Therapeutic Ultrasound-How it works and when to use it!! (Correction below)

[@peterlinn2366]

Hey Paul, I'm a student PT and just wanted to say I appreciate your videos! Covid has negatively affected classes and in-person learning experiences, so your videos have really helped solidify some of the material I'm learning. Thanks!

[@OrthoEvalPal]

Hi Pete, Glad to hear you are finding the videos helpful. I started OEP for students in the medical field and providers with little ortho experience wanting to learn more. My daughter is a PT student also. Taking a final right as we speak. Best of luck with your studies and spread the word. More to come!!

[@simonebeke282]

Thanks very much sir !How long period in minutes those a client need to take ultra sound per day?

[@lisagiannoumis3816]

Helpful to learn about how/why this helps from a patient's perspective, my PT didn't do a lot of explaining however I can tell it REALLY helps

[@bijanleila1]

I am gratefully for your video. I just purchased an ultrasound and there was plenty questions about how to use it as well as the tissues type. you covered everything i could think of. thanks million.

[@zzsql]

Thank you so much for posting this. I'm recovering from an injury and have an ultrasound wand I found on eBay that's going to help me recover faster.

[@OrthoEvalPal]

Best of luck!

[@Iamravenschild]

Did it work?@@OrthoEvalPal @zzsql

[@dlb3483]

Yes Paul as you stated... a lenghty video, but very easy to watch and went by quickly. I enjoyed it:) You're a talented instructor. Thanks for sharing your knowledge. Looking forward to more. And LOVE that you offer coaching!

[@OrthoEvalPal]

Glad you enjoyed it

[@sarahayez5696]

You're a wonderful teacher.Very precise & to the point.Thanks so much for this video.

[@OrthoEvalPal]

You're very welcome!

[@slam854]

I found your video very informative. Having watched many videos on the subject I thought to try a home application to help stimulate blood flow in my 55 year type 1 diabetic feet. I am 2nd year into neuropathy and find balance is being affected. I will speak to my endocrinologist about desire to treat with suggestions. Chosen unit is a US Pro 2nd edition. .08w pulsed on low 10%, .8w pulsed on medium 50% & 1.6w continuous on high @100%. Ratings are per cm squared. Treatment times can be set to 5, 10 & 15 minutes. Unit is a 1mhz frequency.

[@slam854]

Blood flow is still good with pressure recovery to pink in under 2sec.

[@turn-n-burn1421]

I'm just a person, no medical training whatsoever. However around 2003, I dislocated my right elbow while mountain biking and after it was reset at a hospital, I was referred to a physical therapist. I didn't know until recently that what she called deep heat, was actually ultrasound. Anyway, I'm very likely to buy one soon, so I want to learn as much about them as possible. Watching you rub that head around near your elbow is almost exactly what she did to me a couple times each week. Also, the gel she was using, she said was cortisone. As you said, and I even mentioned to her; I'm not feeling any heat. But seconds after she would stop, it's like I'd never injured my arm at all. However an hour or so after I'd get home from therapy, the pain was excruciating. Now I'm fairly old, and a lifetime of both, poor habits and beating my body up is showing itself, mostly in the form of arthritis. In 2018, just after moving to our new house here in the Midwest, I slipped on ice in the driveway after getting the mail. I broke my leg, right where the tibia and femur meet behind the knee. I wasn't even offered therapy that time,, but I've proven to be pretty hard-headed and at a certain point,, usually take over my own treatment using what I gleaned from a therapist. Still, I'm trying to get fully back to my old self, and I'm hoping this device can help with my damaged shoulder, my knee, maybe feet, as you mentioned Achilles tendon, etc. So I'm here and anywhere else to learn before I buy one.

[@Arvinchen2022]

Thanks for your high quality content and really useful personal experience for PT career , appreciate the opportunity to see this Video because KZbin after finished with terrible classes with my horrible lectures 😂. You channel is my sunshine.

[@malakiangyn19]

Best channel ever! I’ve being watching your videos since April and they’re great! Congrats!

[@OrthoEvalPal]

Thank you Henrique! I have lots more to come.

