Treatment FAQ

explain how to avoid internal damage to the patient when an ultrasound treatment is being performed

by Ms. Yesenia Mitchell IV Published 2 years ago Updated 2 years ago

An ultrasound technician, called a sonographer, will apply a special lubricating jelly to your skin. This prevents friction so they can rub the ultrasound transducer on your skin. The transducer has a similar appearance to a microphone. The jelly also helps transmit the sound waves.

Full Answer

When should ultrasound not be used when treating an injury?

In areas with decreased temperature sensation: If your injury prevents you from feeling normal hot and cold temperatures, ultrasound should not be used since you would not be able to report any discomfort or burning sensations to your physical therapist.

What precautions should be taken when using therapeutic ultrasound equipment?

However, simple precautions should be followed for complete operator safety; for example, do not test therapeutic ultrasound equipment on oneself or others (as opposed to diagnostic ultrasound imaging which can be used on volunteer models for training purposes under medical supervision). Patient safety

What are the risks of ultrasound procedures?

Ultrasound examinations and procedures carry different risks depending on the likelihood of exposure to the normal bacterial flora of patients (as discussed below), contact with body fluids and the degree of invasiveness of the US procedure. Adopting a modified Spaulding classification1[15], procedures can be classified into:

What is the objective of the ultrasound infection prevention and control recommendations?

Objectives The objective of these recommendations is to highlight the importance of infection prevention and control in ultrasound (US), including diagnostic and interventional settings. Methods

What to do if you have abnormalities on an ultrasound?

Why do doctors order ultrasounds?

Why do ultrasound transducers rub on skin?

What is an ultrasound scan?

What do you do before an ultrasound?

How do sound waves echo?

Is ultrasound a risk?

See more

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What are the common injuries or conditions that ultrasound is used for?

In the lower extremity, ankle sprains, muscle injury and groin pain are the most common problems benefiting from imaging, and ultrasound plays a vital role. Tendinopathy, tendon injury and ligament injury are well visualised in the hip, knee, ankle and foot by diagnostic ultrasound.

Can ultrasound treatments cause pain?

It has the potential to produce harm if the heat is left in the same place too long. If, while being treated, you feel discomfort, alert your PT right away. One potential risk with therapeutic ultrasound is that the rapid pressure changes during cavitation could cause a “microplosion” and damage cellular activity.

Are there any contraindications that would prevent the use of ultrasound?

Ultrasound therapy can never be used over the eyes. A lack of sufficient blood circulation combined with the heat generated by the sound waves could lead to damaged retinas or an increased risk of developing cataracts. In general, the treatment should not be applied to the head region.

What is the purpose of ultrasound therapy?

Ultrasound therapy is a treatment used by physical therapists or occupational therapists to relieve pain and to promote tissue healing. While ultrasound therapy is not effective for all chronic pain conditions, it may help reduce your pain if you have any of the following: Osteoarthritis. Myofascial pain syndrome.

What are the negative effects of ultrasound in treatment?

Therapeutic ultrasound has no known harmful effects when done right by your therapist. The therapy will help alleviate body pain in the affected areas. Ultrasound physical therapy is noninvasive; hence, it's safer than other methods.

How do you explain therapeutic ultrasound to a patient?

0:5916:14Therapeutic Ultrasound EXPLAINED | Use, Parameters, & Real ExampleYouTubeStart of suggested clipEnd of suggested clipOkay what would be our goal for them if they had muscle tightness well we of course want the musclesMoreOkay what would be our goal for them if they had muscle tightness well we of course want the muscles to relax. Right along the same lines if the patient has pain in a particular.

What do I need to do to prepare for an ultrasound?

Most ultrasound exams require no preparation. However, there are a few exceptions: For some scans, such as a gallbladder ultrasound, your care provider may ask that you not eat or drink for a certain period of time before the exam. Others, such as a pelvic ultrasound, may require a full bladder.

What is the procedure of ultrasound?

The transducer sends high-frequency sound waves through your body. The waves echo as they hit a dense object, such as an organ or bone. Those echoes are then reflected back into a computer. The sound waves are at too high of a pitch for the human ear to hear.

Is ultrasound contraindicated with pregnancy?

No pregnant or potentially pregnant patient should ever receive ultrasound therapy in any area of the body which is likely to result in exposure to the fetus. Overheating of the fetus could result. The fetus is at particularly high risk during the first trimester, during the period of organogenesis( 1 , 57 , 77 , 78).

