I've had good success with phonophoresis, particularly with lateral
epicondylitis of the elbow and occasionally, plantar fasciitis. I have
used the same parameters as I would with normal US.
I think you'll find that your poor results are stemming from the fact that
you're using creams. Research has shown that US cannot be transmitted
through these because they are opaque. In our clinic in the USA, we had
pharmacy get us a hydrocortisone gel (translucent) which gave us good
results when used prudently.
Karen Yeomans MCSP
Birmingham, England
-----Original Message-----
From: glenn alan welke <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: Sunday, May 16, 1999 5:23 PM
Subject: Phonophoresis question
>Hello,
>I have some questions about phpnophoresis and would like to post them to
>the list.
>Typical method for phono is to massage the steroid cream into the skin
>over the problem area apply a gel medium and then us the sound.
>Is continuous or pulsed US more effective?
>How many watts/cm2?
>How many minutes?
>Does the medication cream impede the US waves? A better question would be
>-What type of base that the med. is mixed in would impede the transmission
>of the US?
>What is the frequency of treatments?
>How many treatments are to many?
>How many are done before it is decided to be ineffective?
>
>I have done medline searches and looked in a number of texts and found a
>number of conflicting answers.
>The literature seems to be split on whether phono is even effective.
>Personally and anecdotally I do not think it is worth the time and mess.
>US alone seems to work as well.
>How many of you feel this treatment is effective?
>Thank you for reading.
>Hope to hear from some of you.
>
>Glenn Welke, PT
>
>
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