ultrasound application techniques (energy medicine)

[mulberry]

i am writing this article to explain a new conceptual application of the ultrasound based on the work of oschmann author of energy medicine. the ultrasound is used to stimulate lesions along the meridian channel and clear these lesions. the lesion is a localised inflammatory area that may range from an acute neural response to a fibrotic build up.

the area of interest eg the arm, is assessed for limitations into a direction, the direction will indicate which meridian channel may be contributing to the dysfuction see article about fascial manipulation for further information. then palpation will identify localised lesions along the meridan of interest.

the ultrasound is then used to stimulate the localised spot.

the continuum of signs and symptoms are as follows:

the patient will report a hot spot
bruised sensation
buzzing or vibration
needle like sensation ranging froma fine needle on lower intensities to a large needle for higher intensities
a toothache sensation
also the lesion can be stimulated to refer pain


these sensation can be elicited from any frequency

i start with low frequency then in a step wise fashion increase the frequency until it elicits a response.

i have found that most symptoms can be elicited between 1.2 watts cm squared to 3 watts cm squared

if no symptoms are elicited move on to the next most likely spot based on fascial manipulation

this ultrrasound technique takes inot account that it is only viable for soft tissue conditions. it proposes that it can be used diagnositically and direct treatment.

this work is in its infancy so any questions would be apreciated.

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[mulberry]

has anyone thought about the intensity issues of greater than 2 watts per cm squared. we all know the risk of thermal injury so as a safety net always get feedback from the patient regularly and inform the patient of the risk factors. a recent study in 2003

an evidence based model for determining treatment dosages in therapeutic ultrasound using thermometry: an in vitro investigation using pig mortem pig tissue

demonstrated the thermal effects over time using different frequencies of 1mhz and 3mhz as well as different intensities of 0.2 to 2.0 watts per cm squared in a step wise fashion of 0.2 increments. they showed that there was a linear increase in temperature with an increase in frequency and that superficial tissue heated much more rapidly than deep tissue wiht deep tissue very gradually increasing in temp measurements were taken at the skin and at depths of 1 2 3 4 and 5 cm

with this in mind a thermal injury will most likely occur at the superficial dermal layers so continuously monitoring this will be the greatest safety aspect to prevent thermal injury while using ultrasound.