[@Martinbeef]

Thanks a lot for this. I’m a patient who has chronic pain. I purchased a 1mhz wand from a chemist shop in the uk and have recently started to use it on a tendon close to my right hip. I have had a lot of pain in this area, as I think when I did hack squat in the gym, I injured myself. Thanks for the explanation: I appreciate this is for professionals who use the equipment, but it’s always very useful for people like me. As these ultrasound wands are freely available, it’s good that there’s information like your channel that is reliable and accurate. Thanks.

[@doreenekelm1911]

WoW!!!:) what a great explanation! By far the best overall lecture on ultrasound I've ever seen, I wish I would have found this video sooner.

[@OrthoEvalPal]

Glad it was helpful Doreene! I did make a mistake. The BNR needs to be low not high as I said. Didn't review the video before posting.

[@sonnyxlbright5904]

@@OrthoEvalPal Thanks for taking the time to make the correction. That was a brilliant presentation nonetheless.

[@Dua._Fatima]

I'm a PT student .This video is very helpful. Thanks a lot

[@OrthoEvalPal]

Glad it was helpful Wani! Much more to come. Feel free to share.

[@choudhuryz7281]

@@OrthoEvalPal Are you PT Teacher?

[@carolingasia1906]

Very well explained and easy to understand 🙏🙏🙏

[@OrthoEvalPal]

Thank you Carol! More to come.

[@harlanhealthproducts3686]

Excellent presentation. I think you may have the BNR info backward. The lower the BNR the better. At 1 w/cm2 and a BNR of 9:1 means there is a point in the ultrasound field that is getting 9w/cm2...that is where the potential for danger lies. Most manufacturers list the highest allowable BNR, as it is expensive and time consuming the test every single ultrasound crystal individually. So, the BNR written on the transducer is likely higher than the actual BNR.

[@OrthoEvalPal]

Yes. I know. I changed it in my description. I can’t believe I said that. I taught modalities for 5 years. Didn’t realize I did it till I reviewed it after and don’t have any video editing skills to change it.

[@aaliyayaseen7096]

I loved your video, very helpful and informative. Thank you 😊

[@OrthoEvalPal]

Glad it was helpful Aaliya!

[@godschild5824]

Nicely explained :-) Thank you!

[@abhinavgupta01]

great video ... for shoulder pain/tear US should be used on which frequency ??

[@shannonnavar4953]

Which portable ultrasound therapy machine would you recommend to use after a lymphatic massage for post op?

[@Redeemed4God]

THANK YOU so MUCH... So well explained

[@svenhansen9618]

Wow, so informative, thank you.

[@velak4520]

Great video, thank you for sharing the info, i would like to know if the head also gets warm? Is it normal if it gets a hot?

[@MediReads]

Thanks for the video. It was helpful.

[@OrthoEvalPal]

You're welcome Dr. Islam!

[@florampeka]

It's very usefully and minerals materials, thank you Sir

[@donnasargentelli]

Very informative, nicely done

[@TheRehabDoc]

Nicely explained 👌

[@OrthoEvalPal]

Thank you!

[@jasonstone5022]

This was a great video. Question, for plantar plate in foot treatment, pulsating or continuous ultrasound?

[@OrthoEvalPal]

I would do pulsed at 50%

[@cliffcarder8246]

Thanks for the very informative video. I had a steroid injection for plantar fasciitis last week (which has helped at all). Would it be safe to use ultrasound so soon after an injection please? 🙏🏻

[@deepikageleda6750]

Loved this video... Can you make a video on IFT?

[@alisyed3896]

Hi Paul This is great content. Please upload more videos like this on other manual and electro therapy treatments. This is really helpful especially whilst being a PT student. Thanks Sir

[@eduardolehoux5338]

Excellent explanation! how many minutes an ultra sound session should last for the hamstrings?

[@OrthoEvalPal]

7-8 minutes

[@sonnyxlbright5904]

I just want to say a big "thank you", for making this video !!

[@AlabasterPeacock]

Great explanation, thank you

[@lanael7278]

Is it possibly to use trasound on the jaw for nerve recovery after double jaw surgery?

[@k.krishna8316]

It's so Amazing 🔥🔥😌😌😌

[@OrthoEvalPal]

Thank you!

