Ultrasound therapy

Effective treatment technology for the musculoskeletal area


Alongside electrotherapy, ultrasound therapy is one of the tried and tested methods of physical medicine. It has been used for decades in the treatment of chronic and degenerative diseases of the musculoskeletal system, in particular complaints of joints, tendons, ligaments and muscles.

In therapeutic use, ultrasound is applied at frequencies of 1 MHz or 3 MHz - either as continuous sound or pulsed sound in variable duty cycles. This is a non-invasive treatment method that is classified as mechanothermotherapy. Depending on the choice of parameters (frequency, type of sound, intensity, duration and rhythm of treatment), the focus is on different physiological effects.


The therapeutic effects of ultrasound result from the mechanical and thermal energy transfer to the tissue. The focus is on two main effects:

  • Thermal effect: targeted heating on reflective tissue layers (e.g. bones, joints) to increase blood circulation and elasticity.
  • Micromassage: Mechanical stimuli lead to improved cell activity and promotion of regenerative processes.

Documented therapeutic effects of ultrasound treatment

  • Increase in local blood circulation (hyperemization)
  • Promotion of cell metabolism by stimulating microcirculation and diffusion processes
  • Increase in tissue elasticity, especially in collagen structures
  • Pain-relieving effects for musculoskeletal complaints
  • Muscle relaxation and release of tension (spasmolysis)
  • Acceleration of healing processes, e.g. for tendinopathies or arthrosis
  • Stimulation of fracture healing as part of post-traumatic rehabilitation

As ultrasound waves are reflected by air, a suitable coupling medium is essential for effective energy transmission. In practice, ultrasound gel is typically used or, alternatively, a subaqueous application (treatment under water) is carried out.

Areas of application

The wide range of possible applications makes ultrasound therapy a universally applicable modality in physical therapy, especially for chronic degenerative and functional diseases.

Diseases of the musculoskeletal system
  • Achillodynia
  • Osteoarthritis (spine, joints, hip)
  • Epicondylopathia humeri (tennis and golfer's elbow)
  • Periarthropathia humero-scapularis (shoulder-arm syndrome)
  • Tendomyopathies, tendovaginitis
  • Lumbago, sciatica, spondylosis, osteochondrosis
  • Dislocation, distortion, contusion, fractures
  • Contractures, muscular rheumatism, muscular dystrophic syndrome
Neurological and painful functional disorders
  • Neuralgia (intercostal, trigeminal)
  • Scar treatment
  • Herpes zoster (for accompanying pain relief)
Rheumatic and inflammatory clinical pictures
  • Ankylosing spondylitis
  • Bursitis
  • Periostitis
  • Scleroderma (progressive)
Further fields of application
  • Abscess (to support resorption)
  • Hematoma (post-traumatic)
  • Ulcus cruris (to promote microcirculation)
  • Bronchial asthma (for thoracic muscle relaxation, supportive)

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