Ultrasound: explain modality
Treatment that uses high frequency sound waves (mechanical energy) to help tissues heal. The ultrasound head sends waves into the body to create tiny vibrations in cells
Ultrasound: explain modality–> Continuous
Ultrasound: explain modality–> Pulsed
Ultrasound: expected sensation
Ultrasound: risks of treatment
Overheating, periosteal pain, burns from poor coupling, damage to sensitive tissues, worsening acute inflammation, electrical issues.
Ultrasound: mitigation of risks
Keep head moving, use correct settings (continuous vs pulsed), ensure good gel contact, avoid contraindicated areas, monitor patient, inspect device
TENS: explain modality
Electrical stimulation applied to the skin to block pain signals going to the brain and stimulate the release of pain relievers coming from the brain
TENS: expected sensation of C-TENS
TENS: expected sensation of A-TENS
TENS: Goal/benefits
TENS: risks
IFC: explain modality
IFC: expected sensation of High AMF
IFC: expected sensation of Low AMF
IFC: goals/benefits
IFC: risks
IFC: how to mitigate risks
Ultrasound: contraindications
Over eyes
Over testes
Over abdomen of pregnant women
Over acute infection/areas of sepsis
Over areas of malignancy
Over area of impaired sensation
Over areas of vascular insufficiency
Patients deemed unreliable
Over bleeding tissues
Over heart
Ultrasound: precautions
Keep transducer moving
Use the lowest intensity that elicits a therapeutic effect
Avoid use over implanted electronic devices
Avoid use over superficial metal implants (continuous is ok)
Avoid use over plastic joint implants
TENS: contraindications
Heart problems, pace maker
Bleeding disorder, blood clots
Skin damage, irritation, allergies
Impaired sensation of skin
History of cancer
Seeing doctor for any ongoing conditions
TENS precautions
Loss of normal skin sensation
Obesity
Skin allergies
Skin damage
Skin irritation
Elderly or children may be afraid
IFC contraindications
Heart problems, pace maker
Bleeding disorder, blood clots
Skin damage, irritation, allergies
Impaired sensation of skin
History of cancer
Seeing doctor for any ongoing conditions
Possible baseline measures
Follow-up instructions