[@PB-jq5du]

What about using a 1 mega Hertz ultrasound, set at .08W/cm2 so no increase in heat, to aid in healing bruised bones that are clear of any fractures? I have a bruised fibula malleolus from an ankle inversion injury and it is still slightly swollen, so id like to know if treating that ankle area for 4-5 minutes, with the above setting, would hasten the recuperation window? I have been using that setting on that entire injury except over the bone protuberances and i have healed wonderfully thanks to you and other videos! Thanks so much

[@kainatshaikh3259]

Thank you so much It really helps a lot❤️

[@OrthoEvalPal]

Glad it helped!

[@isabelalvarez4325]

This is so helpful! Thank you so much.

[@mjclaudianava5397]

Can we use this for Bakers cyst post a motor vehicle accident? there is mild swelling in the popliteal space

[@Darkmaster_69]

Great video tons of good info

[@shemitch]

Very informative. Thank you!

[@cyclistpete]

Great informative video. Thanks Paul!

[@irec1983]

Hi Paul. I am looking for ultrasound training with certificate of training. Do you teach ? If not maybe you know training provider for ultrasound ?

[@williambirtles6945]

Hi, thanks for this. I am going to be using this for self treatment of chronic tightness and soreness of leg muscles post spinal stenosis corrective surgery 3 years ago. May I ask a question? How many areas would it be ok to treat at one time? What distance should I keep between the sites? Would it appropriate to treat the tibialis of one leg and then the other in one session? If I treat sites at different times of the day, how should I pace it?

[@waheguruwaheguru9176]

V nicely expained 🌴🙏

[@OrthoEvalPal]

Thank you!

[@sherlock635]

I have plantar fasciitis. What would your recommendations be as far as watts, MHz and continuous or pulse. Also, what length of time for a treatment would you recommend. Most of the pain is on the heel but seems to be progressing to the arch as well. I appreciate any advice you could give me.

[@jonathanamoatey5561]

Hi Paul, is ultrasound to scarring of palm caused by thermal burns effective? And also to contracture?

[@dontatme7]

Be careful with these devices, it is too easy to accidentally burn the muscles tissues and cause cellular damage and permanent scarring in the muscle tissues

[@bestsk8eva]

thank you for the thorough explanation

[@kaylaonquads3067]

Great video! Thanks :)

[@OrthoEvalPal]

Glad you liked it Kayla!

[@pretikasingh7509]

Very informative 👏. My question: is whats the difference between pulse and intermittent?

[@obinnaaludu4028]

you said something about wattage but didn't go too deep on it. Could you please elabore more on it?

[@shaziafarrukh9264]

A very informative video

[@OrthoEvalPal]

Glad you liked it Shazia!

[@queenestherpeter3144]

Well explained thank you, on question is Pulsed same as intermittent?

[@AlbertoMarioStriedingerPinilla]

Hola, great video ! Is there any ultrasound machine you recommend for 3 MHz..???😊

[@RB-gt8bf]

great video....can this type of therapy be used for partial torn rotator cuff ...I am going to be starting PT for this

[@differentdeep2873]

Hello Paul, My mum is having a pacemaker and is experiencing sharp pain in the lower back area. Is it advisable to use UST /IFT physiotherapy???? I am asking this question cause one physiotherapist in our area is saying that we can apply these ultrasound therapies on the patients having PPM after making some adjustments.

[@georgelogothetis4850]

Do you have specific settings for supraspinatus tendonitis with joint effusion?

[@jessicab5585]

Hi Paul, this video is very helpful. I would like to ask you about people who have spinal cord stimulators, but have pain in other body parts. If they have a RTC Issue, would US be contraindicated for the shoulder?

[@valerieleidal7594]

I am wondering about using ultra sound on my surgically repaired hip fracture to aid in healing would it be of benefit? Surgery was on April 12, 2022. I am exercising as recommended, walking outside with cane doing well with it. Trying to move around house without cane. Would ultra sound be of use to help healing along with exercise and my walking routines?

[@johnprice1914]

Thankyou for a very informative vlog!.. very helpful indeed..I have a Homecare altrasound devise and have had this unit for a couple of yrs now!.. I've just come to realise that apart from the unit being able to pulse, The head also should vibrate but it had never done so since buying the unit!.. would you know whether this is a reference to the pulse or should the device be able to vibrate as well as pulse too? Again, thankyou for your video.

