I’ve always understood you don’t apply heat to inflamed, swollen tissue.
14 treatments? for life? The chiropractor I saw, wanted me to go every other day for 2 weeks. For that out of pocket cost, it would benefit me to just buy a machine instead.
What machine do you recommend for ultrasound therapy at home. Thank you.
Tens machine - their ultrasound
Machine is brilliant
I have a little home unit and swear by it. any muscle strain gets me better faster.
Could you please explain further your comment that you shouldn't do ultrasound more than 14 times? I've been given ultrasound weekly for a year, which is why I am thinking about buying one. Why shouldn't you do it more than 14 times. 14 times ever or within a certain time frame?
I had the same question and concern. I just bought one, but now am considering returning it. I don't think they seem to bother answering questions from viewers though unfortunately.
I'm wondering the same thing! I've never heard that before and can't find anything online saying not to do it more than 14 times. 14 is such an odd number too...why not 13 or 15 times? Anyway, I own my own unit which I've used A LOT and I'm still alive!
@@OMG_BeCkY What kind did you get? I want to get one, that will help.
I have been in agony for 12 weeks with knee paindue to a suspected meniscus tear.bought the Revjtive machine and used this once a day for 12 consecutive days and already I am noticing a big improvement.
I’m confused…because numerous studies have shown that the efficacy of ultrasound treatment is very questionable at best. And further resolves that the vast majority of “healing” is attributed to nothing more than placebo effect.
what studies are done on ultrasound technology for long term use more than 14 usage?
Hello Bob and Brad, you both do great videos I love it. I' am massage therapist for 30 year working only with people with suffering from chronic body aches,. please I would like to know the name of your ultrasound machine and model # thanks
Can you show how to use ultrasonic massage on trigger thumb?
just checked out your video.. Wife has a frozen shoulder and up to this point her PT does not use this technology. oddly enough a different PT center does use it regularly as part of its protocol. so it would seem to me that deep penetrating thermal would be good for blood flow in the shoulder. the unit I am looking to get is Model No : LG-US1. thoughts??
I bought an at home device and used it once already on my mom, she felt nothing. I'm going to try it on myself as I do suffer from chronic back pain.
how did it turn out with the back pain? I am thinking of doing it.
Thanks..And would've liked a bit more content on if the home units are similar enough to what you have. My chiropractor has a 'Wellwave' very expensive version. Is it comparative to any home unit? Thanks in advance
Can Ultrasound be performed on Lat / post area of patient's cervical region if they have a pacemaker?
I want to use it to break up calcium accumulation in my husband's bunions, just like lithotrypsy works. But you say it canbe used on bony surfaces???.
1/For iliopsoas tendonitis how many sessions of therapeutic ultrasound needed in average
2/ for iliopsoas tendonitis can we use therapeutic ultrasound daily or alternate daily usage?
Thanks
I have a severe trigger thumb on my left hand. It was very swollen and and the top knuckle would lock and snap back. I was unable to zipper my jacket, put on a belt or open a jar. I have had twelve treatments that I just finished, Twice a week. The swelling has gone down about 80 % and the pain as well. Unfortunately it still snaps but I can do almost all I mentioned above. I do wear rock tape. Next week I get a follow up. Cortisone may be next but this unit does work
@BobandBrad
is it ever ok to keep soundhead stationary if using lower wattage setting say 0.4watts/cm2 duty cycle 50% does that 50 percent duty cycle coupled with lower wattage eliminate risk of standing wave formation
Hi, thank you for the video.
Today I had an ultrasound treatment for my frozen shoulder, now I feel little chest pain / pressure.
Do you think ultrasound can cause chest pain ?
You say don't use on/near a bone but my Podiatrist used it on arthritis at the base of my big toe and after several treatments I haven't had pain in that toe in 20 years. Now I have it in the other foot :(
I use Pensaid for pes anserine bursitis. Would you recommend ultrasound with that? Is Ketoprofen something to get from a physician?
Is this good for chronic tendonitis in the shoulder?
thanxs for your amazing videos :) love you
Curious, what can ultrasound do to cancerous areas?
High frequency ultrasounds are suppose to be able to kill cancerous cells that but that isn't a regular ultrasound lik we would be using here.
does it work on the scar tissues - c section scars in particular? how effective is it?
Yes Emilia it does work on Scar tissue! Scar tissue is made up of tough protein fibers which replaces your injured tissue and this may give you pain or uncomfortable experience at times! Ultrasound therapy helps by breaking down this tight protein and give the body tissue more elasticity and better range of motion.
