Does ultrasound therapy effectively treat injuries?

Is there evidence or clinical trials that prove ultrasound is an effective treatment for injuries? If physical therapists have been using ultrasound for 60 years and receive payment through medical insurance for it, I assume there are clinical trials that prove its effectiveness. I guess it’s good for pain and healing. I found information here ( electrotherapy.org/modalities – under ultrasound ) but it is very technical and sometimes confusing. There are significant clinical trials and studies here ( doesultrasoundtherapywork.blogspot.com ) but not enough, and surprisingly, all the studies seem to say it has a placebo effect, except for one. Some PTs and athletic trainers say its only good for some injuries, but which ones? – e.g. Knee injuries, shoulder injuries, musculoskeletal injuries, tendinitis, tendon tears, bone injuries. Can you please address the studies found on these sites and find studies that support ultrasound therapy? Even though you may be a PT, I would still like to see some evidence – no offense intended. Thanks for reading!
Also ankle sprains, etc.
I see that a PT did exactly what I asked not to do, instead of addressing the studies, he just stated what theoretically happens when ultrasound is applied to tissue. As you can see from my research, this is not sufficient. Address the clinical trials, if you would. Thanks.
Mistify: Better answer, but still I’m looking for specific studies, and you are right, it is a broad question. I’ll look at the pedro place you said to go. However, the second place I cited above ( doesultrasoundtherapywork.blogspot.com ) seems to list strong evidence against ultrasound therapy.
Mistify & Anyone Interested: It seems, you didn’t look close enough at the articles. 6/11 articles are legitimate clinical trials, while the other 5 are pretty decent systematic reviews. For example, the 3rd article deemed 10 out of 35 clinical trials fit to review, 2 supported ultrasound, while 8 were against it. (I bet those two were good one’s two)
I definitely don’t take anything at face value. I checked, all the articles, except for that random Nigerian one, are obviously from good sources (Oxford, Cochran, JAPT). After some of the clinical trials, you are right that they say more studies should be done. Yet, that does not discount their clinical trials. I don’t see any trials supporting ultrasound, which can’t be! Mistify, I did a search on Pedro, and came up with the same studies that are listed on that page.
I think it is the way I’m looking at it. Correct me if I’m wrong, but I’m starting to conclude that once Doctors charge cash for a treatment (take money from hard working
people) they should have strong evidence to support that treatment, or it is unregulated like the sham elixirs of the early 1900s. As a runner, I’m holding out hope that ultrasound works, but the evidence seems to the contrary.

Treatment for sprained ankle and tendinitis not working?

Over a year ago, my left ankle started hurting. I have no idea what has caused it. I went to the Dr for it 12 months ago. He said I wasnt limping, I was fine. He gave me meds for tendinitis and I never went back to him due to the way I was treated. Now my ankle is killing me. I can walk with tolerant pain,
When I move my left foot down and inward, the ankle hurts so bad and sends a sharp pain towards my toes. even something as minor as the blanket being pulled over my foot the wrong way makes me want to cry.

Ive done the rice treatment- no help, Ive tried an ace bandage and an ankle brace- no help because i can still move my ankle

Im seriously at my wits end over this. I hate to go back to the Dr only to be called a faker. Does anyone else have any suggestions please?
Seeing a different Dr would be fine, but would they need the records from the Dr I already went to?

Ive had back pain due to Sports injuries. Can Marijuana be a treatment?

Hello! Im soon to begin school in Sacramento, CA. Im 19 years old and Ive played Baseball for about 15 years. But after playing for so long i have had many injuries. Shoulder injuries, knee, and back. I used to be a Catcher to those familiar with the sport and when your kneeling down behind the plate it gets pretty rough. But this year i just couldn’t take it because of my back and knee. Ive had to go to Chiropractors since i was 13 for adjustments but i always found myself back in his office because of baseball. I have recently tried marijuana through vaporizing and every time i would smoke, my back would loosen up and im able to relax. not only that, ive had less stress and better sleep. I don’t have a cannabis card yet but i feel that smoking marijuana really helps out. i was wondering what every ones thought is on my situation. This is a serious question and i please request serious answers.
Thank you.
Because of school, i sadly wont be playin baseball anymore. My knee and shoulder injuries are fairly recent injuries but ive had back problems since i was around 13. Ive been told by my chiropractor that i do special back stretchs but it doesnt fix it. during the day my back will just ache.

what to do about tendonitis/tennis elbow caused by weightlifting?

I have been lifting weights for upper body twice per week for about 2-3 years now, I lift heavy…most sets are 6-8 reps.

Lately, I have had serious elbow pain, particularly when my arm is bent. Is there a way to fix this problem aside from stopping lifting altogether?

Is there something about my workout routine in particular that caused my problem? Too much pushing or pulling movement? Should I mix up the routine? Or is it just overuse in general? Seems to flare up most during chest exercises.

