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gblauer
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Jan 17, 2013, 1:48 AM
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Just wondering if anyone knows if you can use an ultra sonic bone healer on tendonitis. Thoughts?
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lena_chita
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Jan 17, 2013, 3:36 PM
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gblauer wrote: Just wondering if anyone knows if you can use an ultra sonic bone healer on tendonitis. Thoughts?
Not sure if ultrasonic bone healer is the same thing as just ultrasound, but if it is, then Dr. Julian Sanders ("ask Dr. J" in Rock and Ice) does not think so. I believe he had cited studies that had shown the ultrasound not to be effective for tendonitis in some of his columns.
But I do know that a lot of PTs will use it. It seems to me that this is the kind of treatment that won't do any harm, even if it doesn't help, so if you have access to an ultrasound machine free, you could try and see for yourself. But paying someone $30/pop to do it during office visits to PT may not be the most efficient use of your money.
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gblauer
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Jan 17, 2013, 3:41 PM
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Mitch has an Exogen 4000 that he is using for his wrist. I was going to try it on my forearm. I guess I will ask his hand doctor and get his opinion.
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Jnclk
Jan 17, 2013, 3:51 PM
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Have you tried a dedicated peroid of PT monitored by a therapist in conjuction with a period of relative rest from offending activities? This has proven results. I can't imagine you'll find any supporting research for the ultra sonic bone healer's ability to resolve tendonitis.
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amarius
Jan 17, 2013, 4:19 PM
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A quick search of scholastic articles on google comes up with a bunch of summaries claiming beneficial effects on tendon healing.
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gblauer
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Jan 17, 2013, 4:25 PM
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Yeah, I found that as well. My concern is that the exogen 4000 is pre-programmed for bone healing. There are no settings on the machine. Would I be helping or hurting my situation by using it. I have no idea...
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gblauer
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Jan 17, 2013, 4:26 PM
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I have rested for 6 months (when I had foot surgery). No change in tennis elbow.
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amarius
Jan 17, 2013, 4:53 PM
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Well, I'll assume that you are lack technical equipment to measure power output.
I would suggest the following work flow -
The device is FDA approved, hence it has to use approved protocols - with defined duration and power output.
I would search published literature for ultrasound therapy for bone healing protocols for frequencies, durations, power levels and compare it to published data for tendons.
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Jnclk
Jan 17, 2013, 6:00 PM
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How about PT? Rest alone usually doesn't solve the problem.
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altelis
Feb 7, 2013, 3:11 AM
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Given that there isn't really great convincing data behind the many different devices marketed to promote bone growth, and that's the primary use most people prescribe them for, I would be shocked if there is any real evidence on their usefulness for soft tissues.
Most orthopedists (primarily spine surgeons after fusion procedures) that I know that use them use them because patients ask about them, and their response is- hey, doesn't hurt, why not try?
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