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Henry: I do not subscribe to this Journal.... However, I assume it is similar to other opinions expressed along the same lines. This position has a great deal of merit, particularly when there has been little evidence published on a particular treatment. Ultrasound has been used therapeutically for ~60 years. During that time there has been a good amount of research published. The references I posted speak for themselves. Not only is there a lack of evidence to support the use of US for treatment but the evidence shows that US does not have the biophysical effects PTs ascribe to it. This begs the question; How much evidence does one need to change their practice? IMHO until there is evidence to the contrary the verdict is in on US and I no longer use it in my practice. ********************************************************************** Douglas M. White, PT, OCS 191 Blue Hills Parkway Milton, MA 02186 Ph: 617.696.1974 [log in to unmask] http://DouglasWhite.tripod.com I can understand people's emphasis on evidence based medicine. However, the most recent Manual Therapy journal (November 2001) has an excellent editorial on the issue of EBM and clinical reasoning. The authors stated the importance of not losing our clinical reasoning despite a lack of evidence in what we do. As I always say, if we only practice EBM, then we would be left with very little to use! If you get a chance, read the short editorial, it is good! Henry*** _________________________________________________________________ Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp.