What is phonophoresis with hydrocortisone

Posted on by admin

What is phonophoresis with hydrocortisone?

The use of phonophoresis is one of the most popular approaches in the treatment of a wide range of diseases. It has also found wide application in hardware cosmetology.

Table of contents:

How does phonophoresis work?

Phonopheresis is a physiotherapeutic procedure based on the effect of low-frequency ultrasonic waves on the intensity of penetration of the drug in order to achieve maximum therapeutic effect.

The principles of the influence of ultrasonic waves on tissues are the transmission of wave vibrations at the cellular level, which contributes to a “targeted attack” of the source of pathology.

Ultrasound, creating mechanical vibrations with a frequency of 800 to 3000 kHz, penetrates to a depth of at least 5 cm, warming up tissue, increasing the sensitivity of nerve receptors and the activity of leukocytes.

Pulse and continuous modes of operation are used in therapy. In the first case, ultrasonic waves are supplied in pulses (about 60 pulses per second).

This mode is used to “soften” the effect of ultrasound, at the cost of losing the thermal effect. In the second case, a stronger thermal effect is obtained.

The use of phonophoresis with various drugs

The combined use of ultrasound therapy with various medications doubles the therapeutic effect by increasing the speed and volume of absorbed medications.

In combination with phonophoresis, a number of drugs are used that complement the therapeutic effect of ultrasound:

  • anti-inflammatory ointments and gels;
  • non-steroidal anti-inflammatory drugs;
  • vitamins;
  • antibiotics;
  • anticoagulants;
  • amino acids;
  • vasodilators;
  • anesthetics;
  • chondroprotectors;
  • hydrocortisone.

Due to the fact that the drug for the phonophoresis procedure does not require the use of a product with a specific composition, the drug used directly depends on the direction of treatment and the nature of the disease.

Hydrocortisone and its action

Hydrocortisone is a hormone (glucocorticoid) that is an analogue of the hormone produced by the adrenal cortex. It is used as a steroidal anti-inflammatory, antiallergic, antipruritic, antiexudative agent.

Blocks the production of histamine, suppresses exudative processes in inflamed tissues, reduces hypersensitivity. It has an inhibitory effect on the migration of lymphocytes to the site of inflammation.

Affects protein and lipid metabolism. Long-term use is contraindicated due to the development of atrophy of the adrenal cortex and inhibition of the production of its own hormone.

After short courses, the production of your own hormones is completely restored. It is widely used in ophthalmology, rheumatology, treatment of neuralgia, dermatovenerology. Read about the symptoms of neuralgia in adults here.

When introduced into soft tissues, it has a long-lasting anti-inflammatory effect. Intra-articular administration is practiced in the treatment of rheumatoid arthritis, acute bursitis, post-traumatic arthritis, etc.

Advantages of combined use of phonophoresis with hydrocortisone

Treatment with phonophoresis together with the use of hydrocortisone has a number of advantages over mono treatment. Two types of treatment (physical and medicinal) potentiate each other’s action, as a result of which the therapeutic effect increases significantly.

Hydrocortisone during phonophoresis is both a signal conductor and a therapeutic agent.

The use of hydrocortisone together with phonophoresis allows you to directly influence cell membranes, blocking the production of active substances that result from the development of inflammation.

The main advantage of this combination of therapeutic effects is the minimization of the side effects of the drug, thanks to the localization of the area of ​​application.

Ultrasonic exposure to the affected area stimulates the absorption of hydrocortisone at the capillary level.

Combination of phonophoresis with various physiotherapy procedures

Phonophoresis goes well with physiotherapy such as electrophoresis, paraffin therapy, mesotherapy, massage. Here we wrote in detail about Karipazim ampoules: treatment with electrophoresis for spinal hernia.

Phonophoresis is used to treat various groups of diseases:

  • diseases of the spine;
  • joint diseases;
  • gynecological diseases;
  • neurological diseases;
  • diseases of ENT organs;
  • skin diseases;
  • application in cosmetology.

The use of phonophoresis in the treatment of spinal diseases

Treatment with phonophoresis is used for the following diseases of the spine:

  • spinal injuries;
  • radiculitis;
  • osteochondrosis;
  • hernia of the lumbar spine (in complex treatment).