How often should you ultrasound an injury?

Acute wounds should be treated as soon as possible, ideally within hours of injury. They are often treated once or twice a day to reduce pain and swelling (Young, 1996). Ultrasound accelerates the inflammatory phase, moving the wound into the proliferative phase of repair sooner (Young and Dyson, 1990a).

What are the benefits of employing ultrasonic therapy for therapeutic purposes?

Therapeutic Ultrasound & Tissue Healing. One of the therapeutic effects for which ultrasound has been used is in relation to tissue healing. It is suggested that the application of US to injured tissues will, amongst other things, speed the rate of healing & enhance the quality of the repair.

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Why should ultrasound not be used?

When Ultrasound Should Not Be Used. Cancer: Since ultrasound may increase cellular activity, it should not be used over cancerous areas of the body as this is thought to increase chances of metastasis. In children: Ultrasound over the bone that has not fully developed may cause fractures or other problems with the part of the bones ...

What to do if you are getting an ultrasound?

If you are receiving ultrasound, you should speak with your physical therapist to understand why it is being used and be sure to speak up if you feel that it should not be used for your condition. UpperCut Images / Getty Images.

Why is ultrasound used in physical therapy?

Ultrasound is a common physical therapy treatment that is thought to speed healing by providing heat to injured tissues. This heat helps to decrease pain, improve cellular healing, and improve how stretchy your injured body part is to help increase range of motion and flexibility. There are some situations where ultrasound should not be used at all.

Can ultrasound damage the retina?

Near the eyes: Damage to the retina or lens may result if ultrasound is used near the eyes. Areas around the heart: It is suggested that ultrasound may alter the electrical signals around your heart. If you have a pacemaker, ultrasound may interfere with its normal function.

Does ultrasound improve outcomes?

If you receive ultrasound as a treatment from your physical therapist, you should understand that some studies indicate that ultrasound does not improve outcomes for various conditions. 1 . Ultrasound should not be the only treatment that you receive for your condition.

Can ultrasounds cause fractures?

In children: Ultrasound over the bone that has not fully developed may cause fractures or other problems with the part of the bones that are responsible for growth. During pregnancy: The effect of therapeutic ultrasound on a developing human fetus has not been fully explored and therefore should be avoided during pregnancy. 1 . ...

Can ultrasound be used on reproductive organs?

Over reproductive organs: The effect of ultrasound used over reproductive organs like the testes or ovaries is not fully explored and therefore should be avoided. In areas with decreased temperature sensation: If your injury prevents you from feeling normal hot and cold temperatures, ultrasound should not be used since you would not be able ...

What to do if you have abnormalities on an ultrasound?

Should anything abnormal turn up on the ultrasound, you may need to undergo other diagnostic techniques, such as a CT scan, MRI, or a biopsy sample of tissue depending on the area examined. If your doctor is able to make a diagnosis of your condition based on your ultrasound, they may begin your treatment immediately.

Why do doctors order ultrasounds?

Your doctor may order an ultrasound if you’re having pain, swelling, or other symptoms that require an internal view of your organs. An ultrasound can provide a view of the: An ultrasound is also a helpful way to guide surgeons’ movements during certain medical procedures, such as biopsies.

Why do ultrasound transducers rub on skin?

This prevents friction so they can rub the ultrasound transducer on your skin. The transducer has a similar appearance to a microphone. The jelly also helps transmit the sound waves. The transducer sends high-frequency sound waves through your body. The waves echo as they hit a dense object, such as an organ or bone.

What is an ultrasound scan?

An ultrasound scan is a medical test that uses high-frequency sound waves to capture live images from the inside of your body. It’s also known as sonography. The technology is similar to that used by sonar and radar, which help the military detect planes and ships. An ultrasound allows your doctor to see problems with organs, vessels, ...

What do you do before an ultrasound?

An ultrasound technician, called a sonographer, will apply a special lubricating jelly to your skin.

How do sound waves echo?

Those echoes are then reflected back into a computer. The sound waves are at too high of a pitch for the human ear to hear. They form a picture that can be interpreted by the doctor.

Is ultrasound a risk?