My routine is as follows, and has been the same for the entire 2-3 years that I’ve been lifting:

Chest:
40 pushups to warm up
Flat barbell bench press, 3 sets (one light warmup, two heavy)
15 degree incline dumbell press, 2 sets
30 degree incilne dumbell press, 2 sets
45 degree incline dumbell press, 2 sets

Lats:
Wide grip pull ups (palms facing out) to warm up
Wide grip pull ups with added weight, 2 sets
T-bar rows, 3 sets
Bent dumbbell rows, 2 sets

Shoulders:
Side lateral raises, 3 sets
Smith machine shoulder press, 3 sets
Upright rows, 3 sets
Shrugs, 2 sets

I don’t do any isolated arm exercises.

What else can I do for a separated shoulder, bicep tendinitis, if anything?

I’ve had a separated shoulder for almost a month. I’ve been laying off of it, which has meant not working, doing all the exercises regularly, icing it, ibuprofen, etc. It basically feels exactly the same as it did a month ago.
The exercises I have are regular range of motion stuff, resistance with a stick and light weights.
I can’t afford and am not covered for PT, just wondering if anyone has additional suggestions. I feel like I’ve been doing everything I can. Maybe I just need more time. Anyway, thanks…

my shoulder pops and snaps, injury last year?

last year I nearly dislocated my shoulder, I saw an orthopedica doc and got treatment for it. I’ve done well for nearly a year. Well the past few days my shoulder has been making some popping and snapping sensations. Its a little sore and feels a bit tight but not too painful. I don’t want to reinjure it. Does anyone know what I can do about it? I can’t see my old orthopedic doc. I’ve been considering wearing my sling for a few days and doing ice therapy and some of the exercises I did before. is this a good or bad idea? I’m just wondering if the popping with movement is a warning sign. I don’t want to go to the doc if I can help it. I will have to establish care with a new orthopedic doc. the symptoms are mostly an annoyance
knowledgable help from either a medical professional or anyone that experienced a shoulder injury would be appreciated, thanks
previous physician would not order an MRI despite my request. my injury happened during the contrast dye shortage last year and MRI requests were backed up for months. I nearly dislocated it by simply lifting groceries. it was a bizarre injury. it didn’t come all the way out of the socket

Pitchers that had Tendinitis, Come in…?

Ive had shoulder tendinitis a year ago, and met with a doctor. she sent me to a physical therapist, and she sounded as if it wasn’t anything that big. To me it’s something that has really changed my life. I can no longer pitch the way I did. To be honest, I haven’t bee doing the exercises that she assigned, I do them once In a while, but don’t you think the rest Ive given to my arm (months) my shoulder would’ve be fine by now? My shoulder is still not fine, because as I throw I can here a small cracking sound and the hand sort of separates from my body (No its not a labrum problem, just had MRI)

Anyways, the pitchers that have gone through tendinitis, are you able to throw now? how long did the healing take you.

Tendonitis Stretches / Exercises?

Hey guys I have the -itis in my pitching shoulder (Left handed). I throw daily and it still hurts, and its not like im even throwing hard or anything, just airing it out. I stretch and ice my arm everyday, and I’ve been using the icy hot patches and putting it on the inflammed area (rotator cuff) Does any1 know anything i could do to maybe get rid of it, like stretches or light dumbell exercises so there is less pain.

Right arm pain..how to get rid of it?

I got injured on the job at the end of May. To be specific, my right wrist. My doc said it was tendonitis. To make a long story short…I was out for 3 months during that time I kept my wrist in a splint type brace. About half way through the 3 months my elbow, forearm and shoulder started hurting also. I took IBprofen everyday and I iced it every night and kept wearing the brace. The beginning of Aug I had a 2nd opinion apt. And that doc said the brace was causing the extra pain and to not wear it anymore.
So my question is It’s now been a month since I stopped wearing the brace, it doesn’t hurt as much or as frequently but it DOES still hurt. It’s been almost 4 months.
What can I do to make it better???
I’ve been out of work for 3 months and for the past 3 weeks I haven’t been getting paid. I need a new job, but don’t want to re-injure myself.
Any stretches I can do? (I know the pull wrist stretches). Weight lifting excersises?
Do you think a bad mattress adds to it?
Maybe the way I sleep?
I’ve been to 3 kaiser doctors, 2 workers comp doctors, and a physical therapy doctor.
I’ve had x-rays it’s not bones, i don’t need surgery. I believe it is tendonitis like ALL of them told me, it just isn’t going away after following everything they’ve told me to do. And I’m tired of taking ibprofen everyday

my shoulder pops and snaps, injury last year?

last year I nearly dislocated my shoulder, I saw an orthopedica doc and got treatment for it. I’ve done well for nearly a year. Well the past few days my shoulder has been making some popping and snapping sensations. Its a little sore and feels a bit tight but not too painful. I don’t want to reinjure it. Does anyone know what I can do about it? I can’t see my old orthopedic doc. I’ve been considering wearing my sling for a few days and doing ice therapy and some of the exercises I did before. is this a good or bad idea? I’m just wondering if the popping with movement is a warning sign. I don’t want to go to the doc if I can help it. I will have to establish care with a new orthopedic doc. the symptoms are mostly an annoyance
knowledgable help from either a medical professional or anyone that experienced a shoulder injury would be appreciated, thanks
previous physician would not order an MRI despite my request. my injury happened during the contrast dye shortage last year and MRI requests were backed up for months. I nearly dislocated it by simply lifting groceries. it was a bizarre injury. it didn’t come all the way out of the socket