In the treatment of spinal diseases, phonophoresis is recommended along with other methods of physiotherapy.

During the application of physiotherapy, tissue permeability increases, the speed of enzymatic processes increases, which significantly reduces the rehabilitation period and increases the rate of damage healing.

Radiculitis is an inflammation of the nerve endings of the spinal cord due to pinched intervertebral discs. Occurs, as a rule, with osteochondrosis.

The use of phonophoresis significantly improves blood supply to the area affected by degenerative processes and relieves inflammation.

Phonophoresis for spinal hernia, in an integrated approach to treatment, is aimed at restoring muscle tone, relieving pain and eliminating inflammation.

For severe pain, painkillers are used together with hydrocortisone: analgin, ketonal, etc.

Use for joint diseases

The use of phonophoresis with hydrocortisone in its therapeutic effect is almost equivalent to intra-articular administration. This effect occurred due to the deep penetration of the healing substance into the tissue.

  • osteoarthritis;
  • arthrosis (including deforming);
  • periarthrosis;
  • bursitis;
  • synovitis;
  • meniscopathy (damage to the cartilage tissue of the joint);
  • gout.

Eliminates inflammation, activates blood circulation in the periarticular tissues, causes an influx of oxygen to damaged tissues. Stimulates the natural regeneration of connective tissue of the joint, improves mobility.

Recently, the use of phonophoresis with chondrolone has shown good results in the treatment of joint diseases. Chondrolone (chondroprotector drug) stimulates the formation of cartilage tissue in the joint.

The combination of the effects of phonophoresis with chondroitin sulfate preparations can significantly slow down the process of joint destruction with progressive arthrosis.

The use of phonophoresis with hydrocrtisone in gynecology

Today, this is one of the main procedures prescribed in the treatment of many inflammatory diseases.

Phonophoresis is used to treat:

  • adnexitis;
  • primary infertility;
  • after surgery for polycystic ovary syndrome;
  • chronic inflammation of the uterus and appendages;
  • adhesions in the pelvis;
  • preparation for IVF;
  • menstrual irregularities;
  • urethritis;
  • mastitis in nursing mothers;
  • in complex treatment of tubular infertility.

With the help of phonophoresis, a high concentration of the drug is achieved directly in a localized area, making it possible to eliminate its side effects on other organs.

Effectively restores menstrual irregularities, minimizes the appearance of scar changes on the walls of the uterus after surgery, and is the optimal restorative procedure after treatment of adnexitis.

To carry out the procedure, use a condom placed on an intravaginal sensor with hydrocortisone generously applied to the surface. The duration of the procedure is minutes.

Use for the treatment of neurological diseases

In the treatment of neuralgia, inflammation of the trigeminal nerve and other neuritis, it helps to quickly relieve pain due to the combined effect of hydrocortisone (relieving inflammation, analgesic effect) and increasing the sensitivity of nerve endings due to exposure to ultrasound.

Allows you to reduce the recovery time of transmission of nerve impulses in case of conduction disturbances due to post-traumatic lesions.

The use of phonophoresis in the treatment of ENT organs

The most common diseases of the ENT organs:

All these diseases can have acute and chronic manifestations. Due to the fact that all ENT organs are interconnected, the disease can migrate. For example, sinusitis can cause otitis media.

Tonsillitis causes many diseases that do not directly affect the ENT organs (for example: rheumatism, polyarthritis, etc.).

Treatment of tonsillitis with ultrasound allows you to create reserves of the drug in the tissues of the tonsils, promoting rapid healing of epithelial damage.

The procedure has an anti-inflammatory and anesthetic effect, reduces swelling and increases the rate of tissue restoration.

The procedure can be performed endonasally, which means inserting electrodes (ultrasound conductors) into the nasal sinuses, which are attached to previously inserted turundas with medication applied to the surface.

Use in the treatment of skin diseases

  • dermatitis of various origins;
  • eczema;
  • psoriasis;
  • allergic reactions to insect bites

Application of phonophoresis in cosmetology

Due to the fact that the phonophoresis procedure stimulates the intensity of cellular metabolism, there are many indications for its use in cosmetology.