It’s important to follow your doctor’s instructions and ask any questions you may have before the procedure. An ultrasound carries minimal risks. Unlike X-rays or CT scans, ultrasounds use no radiation. For this reason, they are the preferred method for examining a developing fetus during pregnancy.

How to prepare for an ultrasound?

Most ultrasound exams require no preparation. However, there are a few exceptions: 1 For some scans, such as a gallbladder ultrasound, your doctor may ask that you not eat or drink for certain period of time before the exam. 2 Others, such as a pelvic ultrasound, may require a full bladder. Your doctor will let you know how much water you need to drink before the exam. Do not urinate until the exam is done. 3 Young children may need additional preparation. When scheduling an ultrasound for yourself or your child, ask your doctor if there are any specific instructions you'll need to follow.

What happens after an ultrasound?

Your doctor will share the results with you. You should be able to return to normal activities immediately after an ultrasound.

Why do we need ultrasound?

Ultrasound is used for many reasons, including to: View the uterus and ovaries during pregnancy and monitor the developing baby's health. Diagnose gallbladder disease. Evaluate blood flow. Guide a needle for biopsy or tumor treatment. Examine a breast lump.

How does ultrasound help with tumors?

These images show how ultrasound can help guide a needle into a tumor (left), where material is injected (right) to destroy tumor cells. During a transvaginal ultrasound, your doctor or a medical technician inserts a wandlike device (transducer) into your vagina while you are positioned on an exam table.

What is the procedure to get heart images?

A transducer, inserted into your esophagus, obtains heart images. It's usually done while you are sedated. Transrectal ultrasound. This test creates images of the prostate by placing a special transducer into the rectum.

How does a transducer work?

The transducer sends sound waves into your body, collects the ones that bounce back and sends them to a computer, which creates the images. Sometimes, ultrasounds are done inside your body. In this case, the transducer is attached to a probe that's inserted into a natural opening in your body. Examples include:

What is ultrasound used for?

The images can provide valuable information for diagnosing and treating a variety of diseases and conditions. Most ultrasound examinations are done using an ultrasound device outside your body, though some involve placing a device inside your body.

Why do we need ultrasounds?

Routine examinations are performed to assess and monitor the health status of the fetus and mother. Ultrasound examinations provide parents with a valuable opportunity to view and hear the heartbeat of the fetus, bond with the unborn baby, and capture images to share with family and friends.

Why do ultrasounds show movement?

Because ultrasound images are captured in real-time, they can also show movement of the body's internal organs as well as blood flowing through the blood vessels. Unlike X-ray imaging, there is no ionizing radiation exposure associated with ultrasound imaging. In an ultrasound exam, a transducer ...

Why is ultrasound important for pregnant women?

Because ultrasound is not based on ionizing radiation, it is particularly useful for women of child-bearing age when CT or other imaging methods would otherwise result in exposure to radiation. Expectant Mothers. Ultrasound is the most widely used medical imaging method for viewing the fetus during pregnancy.

What is the procedure used to visualize blood flow through a blood vessel?

Common ultrasound imaging procedures include: Doppler ultrasound (to visualize blood flow through a blood vessel, organs, or other structures) Ultrasound-guided needle placement (in blood vessels or other tissues of interest)

What is ALARA in ultrasound?

As with all other imaging modalities, the principles of As Low As Reasonably Achievable (ALARA) should be practiced by health care providers.

How is ultrasound produced?

The ultrasound image is produced based on the reflection of the waves off of the body structures. The strength (amplitude) of the sound signal and the time it takes for the wave to travel through the body provide the information necessary to produce an image.

What is the FDA's recommendation for medical imaging?

For all medical imaging procedures, the FDA recommends that patients talk to their health care provider to understand the reason for the examination, the medical information that will be obtained, the potential risks, and how the results will be used to manage the medical condition or pregnancy.

What are the biological effects of ultrasound?

Other potential mechanisms for biological effects of ultrasound include the direct action of the compressional, tensile, and shear stresses. In addition, second-order phenomena, which depend on transmitted ultrasound energy, include radiation pressure, forces on particles and acoustic streaming.

When was ultrasound first used in physical therapy?

Physical Therapy. Unfocused beams of ultrasound for physical therapy were the first clinical application, dating to the 1950s , which often has been referred to simply as “therapeutic ultrasound” (Robertson and Baker, 2001). This modality now typically has a base unit for generating an electrical signal and a hand-held transducer.

