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

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👉👉Looking for Ultrasound units? Give Medcor Professionals a call (207-222-2828) This is a great company. Tell them you heard about it on the Ortho Eval Pal RU-vid Channel.
My apologies!!! I mixed up the BNR ratios. You want a LOW BNR not a high one. All new machines are pretty low so you don't need to worry much. Other than that, the rest of this video is accurate. Enjoy!
In this video, Therapeutic Ultrasound-How it works and when to use it, I cover a lot in a short time. I discuss the mechanism of how it works, I review how to make it a more effective modality, when to use it and when not to use it and much more.
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Опубликовано:

24 июл 2024

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Комментарии : 246

@bijanleila1 10 месяцев назад

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.

@malakiangyn19 3 года назад

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

@OrthoEvalPal 3 года назад

Thank you Henrique! I have lots more to come.

@dlb3483 2 года назад

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 Год назад

Glad you enjoyed it

@sarahayez5696 2 года назад

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

@OrthoEvalPal Год назад

You're very welcome!

@Arvinchen2022 4 месяца назад

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

@peterlinn2366 3 года назад

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 3 года назад

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 Год назад

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

@doreenekelm1911 3 года назад

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 3 года назад

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 3 года назад

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

@aaliyayaseen7096 2 года назад

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

@OrthoEvalPal 2 года назад

Glad it was helpful Aaliya!

@alisyed3896 2 года назад

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

@slam854 2 года назад

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 2 года назад

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

@priyanthibandaranayake9551 17 дней назад

This is so helpful, Thank you so much 😊

@velak4520 3 года назад

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?

@isabelalvarez4325 3 года назад

This is so helpful! Thank you so much.

@zzsql 6 месяцев назад

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 6 месяцев назад

Best of luck!

@Iamravenschild 4 месяца назад

Did it work?@@OrthoEvalPal @zzsql

@floraleonard9095 2 года назад

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

@bestsk8eva 3 года назад

thank you for the thorough explanation

@carolingasia1906 Год назад

Very well explained and easy to understand 🙏🙏🙏

@OrthoEvalPal Год назад

Thank you Carol! More to come.

@cyclistpete2090 2 года назад

Great informative video. Thanks Paul!

@svenhansen9618 2 года назад

Wow, so informative, thank you.

@turn-n-burn1421 2 года назад

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.

@Dua._Fatima 3 года назад

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

@OrthoEvalPal 3 года назад

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

@choudhuryz7281 Год назад

@@OrthoEvalPal Are you PT Teacher?

@shemitch 3 года назад

Very informative. Thank you!

@pretikasingh7509 2 года назад

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

@MelAssi 3 года назад

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

@RB-gt8bf 3 года назад

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

@MediReads 3 года назад

Thanks for the video. It was helpful.

@OrthoEvalPal 3 года назад

You're welcome Dr. Islam!

@abhinavgupta01 2 года назад

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

@jessicab5585 2 года назад

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?

@queenestherpeter3144 3 года назад

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

@godschild5824 Год назад

Nicely explained :-) Thank you!

@cliffcarder8246 Год назад

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? 🙏🏻

@mohamedyousef1197 Год назад

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?

@shannonnavar4953 3 года назад

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

@AlabasterPeacock 2 месяца назад

Great explanation, thank you

@jasonstone5022 5 месяцев назад

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

@OrthoEvalPal 5 месяцев назад

I would do pulsed at 50%

@sonnyxlbright5904 3 года назад

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

@maggiebarragan3199 Год назад

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

@deepikageleda6750 3 года назад

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

@kainatshaikh3259 Год назад

Thank you so much It really helps a lot❤️

@OrthoEvalPal Год назад

Glad it helped!

@Whutup549 Год назад

Great video tons of good info

@Paul_Runkles Год назад

What are the three elements that make up the sound head? Also, great video, very educational, and I appreciate it.

@williambirtles6945 10 месяцев назад

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?

@amandasteven1400 2 года назад

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

@AlbertoMarioStriedingerPinilla Год назад

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

@InfiniteSoul4474 2 года назад

Hey! Great video! I felt like it was really descriptive and easy to understand, keep them coming! I really would love to take some online classes about this type of work! If you know where to go to gain more knowledge and earn credits from taking classes, please leave a comment and let me know! Thank you so much, Blessings!

@user-nu4wk3rc9c 2 года назад

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

@user-ov4ce3vj6r Год назад

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?

@ruchirapatil9255 Год назад

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

@Martinbeef Год назад

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.

@mjclaudianava5397 2 года назад

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

@tanvirtimes2217 3 года назад

Sir Please make a video about Deference between ultrasound and IRR

@sherlock635 14 дней назад

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.

@PB-jq5du 2 года назад

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

@TheRehabDoc 9 месяцев назад

Nicely explained 👌

@OrthoEvalPal 9 месяцев назад

Thank you!