Indications for the use of phonophoresis in cosmetology:

  • cellulite;
  • swelling;
  • resorption of kyloid scars;
  • obesity;
  • normalization of blood circulation;
  • skin cleansing.

Regular phonophoresis procedures with hydrocortisone significantly rejuvenate the skin, increase blood circulation, and improve muscle tone. Kyloid scars and stretch marks soften, lose depth and become less noticeable.

To achieve the greatest effect, phonophoresis is carried out in courses of 7-10 procedures every day. Courses are repeated regularly every 3-4 months.

The cosmetic procedure “phonophoresis with hyaluronic acid” has also become widespread. The effect is comparable to a similar procedure “iontophoresis with hyaluronic acid”, but unlike the latter, it has no serious contraindications.

Contraindications to the use of phonophoresis with hydrocortisone

Contraindications to the use of phonophoresis are similar to contraindications for any other physiotherapy procedures:

  • immediately after the use of steroid hormones;
  • bronchial asthma;
  • active form of pulmonary tuberculosis;
  • tumors and other oncological diseases;
  • thrombophlebitis;
  • hypotension;
  • hypertension 2-4 degrees;
  • ischemia;
  • angina pectoris (tension, stable angina, Prenzmetal angina);
  • atherosclerosis of large vessels;
  • damage to the central nervous system;
  • endocrine disorders (diabetes mellitus, thyrotoxicosis, hyperfunction of the thyroid gland);
  • chronic gastritis;
  • chronic cholecystitis;
  • stomach ulcer;
  • diseases of the ENT organs in the acute phase and in the presence of purulent contents;
  • pregnancy 1st and 3rd trimester, lactation period;
  • immunodeficiency conditions;
  • individual intolerance to the drug.

Carrying out the phonophoresis procedure

To carry out the phonophoresis procedure, it is necessary to decide on a sensor that corresponds to the area of ​​the upcoming treatment.

This could be the surface of the skin, intranasal sensors, intravaginal sensors, etc. depending on the location of the disease or injury:

  1. Disinfect the skin surface at the site of the disease.
  2. Hydrocortisone ointment is applied to the surface of the body in an even layer.
  3. Turn on the ultrasound and adjust the power to the required level.
  1. If your health allows, the duration of the procedure and the power of the device can be increased in the future; you should start with the minimum.
  2. After the procedure, the ointment should not be removed for 30 minutes, since the beneficial effect remains for some time after the end of the session.
  3. The body surface exposed during the procedure should be kept warm.
  4. At home, procedures should be repeated every other day to avoid the risk of side effects.
  5. You can purchase a device for performing phonophoresis at home in a specialized store. Preference should be given to a simpler model.
  6. Any treatment requires a competent approach.
  7. To achieve the best results, you must listen to your doctor's advice and take into account contraindications.
  1. I began to notice sagging skin on my face, small wrinkles. I conducted a course of phonophoresis with hydrocortisone in a beauty salon. I can’t say that all the defects have disappeared, but there are certainly some improvements. I will repeat the course regularly.
  2. I am 64 years old. Half a year ago I got sciatica. I could neither stand up nor turn around. At the clinic they began taking me to phonophoresis with hydrocortisone procedures, and after 8 sessions I was able to go to the physiotherapy room myself. Now I have already completed two courses, I am trying to do therapeutic exercises.
  3. He treated paralysis of the facial nerve after unsuccessful removal of a mole on the face. Phonophoresis was also done, along with other treatment. 2 months have passed, of course there are improvements, sensitivity has returned and mobility is gradually returning.
  4. I couldn’t cure adnexitis for a long time. I didn’t take any kind of antibiotics. After two courses of phonophoresis with hydrocortisone, I completely forgot about the disease! My cycle has returned to normal and my periods are painless. I regret that I didn't do this earlier.

Copying material is possible only with an active link to the site.

Source: http://spinaspina.com/lechenie/procedury/fonoforez-s-gidrokortizonom-chto-eto.html

Features of the use of the phonophoresis procedure with hydrocortisone

What is phonophoresis with hydrocortisone? This is a special procedure related to physiotherapy and used in the treatment of many diseases. It is highly effective with no serious side effects.