Does the machine heat up as the intensity goes higher? Should I feel heat?
can you use ketoprofen for a a mommy make over lymphatic massage with the portable ultrasound being used as well
Hi Bob and Brad. Could you let me know if this would help with piriformis syndrome
can you do both phonophoresis 50% pulsed mode and thermal mode both at the same time ?
Is it contraindicated to patient with history of cancer or cancer free patient?
Hi there, I wonder If it can be used for torn hip labrum pain? Thanks.
What about normal laser therapy? how effective is it? I'm speaking of class 4 infrared not cold laser.
Is this used for shoulder impingement as well?
I just bought a used Intellect Legend US from
Chattanooga manufacturer’s. This video was really helpful as I think I was probably not doing it right going over bone areas with the Duty Cycle at continuous and the w/cm2 at 2.5 or 10 watts which feels like a minor sunburn inside the area treated. My question is can this thing be safely used on all areas of the body? Chest, shoulders, neck, entire back, arms, stomach, hips, pelvis, glutes, legs, etc? Also it sounds like based on this video if I’m going over bone areas that I should be using the settings at 2 w/cm2, 3.3mhz and duty cycle at 50% or less? Also how long would you do an area? Many thanks for this video!!!
Hello colleague,
I also bought the Intelect Mobile 2 Ultrasound.
Contraindications are pregnant women, heart stimulators and artificial (metal) prostheses.
In small places use lower intensity.

any advice about a home ultrasound. Is it your massage gun?
I'm interested in underwater Ultrasound to finish off my therapy for a snapped radial and shattered ulna. I've received underwater therapy in previous years that were especially helpful for cysts growing on my tendons, helped relieve pain immensely. [Eventually cured with biofeedback].
My question since you guys unknowingly were my entire rehab process thus far... I wanted to ask if this treatment [underwater] would be a good option for this type of injury? I'm months out with nearly full movement, just need to deal with the remaining inflammation.
A special thank you guys for providing the therapy videos that got me to this point! I did your therapy videos often while underwater. Very helpful! 🙏🏼
do infrared light therapy, its great for inflammation
Should pain increase or decrease after an ultrasound session while the muscles heal?
Some temporary tissue discomfort is normal during healing process. Its a sign of inflammation releasing and tissues reorganizing into proper position. If discomfort lasts more than 48 hours and does not subside ... May alert contraindications/damage and need to consult medical attention.
Another great video thank you..You will never guess what I did? fell on this knee replacement..Had replacement 6 months ago well I stretched ligament and pulled ...Got some great video to help me out please...
+physicaltherapyvideo oh I have been seen already ice and don't over do..but thanks..Enjoy your videos
Would you use it to help with lymphedema?
Thank you for the video. I am going to PT after breast reconstruction but unfortunately scar tissue is trapping fluid and my breast is hard. To save money I bought the machine from India. I hope it’s a good one. But I heard you saying no more than 14 times and I don’t think it’s going to work for me. In meantime I ll be going to PT for lymphatouch therapy. Thank you for your answer.
Serrapetase
About how long should a therapy session last?
I had Achilles tendon surgery, can you apply ultra sound around the tendon area?
Can I use it on my face?
We can use for back pain?
Would ultrasound help loosen a knee contracture?
Good for calcific tendonitis to break deposits. That much is know.
Hello, can a person who survives with thyroid cancer, use it on their knees and heals.
what about if its being done to a patient that had head trauma and cant talk but he/she can make noises when in pain? specific situation im asking about here. pt. has lost a lot of muscle mass and very skinny. one side is very stiff and patient cant extend one arm and leg. the intention is to try to use ultrasound to help release the muscles a bit but the worry is that hes too skinny and it might be too much but we wouldnt know as quickly because patient cant talk. whats your opinion on this?
Does this treatment eliminate calcium deposits in shoulder?
Is it safe to use it on the neck ?
Can it use in lypoma treatment?
sir plz. explain bone healing machanism by therapeutic ultrasound or either laser
Can anyone explain me what is bladder technique in Ultrasound therapy?
I am a PT and has a question - where do you get this ketoprofen conductive gel from?
What's your thoughts on using the ultra sound for AC joint? I've been dealing with an old injury that has just finally been properly diagnosed by my physical therapist. I'm just wondering do I have a hope in hell? Sometimes the pain can be unbearable with clunking in the shoulder blade and rhomboids
I need to purchase a machine for my scar tissue. Which brand is the most effective in breaking up scar tissue?
Kelly Kim Same problem.
Could you use ultrsound on the top of your foot
Hey, how does this differ from ECSWT
Hello Bob and Brad, so this equipment will loosen the muscle making the muscle move or stretch better?
I’d also like to hear what might be said when searching for new Physical Therapists, things to consider whether famous or not.
Okay