Therapeutic Ultrasound

To date, there seems to be little evidence to support the use of ultrasound therapy in the treatment of musculoskeletal disorders. The large majority of randomized placebo-controlled trials with adequate methods did not support the existence of clinically important or statistically significant differences in favour of ultrasound therapy.

Limited evidence suggests that the application of continuous ultrasound in patients with chronic pain, caused by degenerative changes in the musculoskeletal system, may lead to a clinically significant reduction in pain. Additionally, there is some evidence that therapeutic ultrasound has a small effect on improving low-back function in the short term, however, more evidence is required to draw any firm conclusions on efficacy.

Essential Literature

EFFECTS OF THERAPEUTIC ULTRASOUND AND EXERCISE ON PAIN, FUNCTION, AND ISOKINETIC SHOULDER ROTATOR STRENGTH OF PATIENTS WITH ROTATOR CUFF DISEASE
Analan et. al. 2015
Conclusion:
In patients with rotator cuff disease, physiotherapy interventions effectively treat the pain, improve the clinical status, and increase the muscle strength of the shoulder ER at a low constant angular velocity, with functional improvement being seen immediately after treatment. However, at the end of the intervention, the US had yielded no additional efficacy to the physiotherapy treatment regimen of the patients with rotator cuff disease.
 

THERAPEUTIC ULTRASOUND FOR CHRONIC LOW-BACK PAIN.
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Conclusion:
No high-quality evidence was found to support the use of ultrasound for improving pain or quality of life in patients with non-specific chronic LBP. There is some evidence that therapeutic ultrasound has a small effect on improving low-back function in the short term, but this benefit is unlikely to be clinically important. Evidence from comparisons between other treatments and therapeutic ultrasound for chronic LBP were indeterminate and generally of low quality.

THERAPEUTIC ULTRASOUND AND PAIN IN DEGENERATIVE DISEASES OF MUSCULOSKELETAL SYSTEM
Mirsad Muftic, Ksenija Miladinovic 2013
Conclusion:
The results of this study showed that application of continuous ultrasound in patients with chronic pain, caused by degenerative changes in the musculoskeletal system, led to a significant reduction in pain. Different intensity and duration of ultrasound application showed no significant effect on the degree of pain reduction. Body mass index showed significant negative correlation with the degree of pain reduction, but age, gender and location of pain did not show significant correlation.

THERAPEUTIC ULTRASOUND FOR CARPAL TUNNEL SYNDROME
Page et. al. 2013
Conclusion:
There is only poor quality evidence from very limited data to suggest that therapeutic ultrasound may be more effective than placebo for either short- or long-term symptom improvement in people with CTS. There is insufficient evidence to support the greater benefit of one type of therapeutic ultrasound regimen over another or to support the use of therapeutic ultrasound as a treatment with greater efficacy compared to other non-surgical interventions for CTS, such as splinting, exercises, and oral drugs.