General description of the procedure

Phonophoresis is a procedure that involves the use of ultrasound. Sound waves can penetrate the deepest layers of skin or other tissues. If you use ultrasound in conjunction with special drugs of different effects, you can achieve maximum effect on pathologically altered areas. Medicines are able to penetrate the problem area and locally eliminate the problem.

This procedure is often carried out in conjunction with hydrocortisone. This drug belongs to the group of hormonal anti-inflammatory drugs. You can also use other medications - painkillers (ketonal, analgin), antibacterial, vitamin compounds and others. Only enzyme preparations and novocaine are not used. They are destroyed when exposed to ultrasound waves during the procedure.

Indications for use of the procedure

Ultrasound therapy with hydrocortisone is used in the following cases:

  • used for joints in the presence of inflammatory and autoimmune diseases. These include arthrosis and arthritis (deforming, rheumatoid, juvenile and others);
  • for diseases of the ENT organs, including those that are difficult to respond to traditional conservative treatment. These are allergic rhinitis, sinusitis, chronic tonsillitis, sinusitis;
  • Using this procedure, scars of various types can be treated - post-operative, colloid, burn and others. With its help, the aesthetic defect is almost completely eliminated;
  • if Sjögren's disease is diagnosed. This is an autoimmune problem that mainly affects the lacrimal and salivary glands;
  • with childhood enuresis;
  • with atrophic gastritis, which has become chronic;
  • in the presence of skin diseases - dermatitis, eczema and others;
  • with trophic ulcers;
  • to improve the healing of fractures of long tubular bones;
  • with a heel spur;
  • with hypertrophy and atrophy of muscle tissue;
  • with prostatitis that has become chronic;
  • to stimulate lactation in nursing women;
  • with a mild form of mastitis in the absence of any complications;
  • in the presence of a chronic inflammatory process on the fallopian tubes (adnexitis);
  • elimination of adhesions in the pelvis that are caused by infectious diseases;
  • during the treatment of bronchial asthma (mainly in children);
  • in the treatment of radiculitis in the lumbosacral region (in acute or chronic process);
  • to alleviate the condition of a person in the presence of osteochondrosis of the lumbar spine;
  • when detecting trigeminal neuralgia (chronic, acute process);
  • in the treatment of eye diseases. This physiotherapy can improve visual function in the presence of damage to the retina or nerves;
  • in the presence of muscle atrophy, clubfoot and other pathological conditions of the body.

How the procedure works

Ultraphonophoresis, when exposed to tissue in the body, causes complex reactions. When used, the permeability of cell membranes increases, and nerve receptors become more sensitive. The metabolism and activity of leukocytes in the body also increases significantly. Ultrasound waves have a positive effect on the blood, changing its composition and pH. As a result of this influence, its speed of movement is significantly accelerated. Ultrasound produces a kind of “massage” of cells. This speeds up the process of resorption of hemorrhages and exudates. Ultrasound waves also have a tonic, anti-inflammatory, vasodilator, and analgesic effect.

Physiotherapy of this type involves the use of two modes of operation - pulsed and continuous. During the first, short impulses are produced (up to 60 per minute). The pulse mode of operation is considered gentle with a minimum level of the thermal component. If a more intense effect on certain areas of the body is required, continuous emission of sound waves is used.

If ultrasound treatment is combined with a drug such as hydrocortisone, it is possible to further enhance the positive effect of the procedure. This drug affects carbohydrate and protein metabolism in tissues. It has antiallergic, antishock, and immunosuppressive effects. Thanks to ultrasound, it acts more locally on the problem area, penetrating into the deepest layers of the skin.

Features of the procedure

Phonophoresis with hydrocortisone is carried out similarly to conventional ultrasound diagnostics. For the procedure, a familiar sensor is used that produces ultrasonic waves, only instead of a special gel (wave conductor) a medicinal mixture is used. It consists of hydrocortisone with petroleum jelly or lanolin (animal fat) in a ratio of 1:5.

The procedure itself involves the following steps:

  1. The skin is treated with a special solution that produces an antibacterial effect.
  2. Hydrocortisone ointment is applied to problem areas and distributed evenly with a spatula or spatula.
  3. Ultrasound is applied. Its power is no more than 1 W/sq. cm, and the frequency is from 16 to 500 kHz. This ensures penetration of the drug to a depth of 4-6 cm.

