Modalities are
used on a short-term basis to help decrease pain, decrease
swelling, decrease inflammation, and/or improve muscular
and joint function. Modalities include ultrasound, electrical
stimulation, moist heat, ice pack, iontophoresis, phonophoresis,
etc.
Ultrasound
A
physical therapist uses ultrasound as a treatment, not
as a diagnosis procedure. In other words, the sound waves
emitted by a therapeutic ultrasound will not result in
a picture, but rather it produces deep heat in the tissues.
Ultrasound
relieves pain, breaks up scar tissue and increases tissue
temperature. Ultrasound creates an environment that is
conducive to the healing process.
Electrical Stimulation
There are many different
uses for electrical stimulation. In addition to reducing
inflammation, uses include maintaining muscle tone, reeducating
muscle fibers and reducing pain.
Iontophoresis
This
treatment involves using a mild electrical current to
move ions of medication into tissues from the skin's surface.
A common symptom associated with acute pain is inflammation.
Anti-inflammatory medication is placed on an electrode
on the skin and then "driven" into the tissue
via an electrical current. Conditions such as tendonitis,
plantar fascitis and bursitis can be treated with iontophoresis.
Hot/Cold Packs
Hot
Packs - The hydrocollator is a machine which houses
water kept at 160 degrees F. Inside you will find gel-filled
packs used for moist heat. Heat is used to: increase circulation,
reduce spasm, loosen tight tissues, improve flexibility,
and reduce pain. You may start your therapy with moist
heat to help with stretching and range of motion exercises,
or you may end your therapy session with heat to reduce
soreness, which may occur after mobilizations or massage.
Ice
- Ice
is used to reduce inflammation, swelling and pain. Ice
is applied by placing it in a plastic bag and putting
it on the affected area. Other forms of applying cold
(or cryotherapy) include ice massage, whirlpool and circulating
ice water machines.