1
Cool gel, then a slow-moving head.
More range out of the same hour, because the tissue was warm before we asked it to move. Sound waves reach deeper than hands do. We use it when it fits, and we say so when it does not.
What It Is
A hot pack warms the first few millimetres of you. The tissue driving your problem usually sits deeper than that: under the muscle, wrapped around a tendon, inside a joint capsule that has not moved in weeks. And stiffness does not sit still while you wait. Scar sets, and motion gets harder to win back the longer it waits.
Therapeutic ultrasound sends sound waves into that deeper layer, where the tissue absorbs them and warms from the inside. Warm tissue lengthens more willingly. So we run it right before the mobilization or the stretch, while that window is open, and then we do the work that actually changes something.
Here is the part most places leave out. Ultrasound is an adjunct, not a cure, and it is not right for every problem or every person. You have been working through this because that is what people who use their hands for a living do, and you deserve a straight answer rather than a machine. Your therapist, a licensed Occupational Therapist who is with you one-on-one every visit, will tell you plainly when it is the wrong tool.
An adjunct, never the whole plan
What It Helps
If any of these is the reason you are reading this page, you are in the right spot.
What A Session Looks Like
1
Cool gel, then a slow-moving head.
2
A mild warmth, deep under the skin.
3
Straight into the hands-on work.
Why It Works
Stiff tissue that gives sooner.
More range out of the same visit.
A stalled tendon that starts moving.
An honest no when it will not help.
Pairs Well With
Questions, Answered
No. You feel cool gel, then a mild warmth under the skin, and plenty of people feel nothing at all. Nothing is inserted and nothing is forced. Tell your therapist if you are pregnant, have a pacemaker, or have an active infection or a recent blood clot in the area, because those change what is safe. We screen for that before the head ever touches you.
Only for as long as it is buying you something. Ultrasound is one part of the plan, never the plan itself, and your therapist stops using it the moment it stops opening the tissue up for the hands-on work. What you get at your evaluation is a plan with an endpoint, built on the four phases, Pain, Prime, Perform, Prevent. You will know which phase you are in and what it takes to reach the next.
Most people reach us through a physician or surgeon referral, and plenty of plans want one on file before we can bill. Tell us who you are with and we will help you work out what yours requires. Our insurance page lists the plans we work with. We check your exact benefits before your first visit and tell you what we find, with no guessing on your bill. Call us at (360) 989-1200 to start that.
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Request a time and a real person from our front desk calls you back to get you scheduled. No phone tree. No ‘someone will reach out.’ Just a plan.
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That’s the hard part done. We’ll call during clinic hours to get you on the schedule and tell you what to bring.
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