[@OrthoEvalPal]

Hi John, the pulse mode does not make the head vibrate. That would be a totally different mode.

[@johnprice1914]

@@OrthoEvalPal many thanks for the info.

[@oddoddodd]

@OrthoEvalPal if there's a injury in the abdominal area can you do therapeutic ultrasound in that area or is that a dangerous area

[@dhairyamistry714]

Can you please say the dosage in case of acute and chronic conditions!?

[@SharonRKRandolph]

What brand of machines do you use and are recommended for personal use?

[@sandrabailey8413]

what type of gel can you use with the ulta sound from Revitive Medic

[@mohamedyousef1197]

Thanks for this useful video, the best one for ultrasound machine! I have a Kienbock’s disease and I never found any video for Kienbock disease therapy. Would you please upload a video for Kienbock therapy including ultrasound? I also have an ultrasound therapy device (US 1000 3rd edition) do you think this one could be effective for blood flow for the lunate bone since it lacks blood flow?

[@ruchirapatil9255]

Thank u 👍👍. If anyone has frozen shoulder can he use on bony area of shoulder

[@20kafu]

What is the intensity you recommend for plantar fascitis ? Acute pain

[@OrthoEvalPal]

1.2 W/cm2, 50% pulsed, 3 mHz, 7-8 min

[@williamprescott6432]

Do you think it would be effective and safe to use with someone that had a wrist fracture that had stiffness after the cast came on and it was totally healed? And what setting would you use if you thought this was appropriate? Thanks

[@leandrachapa9974]

I am needing to know what causes air bubbles in the medium that is used during treatment? What would the air bubbles indicate in this situation? This was a question that I know was taught to me but I cant seem to make it stick and remember it! Thanks!

[@Rummelta]

What’s better shockwave or ultrasound?

[@maggiebarragan3199]

Love this video ❤ very helpful. I bought a ultrasound machine comes with two handles Brand: Strive Enterprises Ultraso-und Thera-py 1 & 3 MHgz Machine : Hercules 103 Instructions are very bad explaining how to use. I have to tread a big area I understand I have to use the handle the covers bigger area, an my case both look the same but the conectores looks different one have 3 and the other two. question which one should I use? Or they both need to be connect it? can be just one. Can you tell me how should I use this please

[@MelAssi]

It's very helpful sir thank you very much for the information.

[@sbee413]

Hey 👋 great video. I have a question. I work in a nursing home and have a patient with hand/wrist contractures bilateral. We don't have diathermy or paraffin so I was going to do thermal ultrasound over the flexor tendons on volar aspect of forearm and stretch. Any pointers or better ideas? Thanks

[@OrthoEvalPal]

Good idea. Low load stretching. Have you considered night splints?

[@sbee413]

@OrthoEvalPal thank you for your response! The patient is severely contracted so I was going to start with palmer splints or "carrot" hand splints, then hopefully progress to resting hand splints.

[@AG-wg1sy]

what settings would you suggest for the hip & lower back?

[@MarleneMacdonald-h5w]

how often one can use ultrasound to 'treat' fibrose? chin lipo! Thank you.

[@xiaolingchen-i1t]

what is the recommendation for for post op recovery for swelling around abdomen and upper arms? Mhz, u/s session time, continues or pause? and how about neck, back or shoulder pain? or ankle pain with metal plate?

[@soft_threads]

If you don’t mind me asking you is ultra sound therapy okay to be used on an implant area

[@OrthoEvalPal]

No, you should not

[@jonathonmui4356]

can use ultrasound or IF-4000 on hand/wrist bone

[@markhooper5822]

Hi paul i have my index finger not bending much due to a fracture. It is healed now but is very stiff middle knuckle. Has lump on top and around knuckle. Probably why its so stiff im trying to get finger bending again. Ive purchased a ultrasound to help and been using bandage to try bend and hold knuckle

[@dougferguson5581]

Is is used for arthritic pain? Anckles...feet. wrists.

[@mikebike777]

@orthoevalpal 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

[@OrthoEvalPal]

At those settings you could use a stationary sound head

[@Annie59Oakley]

Can we use this to help with lower leg lymphedema?

