10
ADVERSE REACTIONS
• Therapeutic ultrasound, when applied in continuous circular
movements, may cause a sensation of numbness and/or
heat. If, however, the applicator is kept over the same place
for more than a few seconds in high energies, it may become
uncomfortable.
CONTRA INDICATIONS AND ADVERSE REACTIONS
• Therefore, therapeutic ultrasound should not be applied
over the uterus unless specific assurance can be attained
from the patient that she is not pregnant.
• Therapeutic ultrasound must not be applied over neoplastic
areas or over areas from which tumors have been removed.
• Therapeutic ultrasound must not be applied over the eyes.
• Therapeutic ultrasound must not be applied on ischemic
tissues, where the blood supply may be incapable of following
the increase in metabolic demand and result in necrosis.
• Therapeutic ultrasound must not be applied over bone
growth centers.
• Ultrasound therapy is not recommended for patients with
implanted electronic devices (cardiac pacemakers, deep brain
stimulation devices).
• Do not apply ultrasound over areas previously treated with
radiotherapy.
• Ultrasound must not be applied over the testes, to avoid
increases in temperatures.
• Ultrasound must not be applied over the heart.
Therapeutic ultrasound must not be applied over areas of
thrombophlebitis deep vein thrombosis emboli and severe
atherosclerosis.
• Ultrasound treatment must be avoided over the stellate
ganglion, spinal cord after laminectomy, when great tissue
resections have been performed, under subcutaneous major
nerves and the cranium.
CONTRA INDICATIONS
