Sports medicine and the treatment of diseases of the body are done with the use of sputum machines.
I had an ankle injury a few years back. After a physician's assessment to rule out any broken bones, I booked a number of visits at my local clinic. There were a lot of assessments and exercises in the recovery process. On a few occasions, I was offered something, but I didn't take it. I was told that my ankle would heal quicker with the help of theechocardiography. I accepted what was recommended in the hope of getting my ankle back to normal after this type of injury, even though it felt like this was a mechanism that allowed the Physiotherapist to multi- task multiple patients.
A family member has an ankle injury and is going to see a doctor, but I couldn't find one that didn't offer Chinese medicine. I remembered the recovery and rehabilitation process when I dug out my ankle braces. Did the time spent with the machine help? I did some research to find out what the benefits ofultrasound are for injured joints. With a shout-out to Paul Ingraham's detailed, excellent and amazingly comprehensive own resource on Ultrasonics, what follows is my take on this mainstay.
The use of sputum in the therapy context is different from the use of sputum in the medical field. Sound waves are sent and received to generate images of the inside of the body. The FDA approved these devices because they were invented in the 1940s and were used to kill fish. There is a proposal to generate sound waves that cause changes in the tissues. The sound waves generated by the wand are far above the hearing range. Solid contact with the skin is ensured by using the use of the gel. The structures that make up the body are affected by the sound wave. Gas bubbles are thought to be caused by the vibration breaking down scar tissue, which is thought to promote healing. The intended effect of sound energy is heat generation. Circulation is thought to be improved by internal heating. Treatment can bepulsed or continuous, and the power level can be varied. When the intent is not to heat tissue, pulse therapy is usually used. The risk of tissue heating in any one area is believed to be reduced by moving the wand continuously in a small area.
Extracorporeal shock wave therapy (ESWT), also known as shock wave or extracorporeal shock wave therapy, is a more intense form of the treatment that is also used by therapists. The ESWT is more expensive to treat than regular therapy, and it is claimed to provide more pain relief. The FDA approves the use of ESWT devices for certain conditions. The efficacy of the product for musculoskeletal conditions is not known, so I will leave it aside for now.
It's used in medicine but also in rehabilitative medicine. It is often used for soft tissue injuries such as sprains and tendinopathies. It is reasonable to expect that the benefits of the machines will be proven. It is not impressive.
It should be easy to test the effectiveness of the devices in a blinded study. The number of high-quality placebo-controlled trials is small despite the ease at which it could potentially be evaluated. There are summaries of the reviews I could find.
Ten of 35 trials in the review met quality criteria.
There was little evidence that active therapeutic ultrasound is more effective than placebo ultrasound for treating people with pain or a range of musculoskeletal injuries or for promoting soft tissue healing.
There is a systematic review and meta-analysis of the efficacy of therapeutic ultrasound.
Therapeutic US did not provide greater benefits than a placebo intervention or advice in terms of pain reduction and functional improvement. When provided in conjunction with exercise, US therapy is not superior to exercise alone in terms of pain reduction and functional improvement.
There are 10 studies on the effectiveness of therapy for lower limb problems.
This literature review found that there is currently no high quality evidence available to suggest that therapeutic ultrasound is effective for musculoskeletal conditions of the lower limb.
There were 6 trials and 606 participants in van den Bekerom's "Therapeutic Ultrasonic for Acute Ankle Stimuli".
The evidence from the five small placebo‐controlled trials included in this review does not support the use of ultrasound in the treatment of acute ankle sprains.
There are 11 studies on carpal tunnel syndrome.
There is only poor quality evidence from very limited data to suggest that therapeutic ultrasound may be more effective than placebo for either short‐ or long‐term symptom improvement in people with CTS…More methodologically rigorous studies are needed to determine the effectiveness and safety of therapeutic ultrasound for CTS.
There are 10 RCTs that involve a total of 1,025 participants with chronic LBP.
The current evidence does not support the use of therapeutic ultrasound in the management of chronic LBP.
8 trials of 2,069 patients were found to have carpal tunnel syndrome, which was improved by the use of ultrasound.
The use of ultrasound on patients with carpal tunnel syndrome seems to improve motor distal latency.
There are 12 trials and 705 patients in theEffect of Therapeutic Ultrasonic for Neck Pain: A Systematic Review and Meta- Analysis.
Therapeutic ultrasound may reduce the intensity of pain more than sham or no treatment, and it is a safe treatment. Whether therapeutic ultrasound in combination with other conventional treatments produced additional benefits on pain intensity, disability, or quality of life is not clear.
There are 13 studies on the effect ofultrasound therapy on epicondylitis.
The ultrasound therapy is helpful to relieve pain for LE patients, but no such benefit could be found for grip strength. However, it has no significant advantage against other conservative treatments like rest and brace.
The narrative review was about therapy for rheumatism.
Despite mixed outcomes, all three therapies show potential as an alternative therapy with lower-risk adverse effects than more invasive methods like surgery. There is currently insufficient evidence to conclude which ultrasound modality or settings are most effective. More research is needed to understand the healing effects of these different therapeutic ultrasound and shockwave modalities.
Up-To-Date only talks about the topic of tendinopathy.
…evidence supporting its efficacy in treating tendinopathy is lacking, and that there is no convincing evidence ultrasound is beneficial for tendinopathy of the knee, elbow, Achilles, or rotator cuff.
The idea that vibrating injured tissue is better than not vibrating it is aplausible one. It seems reasonable to expect that it would be studied and used with care, given that it has been used for decades and given tens of thousands of patients a day. It is disappointing that there is no good information to show the benefits of the procedure, and that its role in the treatment of injuries is not clear.
Scott is looking at the profession of pharmacy through the lens of science-based medicine. He wants to improve the cost-effective use of drugs. Scott has a Bachelor of Science in Pharmacy degree and a Master of Business Administration degree from the University of Toronto. He has worked in both community and hospital settings. He is a registered pharmacy in Canada. Scott doesn't have conflicts of interests. Scott does not represent the opinions of any current or former employers or organizations that he may be associated with. Information should not be used as a substitute for consultation with a licensed and accredited health professional.
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