@erindorr8268 Год назад

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

@oddoddodd 2 месяца назад

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

@anabell1132 3 года назад

Paul Marquis PT, excellent video!! I have a question for you. I have a Amrex SynchroSonic U/50 Ultrasound machine. What intensity would I use for a hardened breast implant? Also, how long would the duration be? Also, how do I clean my machine? I will be the only one using it. Thank you in advance, Paul. I am allergic to rubbing alcohol, so is there anything else I can use to clean my ultrasound?

@markhooper5822 Месяц назад

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

@georgelogothetis4850 2 года назад

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

@SharonRKRandolph 11 месяцев назад

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

@kaylaonquads3067 2 года назад

Great video! Thanks :)

@OrthoEvalPal 2 года назад

Glad you liked it Kayla!

@leandrachapa9974 Месяц назад

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!

@nerminemikhail457 3 года назад

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

@waheguruwaheguru9176 3 года назад

V nicely expained 🌴🙏

@OrthoEvalPal 3 года назад

Thank you!

@anandkumarkandula6480 2 года назад

If injury is in superficial area like tendons and so , you if try to give ultra sound for deeper tissue like using 1 mhz , Is that superficial area will not be effective ( means we are not targeting superficial tissue) ?

@bchouse4834 3 года назад

Can i use it for my upper back muscle pain in some part of my spinal cord bone

@valerieleidal7594 2 года назад

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?

@happyhealing2217 Год назад

Thank you sir

@AG-wg1sy 2 месяца назад

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

@harlanhealthproducts3686 7 месяцев назад

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 7 месяцев назад

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.

@elizabethstrickler6635 2 года назад

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

@dhairyamistry714 3 года назад

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

@sandrabailey8413 2 года назад

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

@eduardolehoux5338 3 года назад

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

@OrthoEvalPal 3 года назад

7-8 minutes

@cindibowers2633 2 года назад

If doing ultrasound AND matrix therapy, does it matter which you do first? (If doing consecutively before a chiro adjustment)

@lysary1159 2 года назад

Thank you

@danjohnsonspam 3 года назад

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...

@tonydinozzo3501 3 года назад

what's the best sitting position for computer work, if you have hip osteoarthritis?

@shaziafarrukh9264 3 года назад

A very informative video

@OrthoEvalPal 3 года назад

Glad you liked it Shazia!

@naomikariuki7557 3 года назад

Very beneficial

@racebarescscs8728 3 года назад

Thanks!!!

@Annie59Oakley Месяц назад

Can we use this to help with lower leg lymphedema?

@differentdeep2873 2 года назад

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.

@k.krishna8316 2 года назад

It's so Amazing 🔥🔥😌😌😌

@OrthoEvalPal 2 года назад

Thank you!

@huangalden6071 Год назад

Hello Paul, can we use portable Ultrasound probe, for self use, so we have to go hospitals, and it'll cost much more.. Thank you for this video 🙏

@anthonyba141 2 года назад

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?

@jonathonmui4356 Год назад

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

@donchetotosheva4450 2 года назад

Hi Paul , i want to ask you something ;) In our hospital we have US but without 1 to 3MHz parameters. I can change only W/cm2 parameter. And how many W/cm2 and continous or pulsed US can I apply paravertebral for osteochondrosis , and for coxarthrosis ?

@SarkisKlinik 2 месяца назад

Thanks. Can ultrasound therapy or electrotherapy be applied on partial tear of tendons/ligaments of shoulder or knee? Does it cause any exacerbation? If yes, which type of electric current and ultrasound therapy mode to be used? Thanks best Vrej

@dougferguson5581 2 года назад

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

@wigglywrigglydoo 2 года назад

So informative, thank you 😁. Would a manual non electronic device like a tuning fork replicate the same effect as an ultrasound device for sub dermal veins and scar? Can you recommend a manual device and a cheaper electronic ultrasound personal device?

@OrthoEvalPal 2 года назад

No, tuning fork would not work. Not familiar with anything that produces US that is made cheaper.

@RawLoveRaw Год назад

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 6 месяцев назад

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

@buckast3907 Год назад

Will this work with muscle “knots” I have them over my chest and nothing has worked!

@irec1983 2 года назад

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

@obinnaaludu4028 10 месяцев назад

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

@Glenda-rd9df 3 месяца назад

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

@johnprice1914 Год назад

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 Год назад

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

@johnprice1914 Год назад

@@OrthoEvalPal many thanks for the info.

@anntresa3801 2 года назад

Can it be used on a pregnant lady suffering from hip pain?

@IvanIvan011 4 месяца назад

Is 1:1 best duty cycle for pulsating?

@rebeccaschadt7136 2 месяца назад

Hi, I purchased the LG Pro Series Elite ultrasound. It's BNR is a 5, is that ok? I got it for home use. I have a clogged milk duct from breastfeeding which won't budge and this is one of the forms of treatmemt for it, but no one does it in my area. Also, the settings are low to high and 5, 10 or 15 mins, any recommendations? I started with med at 5 mins and I moved the head around the area the whole time, but feel some discomfort. Don't know if I pressed hard which I didn't think I did, but the area is sore anyway. Any thoughts? Usually it takes 3 consecutive sessions if you go to get it done.