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DNPR — Dr Nasir Physiotherapy & Rehabilitation

Explained

Ultrasound Therapy

In short

Therapeutic ultrasound passes high-frequency sound waves into tissue through a gel-coated head, producing gentle deep warming. It is widely used for soft tissue pain, though the evidence for it is modest, and it works best as an adjunct rather than a primary treatment.

A hand-held head is moved over the skin through a coupling gel, sending high-frequency sound waves into the tissue beneath. The waves cause tissue molecules to vibrate, producing gentle deep warming and mechanical effects.

What it is used for

Soft tissue injuries, tendon and ligament pain, muscle spasm and joint stiffness. Sessions typically last five to ten minutes over a small area.

What to expect

Usually nothing at all — most people feel mild warmth or nothing. It is painless.

The honest position on evidence

This is one of the most widely used machines in physiotherapy and one of the least well supported by research. Studies show modest effects at best for most conditions, and it consistently underperforms exercise-based treatment.

We use it as an adjunct where it seems to help an individual patient, and we do not present it as the treatment. A clinic whose plan for you is ultrasound and heat, with no exercise, is not treating the problem.

When it is avoided

Over the abdomen in pregnancy, over cancerous tissue, over a pacemaker, over growing bone in children, and over areas of impaired sensation or circulation.

Is this right for you?

Whether a technique helps depends on your diagnosis. An assessment tells you what will actually work for your problem.

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Other techniques

Frequently asked questions

Does ultrasound therapy actually work?
The evidence is modest. It may help some soft tissue conditions in the short term, but it consistently underperforms exercise-based treatment and should not be the main component of a programme.
Is it the same as a diagnostic ultrasound scan?
No. Diagnostic ultrasound produces an image. Therapeutic ultrasound delivers energy into the tissue and produces no picture.
  • Assessment before every plan
  • 10 qualified therapists
  • 52,883 sessions in the last year
  • Centre & home visits
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