Ultrasound, Interferential & Shockwave Therapy - Know The Differences!
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Ultrasound, Interferential & Shockwave Therapy - Know The Differences!

16 Mins read
cigna-teamAuthorCigna Team

It is not uncommon for city-dwellers living with various muscle strains and aches due to incorrect posture sitting at the office or doing sports. As such, many look for physiotherapists to ease their discomfort and pain. Apart from manual therapy, ultrasound therapy, extracorporeal shock wave therapy (ESWT) and interferential current therapy (IFC) are also employed to facilitate recovery. However, could you tell the differences between these therapies? And do you know if you are suitable to receive these treatments?

These non-invasive therapies aim to reduce inflammation and relieve sore muscles. The table below compares these three therapies by listing out their principles, applications and symptoms treated.

 

Ultrasound Therapy

Interferential Current Therapy (IFC)

Extracorporeal Shock Wave Therapy (ESWT)

Principles

Ultrasound therapy is a mechanical vibration. When sound waves pass through the body tissues, vibration is induced, and part of the kinetic energy is converted to heat energy.

It utilises two medium frequency currents to pass through the tissues simultaneously to treat the areas.

Shock waves are audible high-energy sound waves that go through your skin and the affected muscle area. In the medical world, shock waves have been used to disintegrate kidney stones.

It uses extracorporeal shockwaves to penetrate the skin and reach the injured part of the tendon. Through generating vapourised blasting and destroying the adhesion of the injured tendons, scars, and even calcified or fibrotic soft tissues.

Applications

  • Reduce inflammation
  • Help tissues’ recovery
  • Prevent adhesions
  • Promote blood circulation
  • Pain relief
  • Muscle stimulation
  • Intense muscle relaxation
  • Increase local blood flow
  • Instant pain relief
  • Stimulate regrowth of soft tissues; Regenerate and repair damaged tissue
  • Accelerate blood circulation

Symptoms Treated

Ultrasound therapy is mainly used to treat soft tissue injury such as:

 

By stimulating peripheral nerves, it can deal with:

  • Inflammation of joints and muscles
  • Fracture recovery
  • Muscle strain (Employed by athletes during training)

 

Shockwave therapy can relieve the following pains:

  • Plantar fasciitis
  • Knee pain
  • Tennis elbow
  • Low back pain/sciatica/ piriformis syndrome
  • Adhesive capsulitis
  • Other chronic fasciitis
  • Fracture healing
  • Osteonecrosis
  • Long-term sport injury

 

Different equipment are employed when conducting ultrasound therapy, extracorporeal shock wave therapy and interferential current therapy. The treatments are painless or with slight pain generally.

 

Ultrasound Therapy

Interferential Current Therapy (IFC)

Extracorporeal Shock Wave Therapy (ESWT)

Procedure

A gel is applied to the skin. During the treatment, your therapist would continually move the transducer head over the injured area to deliver the sound waves.

A suction cup or electrode sticker is stuck on your body.

Your therapist would use different therapy heads to adjust the wave strength for treating the injury according to your conditions.

Senses during the Therapy

Painless in general

Numbness and a sense of ‘electric shock;’ Muscles spasm spontaneously.

Mild pain and soreness.

Bruise or redness on skin which fades in several days.

Intensity

Mild

Moderate

Strong

Treatment Time

Approx. 10-20 mins

Approx. 10-30 mins

Approx. 5-8 mins

In general, these therapies do not have severe or long-term side effects if the treatments are conducted by a professional therapist. When receiving ESWT, there may be mild pain, soreness, bruise or redness temporarily that disappear within a few days.

The therapies should not be used if:

  • The injured area is in acute inflammation.
  • There are bacterial infections, tumours or wounds around the pain side.
  • You are pregnant.
  • You are using an artificial pacemaker.
  • You have bleeding disorders.

Ultrasound therapy, extracorporeal shock wave therapy and interferential current therapy are usually considered as an integral part of physiotherapy based on your strain. The local hospital charges for each physiotherapy session is around HK$150, while charges of private clinics are around HK$600 to 1,500 per session. However, some group insurance and medical insurance also cover the costs of physiotherapy.

Based on your conditions, your therapist would suggest performing the treatment twice or thrice a week at first, followed by an evaluation after three to six weeks.


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Source

  1. Are there any side effects or contraindications in receiving shockwave therapy?
  2. 什麼是超音波治療? | 好痛痛醫療、運動資訊站
  3. 電療有沒有效?以及干擾波電療 (IFC) 介紹
  4. 什麼是體外震波治療?適合慢性肌腱炎、肌腱鈣化 (by 羅一強物理治療師)

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