Iontophoresis for Inflammation with

[@SarkisKlinik]

For suprapatellar knee bursitis , how do you treat and how do make the accumulated synovial fluid get absorbed? Thanks you

[@jonnanr18]

Would it work for plantar fasciitis and heel spur?

[@davinhickman-chow5644]

What are the negative effects of applying iontophoresis to areas near the carotid artery/sinuses or eyes? Thank you!

[@brittneymoreis978]

What do you mean you get the dexamethazone from a physician, who is the script for? Does each patient need a script? But we keep the medication? very confused about that. And when you say 5-7 times, how often? 1 or 2x/ week? 2 weeks apart? Or, where can I get these answers? Love your videos, only therapist at my facility and none of these answers in any of my textbooks!

[@OrthoEvalPal]

Hi Brittney, the patient should get a prescription from their physician for the medication. I like to do it 3 times a week for 2 weeks.

[@brittneymoreis978]

@@OrthoEvalPal Thank you so much for speedy response! Recently went from SNF to outpatient ortho. Learning so much.

[@kyounao]

Would this work for Posterior Tibial tendonosis dysfunction (PTTD)? Who or what doctor specializes in this would you go to have this done?

[@FayeGrimmett]

could it be used for sciatic problem L5-S1 area

[@user-vq4hf3tp8m]

How many treatment to see relief tennis elbow since 11/21

[@gheorghiubogdan2418]

Thumbs up for the Video. Anyone knows what device would work best for this? Or the name for the generator in the video! ? thank you

[@OrthoEvalPal]

This one was from a company called EMPI

[@lindyloya2828]

Some of my colleagues leave disburser pad on pt believing that dexamethasone will continue to penetrate skin over 4 hrs ( regular electrode) . Is that validated?

[@OrthoEvalPal]

That’s a good question Lindy. I do the same thing with the premise that if people can absorb nicotine through a patch or lidocaine through a patch, there’s no reason why dexamethasone couldn’t be absorbed, if left there a little bit longer. DEX is actually one of the most absorbable medication’s in regards to anti-inflammatories.

[@jasonromanow1594]

Can this be a long term fix for golfers elbow or just a short term fix and then it will come back after the treatment stops..thanks, great explanation of iontophresis

[@carolynwray7375]

Other then the reasons you listed in video, why does some Drs insist on using in clinic Dupel unit delivery of Ionto Rx vs take home patch? They both have same results, correct?

[@OrthoEvalPal]

It depends on the location. If it's around the foot, the take home patch doesn't stick well. The key is good contact and tolerance to the electricity

[@roselfacey1382]

how would you treat hyperhidrosis especially coming from the head

[@teewizdom]

What do you suggest be done for a long standing condition of mytosis osciffans in the hamstring???

[@ruqiyarather7488]

Application time

[@mohdsaif5539]

Just right in time

[@keithsiler1850]

Excellent video! Thank you. Do you know if this treatment is covered by Medicare?

[@OrthoEvalPal]

The re-imbursement is not good.

[@Ramyavivek123]

Hello, I am currently taking this treatment for my patellar tendinitis. I have taken 5 sittings so far and I rarely see improvement. I still have pain when walking around my knee and upper knee and lower knee. Also my pain Is more on the day when I take the treatment . Is this expected? And how long it will take to see effect

[@tamask7749]

hope you get better, do check if your ortho has ultrasound, worked wonders for me, 2 sessions and close to 4 weeks of rest, i'm 95% back to where i was before.

[@SarkisKlinik]

Hello, nice video. How deep the medication penetrates into tissues? is it deeper penetration than phonophoresis ?

[@OrthoEvalPal]

Phonophoresis has never proven to be effective in absorbing medication. I have had much better luck with ionto but only with injuries that are just subcutaneous.

[@SarkisKlinik]

@@OrthoEvalPal So by ionto the medication is better absorbed than phonophoresis, right?

[@OrthoEvalPal]

@ yes it is

[@joan-hv7tv]

Is it safe to apply on the hand area if a pregnant woman is experiencing carpal tunnel syndrome? Thanks.Like all your videos.

[@OrthoEvalPal]

Hi Jo an. I would not only because there is a very small amount of dex absorbed in the blood stream.

[@joan-hv7tv]

Thank you Paul for the information that you share.😊

[@luizlamca5589]

Which concentration of citric acid I should use in achilles tendon bone ?

[@Pete.Ty1]

😊👍

[@OrthoEvalPal]

Thanks Pete!