What is ultrasound assisted liposuction?

Another procedure, ultrasound assisted liposuction, is widely used in cosmetic surgery for the purpose of removing excessive fat tissue (Mann et al. 2008). The mechanism of action apparently involves cavitational fat cell break up with removal of the fat emulsion by suction through the probe.

What frequency is ultrasound used for?

Low power ultrasound of about 1 MHz fre quency has been widely applied since the 1950s for physical therapy in conditions such as tendinitis or bursitis.

How long does a flat transducer therapy last?

Therapy involves multiple treatments of 20 min each day by applying the large flat transducer to the site of injury and continuing treatment for periods of months. Although the process appears to be safe and effective, the therapy is slow and its use is predominantly limited to management of non-healing fractures.

What is ultrasonic energy used for?

The use of ultrasonic energy for therapy continues to expand, and approved applications now include uterine fibroid ablation, cataract removal (phacoemulsification), surgical tissue cutting and hemostasis, transdermal drug delivery, and bone fracture healing, among others.

Is ultrasound FDA approved?

Therapeutic applications of ultrasound may be used clinically after government approval (e. g. by the Food and Drug Administration (FDA) in the United States) for marketing suitable treatment devices. A list of therapy applications with FDA approved devices in clinical use is provided in Table 1.

What organs can be examined with a transvaginal ultrasound?

It may be necessary to use a transvaginal ultrasound to examine the following internal organs: vagina. cervix. uterus. fallopian tubes. ovaries. urinary bladder. Transvaginal ultrasounds are also useful to check for: ovarian cysts or tumors.

What is a transvaginal ultrasound?

A transvaginal ultrasound, or endovaginal ultrasound, is a safe and straightforward procedure that doctors use to examine the internal organs in the female pelvic region. An ultrasound uses high-frequency sound waves to produce detailed images of internal organs. Unlike X-rays, ultrasound scanning techniques do not use radiation, ...

What is the name of the doctor who performs transvaginal ultrasounds?

A doctor or specially trained technician, called a sonographer , will perform most transvaginal ultrasounds. Once inside the examination room, the individual will need to undress from the waist down and put on a hospital gown before lying down on the examination table with their knees bent.

How does a transducer work?

The transducer will transmit the information directly to a TV monitor where it will appear as a series of images. The images that the transducer captures will display immediately on the screen , making it possible for the sonographer and individual to monitor the examination process in real time.

What is a transducer in a sonographer?

The transducer resembles a wand in shape and is slightly larger than a tampon. The sonographer will cover the transducer with a condom and lubricating gel before inserting it into the vagina. Once the transducer is in place, it will produce sound waves that bounce off the internal organs back to it.

Is a transvaginal ultrasound an internal exam?

Unlike transabdominal ultrasounds, a transvaginal ultrasound is an internal examination.

How much liquid should I drink before a bladder biopsy?

Conversely, they may ask you to come with a full bladder. If this is the case, they may advise you to drink 32 ounces of liquid over a 30-minute period, starting 60 minutes before the examination begins. The probe is mildly uncomfortable.

What do you do during an ultrasound?

During the ultrasound, you will help position the patient according to the area of the body being viewed. For example, for the bladder ultrasound the patient will lie flat on the bed. You will put the gel on the probe or the patient’s skin for the standard ultrasound.

Why do we need ultrasound?

An ultrasound uses sound waves to view the organs and blood flow in the body using a transducer probe. An ultrasound may be indicated if the patient has pain, lumps, hasn’t urinated all shift, pregnancy, or for procedure guidance. Before the ultrasound, explain the procedure to the patient and why they’re having it.

How to get numbness out of throat after transesophageal ultrasound?

Position the patient according to the area being viewed and put gel on the probe or skin. If the patient is having a transesophageal ultrasound, the patient will need some sedation to help them relax. After it’s over, wipe off the gel and keep the patient NPO until the numbness is gone from the throat.

What is a transesophageal ultrasound?

A transesophageal ultrasound probe is inserted into the esophagus to view organs like the heart up close. The transrectal ultrasound is inserted rectally for viewing the prostate for example. The transvaginal ultrasound is inserted vaginally and is great for views of the ovaries and uterus especially in early pregnancy.

Why do you need an ultrasound when pregnant?

