Therapeutic ultrasound

Therapeutic ultrasound
ICD-10-PCS6A7
ICD-9-CM00.0

Therapeutic ultrasound refers generally to any type of ultrasonic procedure that uses ultrasound for therapeutic benefit. Physiotherapeutic ultrasound was introduced into clinical practice in the 1950s, with lithotripsy introduced in the 1980s. Others are at various stages in transitioning from research to clinical use: HIFU, targeted ultrasound drug delivery, trans-dermal ultrasound drug delivery, ultrasound hemostasis, cancer therapy, and ultrasound assisted thrombolysis[1][2] It may use focused ultrasound or unfocused ultrasound.

In the above applications, the ultrasound passes through human tissue where it is the main source of the observed biological effect (the oscillation of abrasive dental tools at ultrasonic frequencies therefore do not belong to this class). The ultrasound within tissue consists of very high frequency sound waves, between 800,000 Hz and 20,000,000 Hz, which cannot be heard by humans.

There is some evidence that ultrasound is more effective than placebo treatment for treating patients with arthritis pain,[3] a range of musculoskeletal injuries[4] and for promoting tissue healing.[5]

  1. ^ Mo S, Coussios CC, Seymour L, Carlisle R (December 2012). "Ultrasound-enhanced drug delivery for cancer". Expert Opinion on Drug Delivery. 9 (12): 1525–1538. doi:10.1517/17425247.2012.739603. PMID 23121385. S2CID 31178343.
  2. ^ "Therapeutic Ultrasound: A Promising Future in Clinical Medicine". Archived from the original on October 12, 2007.
  3. ^ Wu Y, Zhu S, Lv Z, Kan S, Wu Q, Song W, et al. (December 2019). "Effects of therapeutic ultrasound for knee osteoarthritis: a systematic review and meta-analysis". Clinical Rehabilitation. 33 (12): 1863–1875. doi:10.1177/0269215519866494. PMID 31382781. S2CID 199452082.
  4. ^ Uddin SM, Komatsu DE, Motyka T, Petterson S (June 2021). "Low-Intensity Continuous Ultrasound Therapies—A Systematic Review of Current State-of-the-Art and Future Perspectives". Journal of Clinical Medicine. 10 (12): 2698. doi:10.3390/jcm10122698. PMC 8235587. PMID 34207333.
  5. ^ Leighton R, Phillips M, Bhandari M, Zura R (June 2021). "Low intensity pulsed ultrasound (LIPUS) use for the management of instrumented, infected, and fragility non-unions: a systematic review and meta-analysis of healing proportions". BMC Musculoskeletal Disorders. 22 (1): 532. doi:10.1186/s12891-021-04322-5. PMC 8196464. PMID 34116673.