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Ultrasound Therapy

Gentle ultrasound therapy that boosts blood flow, eases swelling, and speeds healing. It helps soft-tissue injuries, arthritis, and long-term muscle and joint pain, at Remix Medical in Houston, TX.

Ultrasound therapy is the use of sound waves to treat medical problems, and in particular those conditions that affect the musculoskeletal system. It is a technique increasingly offered by chiropractors who recognize the benefits it can offer patients.

What Is Ultrasound Therapy and How Does It Work?

Ultrasound therapy is a completely non-invasive and drug-free treatment, making it a popular choice among patients looking for a more natural way to alleviate symptoms.

Most people know of ultrasound as a way to diagnose and monitor pregnancy. However, it has many other applications including healing and regeneration. Ultrasound therapy in chiropractic care is used to stimulate blood flow, which in turn helps to decrease inflammation, increase tissue relaxation, and break down internal scar tissue so that patients can enjoy greater mobility. This process also speeds up the rate of healing of musculoskeletal injuries and may even promote bone fracture healing.

One of the main ways ultrasound therapy helps is through increased blood flow, which stimulates the release of endorphins, while the reduction in inflammation also helps to counteract pain.

Ultrasound therapy is carried out much as you would expect: your chiropractor applies a special conductive gel to a handheld device, which is then placed onto the target area. The gel helps the sound waves conduct more effectively. As they pass into the skin, the waves cause vibrations and you may experience some slight warmth and tingling, but this shouldn't be painful.

What Conditions Can Ultrasound Therapy Treat?

  • Osteoarthritis – Degeneration of the joints when protective cartilage wears down over time.
  • Myofascial pain – Affects the connective tissue that covers the muscles and is extremely painful.
  • Bursitis – Affects the small, fluid-filled sacs that cushion the bones, tendons, and muscles near your joints.
  • Carpal tunnel syndrome – Causes pain, numbness, and tingling in the fingers, hands, wrists, and lower arms due to pressure on the median nerve.
  • Strains and sprains – Extremely common injuries that can occur as a result of repetitive use of a joint, or due to a slip, trip, or fall.
ApproachWhat it involves
What it doesSound waves create deep warmth that eases muscle and joint pain
What it feels likeA warm, painless sensation as the wand moves over the area
Best paired withAdjustments and exercise for lasting results

How it's performed

A conductive gel is applied to the skin over the target area, and the clinician moves a handheld ultrasound wand slowly over the region for several minutes. The device emits high-frequency sound waves that penetrate soft tissue and generate deep warmth (a thermal effect) and micro-vibration (a non-thermal effect), intended to increase local blood flow and tissue extensibility. Intensity, frequency, and duration are set to the depth of the tissue being treated. The sensation is a mild, painless warmth. It is typically delivered as one component of a session that also includes manual therapy and exercise.

How to prepare

No preparation is required, and there is no fasting. The skin over the area should be clean and free of lotions. Report any implanted devices, pregnancy, or reduced sensation in the area before treatment.

What to expect after

Because the evidence for therapeutic ultrasound is weak, it is used as an adjunct, and its continued use is judged by whether the overall plan is helping rather than by ultrasound alone. If there is no meaningful progress after a reasonable trial, the modality is dropped in favor of interventions with stronger evidence, principally active exercise. The patient is reassessed over the course and referred onward if symptoms warrant.

Outcome

Patients often report temporary easing of pain and stiffness and a sense of warmth and relaxation in the treated area. The honest evidence picture is limited: high-quality trials show little or no benefit of therapeutic ultrasound over sham for low back pain and several other musculoskeletal conditions, and it is not recommended as a primary treatment in current guidelines. It is best regarded as a low-risk adjunct within a broader, exercise-based plan.

Frequently asked

Ultrasound Therapy questions, answered

What is therapeutic ultrasound?

It uses sound waves to create deep warmth in muscles and joints, which can ease pain and stiffness and support healing. It's a painless, in-office treatment.

What does ultrasound therapy feel like?

Most people feel a mild warmth or nothing at all as a smooth wand moves over the area with gel. It takes just a few minutes.

What conditions does ultrasound therapy treat?

It's used for muscle strains, joint stiffness, and soft-tissue injuries, usually as part of a broader plan. It works best combined with hands-on care and exercise.

Is ultrasound therapy safe?

Yes, it's a low-risk, non-invasive treatment. Your provider avoids certain areas and situations where it isn't appropriate.

How many ultrasound therapy sessions will I need?

It varies with your condition, and it's typically done over a series of visits alongside other therapies. Your provider sets the plan.

SpecialtyChiropractic MedicineTypeTherapyBody locationSoft tissue, muscle, tendon, and joint (site-dependent)CPT code97035 (ultrasound therapy, each 15 min)

Also called Therapeutic Ultrasound, Ultrasound Therapy, Therapeutic US, Musculoskeletal Ultrasound Treatment

This page is for general education and is not a substitute for medical advice. Whether a given procedure is appropriate depends on your individual evaluation. Contact a Remix Medical clinician to discuss your care.

Updated April 7, 2024. Medically reviewed by Alham Samani, DC.

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