[@amandasteven1400]

thanks for the info kind sir! i use ultrasound therapy on myself for osteoarthritis shoulder pain maybe once or twice a week with good results. jst curious... can we overdo it? i mean, might there be deleterious effects if i continue to do this for weeks or even months on end? i wish i knew

[@tanvirtimes2217]

Sir Please make a video about Deference between ultrasound and IRR

[@jensenconcrete]

I've had few injuries to my feet and left ankle. Had a cut that cut into right ankle. Cutting bone 1/3 way through. left one didn't cut bone. Lastly I broke both heals, falling two stories. I have bad pain in my feet. Not joint, but heals, sides and top of my feet. I"m considering seeing a guy that does sound therapy. Just got his name, haven't contacted him yet. I had ultrasound therapy on my hip once, after it got hit by a tree truck. It worked. I was thinking of trying this guy. But if works? Of buying a ultrasound machine. What do you suggest with my pain? I HATE pain pills. It's difficult to go to sleep with pain. The sheets and blanket weight hurts my feet. I get sharp jabs, catch/give out pains. I NEED help

[@happyhealing2217]

Thank you sir

[@anthonyba141]

So I been on a keto diet for 5 months and I have noticed pain increasing every time I do biceps curls and pain on my forearm im not sure if from the diet from loss of minerals but I got a ultrasound machine what setting do you recommend thanks? And what area do I Target?

[@nerminemikhail457]

can we use it for patients with prostheses? after hip replacement?

[@lysary1159]

Thank you

[@normandelise948]

... Would this help in treating lipodermatosclerosis in advanced stage ?? ...

[@OrthoEvalPal]

Probably not

[@RawLoveRaw]

Hi. Great video. Could you explain more about the pulsing please. My machine has pulse ratio 10, 20, 50 and 100. Which should I use? I have quite severe tennis elbow / tendonitis- Pain when lifting with the palm face down and sensitive when pressed near the elbow. I am using a Metron accusonic. There are also two settings - 'watts' and 'watts/cmsq'. Can you please instruct me on this. Thank you.

[@DamienMearns]

I am a great fan of US , but for tennis elbow the thing to go for microcurrent

[@Glenda-rd9df]

Is ultrasound affective for a shoulder that is bone on bone?

[@danjohnsonspam]

I think you mention piriformis at 3:45? That was actually one of my questions... You say it only penetrates 4cm, so in areas that have a lot of subcutaneous fat (like the gluteal region), are the muscles even close enough to the surface of the skin to be reachable by the ultrasound waves? Does it depend on how overweight/in shape the person is? I pulled what I believe is my glute max and would like to try ultrasound at home. I'm not excessively overweight, but my butt is slightly chunky, so I'm wondering if ultrasound will work...

[@Giovanni-c5e]

Sir: Thanks for great video. Can Ultrasound device be used at home for Bone Metatasis pain I the leg. Thanks a million from John, Hongkong

[@anjanaanju504]

Ultrasound therapy has applied on my spine directly from past 3 days by physiotherapist for back pain. Will there be any impact on ny spine ?

[@OrthoEvalPal]

Should not be a problem

[@anjanaanju504]

@@OrthoEvalPal thanks for your responses

[@RS-rx3zh]

Very helpfull.thanks alot. one question - can we use it for Lymphatic nodes which are swollen but doesnt pain....? Does it cure ?

[@bluetronikk]

Great question.

[@justineramos8002]

Hi, great video indeed.. however you mentioned higher BNR the better.. should it be the other way? The lower the better and more uniform? Most of literature says this way. Can you enlighten me? Thanks!

[@OrthoEvalPal]

OMG Justine! I can't believe I said that. I must have been have been thinking of the old units that had a poor ratio. Yes you want it to be closer to 2:1. This won't be easy to fix. Thank you for picking that up!

[@christine460]

​@@OrthoEvalPalmaybe if you pin her comment then it will stay at top so that people watching video will see your correction. :)

[@erindorr8268]

Thanks for this info, Paul! Do you know of a good training or certification program for therapeutic ultrasound?

[@elizabethstrickler6635]

Is it safe to use a 3 MHz unit on the suprahyoid muscles, being sure to stay above the thyroid cartilage and hyoid bone?

[@javedarshad9574]

can it be used for peripheral neuropathy

[@OrthoEvalPal]

Could be but not helpful in my opinion