Bruce
As I understand it Ultrasound is actually pro-inflammatory in effect,
not anti-inflammatory as you have it. It may be that this
misunderstanding is what leaves you with such poor results.
Again, as I understand it, there is no point in using U/S unless the
source of the inflammatory response is also dealt with so I am unsure of
the rationale of using it during an acute attack of gout.
I am no expert on this topic but I would be interested to hear your
clinical rationale for using an agent that promotes inflammation on an
acutely inflamed tissue.
I am prepared to be proven very wrong on this issue ..so be gentle..
In message <[log in to unmask]>, Bruce Gray
<[log in to unmask]> writes
>Just to get the thread back on topic, I am the sole OPD physio at a Qld country
>90 bed hospital in Australia. I recently put all the machines that go "ping"
>into the back storage room, and there are many other hospital storerooms like
>this.
>
>So to affirm my point, electrotherapy sucks. There is no convincing comparative
>invivo studies that show it is a better treatment then the intelligent appn of
>ice/heat, rest/movement, and anti-inflamms. I am talking everything from US to
>SWD to laser. My litmus test for the benefits of electrotherapy is to go and try
>the putated anti-inflamm properties of US on an acute gout attack.......any of
>you out there charging good money to treat inflammation with electrotherapy
>instead of encouraging your patients to go and get a script for NSAIDs cannot
>call yourselves scientifically trained.
>
>If you think 30 mins of electrotherapy 2x/wk (if you are lucky) can do anything
>significant to fibroblast or leucocyte function, then you are a captive of the
>dogma of a conservative bunch of old women who know no better.
>
>I urge you all to come join the revolution- throw your placebo "ping" machines
>away, draw out Occam's Razor and slash the ties that bind you to a flawed
>anachronistic paradigm.....choose instead to never compromise on finding truth
>again......
>
>
>
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--
John Spencer
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