Ultrasound is a means of looking through the skin painlessly, as it were, without actually damaging it. It works on the basis of ultrasonic sound waves that are inaudible to the human ear. These sound waves are reflected back and collected by the transducer (ultrasound head). Depending on the hardness of the material being scanned, the sound signals are reflected back louder or softer. This is displayed on the screen in white and black. In this, the harder the material the whiter it appears on the image and therefore the softer the material the darker. So a piece of bone or a calcification is displayed completely white and, for example, fluid from an inflammation is displayed almost completely black. So in this way you can visualize a thin slice of the human body on the ultrasound screen. Because it is noninvasive, meaning we do not enter the human body, ultrasound may be used with physical therapy.

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When can ultrasound be used within physical therapy?

Because of its properties, ultrasound can be used within physical therapy to diagnose softer tissues. This includes detecting such things as muscle tears, tendonitis, bursitis, torn ligaments and other abnormalities of the human musculoskeletal system. Because the physical therapist cannot look deeper into the joint with ultrasound, it is not suitable for assessing the joints themselves, only the surrounding tissue can be seen properly.

So if you have suffered a whiplash, have been walking around with pain in the shoulder, elbow or a heel spur for a longer period of time, physiotherapy can use ultrasound to help clarify your problem and tell more about the affected tissue and the nature of the complaint. With this a clearer prognosis can be made. This may allow you to get back to work sooner, or you may know that you should definitely not start your sports resumption too soon.

What else can ultrasound be used for?

In addition to diagnostics, ultrasound in physical therapy can also be used as a tool for treatment. Within fysiotherapie de Jong we treat chronic tendon complaints with EPTE. This is a treatment method using percutaneous electrolysis. Under ultrasound guidance, an acupuncture needle is inserted into the affected tendon, so the physiotherapist can actually see with ultrasound where it is being pricked, and a light form of current is applied here. The effect of this current form is also clearly visible on ultrasound. Thus, we are sure that we are treating in the right place and this reduces the risks of working with needles in the human body. In addition to EPTE, an injection could also be placed in cooperation with the doctor, this way the injection would always end up in the right place and the effect of this injection will also be greater than a less well placed injection.

So in addition to diagnosing with ultrasound in physical therapy, physical therapy can also use ultrasound to support the physical therapist's or even a physician's treatment.

If you have further questions about ultrasound please contact us.

Team Fysiotherapie de Jong