Ultrasounds are used on pregnant women to look at the baby and blood flow. The doctor might also need an ultrasound during a procedure like if they were going to need an ultrasound guided biopsy or injection like in this picture to make sure they are in the correct spot. Let’s explore what to do before the ultrasound.

Where is ultrasound used?

Ultrasounds are also used inside the uterus when a woman is pregnant.Let’s talk about the procedure. Ultrasounds use a transducer probe that is placed in the skin to view the organs under that tissue. The standard ultrasound uses an external transducer like in this picture.

What is perioperative med surg?

The Med Surg Diagnostics and Periop for the NCLEX® course will help you to utilize diagnostic testing that can help us narrow down our patients' diagnoses and prognoses. As a nurse, it is imperative that you understand the purpose of the test, as well as the nursing considerations for each of these tests. The perioperative nursing lessons will show you the priorities and common concerns for patients before, during, and after surgery. This includes understanding nursing interventions, types of anesthesia, and how to prevent surgical complications in the various phases of surgical nursing.

What to do if you have abnormalities on an ultrasound?

Should anything abnormal turn up on the ultrasound, you may need to undergo other diagnostic techniques, such as a CT scan, MRI, or a biopsy sample of tissue depending on the area examined. If your doctor is able to make a diagnosis of your condition based on your ultrasound, they may begin your treatment immediately.

Why do doctors order ultrasounds?

Your doctor may order an ultrasound if you’re having pain, swelling, or other symptoms that require an internal view of your organs. An ultrasound can provide a view of the: An ultrasound is also a helpful way to guide surgeons’ movements during certain medical procedures, such as biopsies.

Why do ultrasound transducers rub on skin?

This prevents friction so they can rub the ultrasound transducer on your skin. The transducer has a similar appearance to a microphone. The jelly also helps transmit the sound waves. The transducer sends high-frequency sound waves through your body. The waves echo as they hit a dense object, such as an organ or bone.

What is an ultrasound scan?

An ultrasound scan is a medical test that uses high-frequency sound waves to capture live images from the inside of your body. It’s also known as sonography. The technology is similar to that used by sonar and radar, which help the military detect planes and ships. An ultrasound allows your doctor to see problems with organs, vessels, ...

What do you do before an ultrasound?

An ultrasound technician, called a sonographer, will apply a special lubricating jelly to your skin.

How do sound waves echo?

Those echoes are then reflected back into a computer. The sound waves are at too high of a pitch for the human ear to hear. They form a picture that can be interpreted by the doctor.

Is ultrasound a risk?

It’s important to follow your doctor’s instructions and ask any questions you may have before the procedure. An ultrasound carries minimal risks. Unlike X-rays or CT scans, ultrasounds use no radiation. For this reason, they are the preferred method for examining a developing fetus during pregnancy.

Overview

Why It's Done

Risks

  • Diagnostic ultrasound is a safe procedure that uses low-power sound waves. There are no known risks. Ultrasound is a valuable tool, but it has limitations. Sound doesn't travel well through air or bone, so ultrasound isn't effective at imaging body parts that have gas in them or are hidden by bone, such as the lungs or head. To view these areas, your doctor may order other imaging tests…
See more on mayoclinic.org

How You Prepare

  • Most ultrasound exams require no preparation. However, there are a few exceptions: 1. For some scans, such as a gallbladder ultrasound, your doctor may ask that you not eat or drink for certain period of time before the exam. 2. Others, such as a pelvic ultrasound, may require a full bladder. Your doctor will let you know how much water you need to drink before the exam. Do not urinat…
See more on mayoclinic.org

What You Can Expect

  • Before the procedure
    Before your ultrasound begins, you may be asked to do the following: 1. Remove any jewelry from the area being examined. 2. Remove some or all of your clothing. 3. Change into a gown. You'll be asked to lie on an examination table.
  • During the procedure
    Gel is applied to your skin over the area being examined. It helps prevent air pockets, which can block the sound waves that create the images. This water-based gel is easy to remove from skin and, if needed, clothing. A trained technician (sonographer) presses a small, hand-held device (tr…
See more on mayoclinic.org

Results

  • When your exam is complete, a doctor trained to interpret imaging studies (radiologist) analyzes the images and sends a report to your doctor. Your doctor will share the results with you. You should be able to return to normal activities immediately after an ultrasound.
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiesof tests and procedures to help prevent, detect, treat or manage conditions.
See more on mayoclinic.org

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