This procedure lasts minutes, depending on the area being treated. After it, it is recommended not to remove the hydrocortisone ointment, since after ultrasound treatment the increased permeability of the skin remains for several hours. The duration of treatment is determined by the doctor. On average, from 10 to 14 procedures are indicated, which are carried out every other day. Repeated phonophoresis with hydrocortisone is used only after 3-5 months.

When is the procedure prohibited?

Contraindications to the use of this procedure:

  • hemophilia disease;
  • diabetes mellitus in the last stages;
  • chronic nephritis;
  • hypertension;
  • oncological diseases;
  • pregnancy;
  • in the presence of infectious diseases caused by viruses or bacteria;
  • thyrotoxicosis;
  • individual intolerance to the procedure;
  • in the presence of ulcers on the skin.

All contraindications to the use of the procedure are strictly defined. In the presence of these factors, the therapeutic effect of phonophoresis is completely absent.

Features of the procedure

The direct indication for the use of the procedure is arthritis or arthrosis. In this case, a medicinal ointment is applied directly to the knee joint, after which it is treated with an ultrasound sensor. In gynecology, the device is inserted vaginally or acts on the lower abdomen during the entire procedure.

Also, phonophoresis with hydrocortisone can often be used endonasally if there are problems with the ENT organs. In this case, gauze turundas, which are soaked in medicinal ointment, are introduced into the nasal cavity. Special applicators are also used.

In any case, during the procedure there is a local effect on the problem area, regardless of its location. It can be of any size and type.

Online test for diabetes

Take the test to find out your risk of developing diabetes

Test: Checking your immunity

Take the test to find out how strong your immune system is

materials about all hormones,

information about diseases,

drugs and tests

All information on the site is provided for informational purposes. Before using any recommendations, be sure to consult your doctor. Self-medication can be dangerous to your health.

Source: http://ogormone.ru/bolezni/fonoforez-s-gidrokortizonom.html

Phonophoresis with hydrocortisone, what is it?

Physiotherapeutic procedures together with medications are now actively used by doctors, and this helps to achieve a positive effect in a short period of time. Phonophoresis, thanks to ultrasonic waves, affects the skin and affected areas, and also promotes better absorption of hydrocortisone ointment. Phonophoresis with hydrocortisone is an excellent solution for chronic and acute processes in the joints.

Basic information about the procedure

Doctors prescribe physiotherapy for many patients. But not everyone knows what phonophoresis is. This is a physiotherapeutic method based on the effect of ultrasound on tissues with different depths of influence. The waves are able to penetrate into the deep subcutaneous layers to treat the pathological process. The procedure is completely painless, and if you add certain medications to it, you can enhance the work of ultrasound. Medicinal mixtures are quickly absorbed into the skin layers and locally eliminate inflammation, relieve pain and other manifestations of diseases.

Doctors often prescribe hydrocortisone ointment, which, due to its anti-inflammatory effect, has proven itself in the treatment of various diseases.

Other agents are also used, for example, antibacterial, painkillers and even vitamin substances, in addition to enzyme preparations. Their active action, together with ultrasonic waves, is completely destroyed, so there will be no effect.

Hydrocortisone

Most often, physiotherapy, namely phonophoresis, cannot be done without the use of medicinal medications, especially without drugs from the corticosteroid group. These hormonal agents are analogues of those produced by our organs, in particular the adrenal glands. Among the many drugs, the most effective and frequently used is Hydrocortisone.

Ultraphonophoresis is one of the most common physiotherapy procedures, which is performed with hydrocortisone ointment. This remedy is almost universally used in ophthalmology, traumatology, venereology and in the treatment, for example, of knee joints.

The drug is convenient due to various forms of release; it can be used in the form of:

Hydrocortisone relieves swelling and sensations, acts as an anti-inflammatory, and even fights signs of an allergic reaction. The main direction in which this drug is widely used together with ultrasound is to minimize the side effects of the drug itself and enhance its effectiveness at the site of development of the pathological process.

The active effect occurs specifically on the affected area, while the composition does not in any way affect the liver, kidneys, gastrointestinal tract and other internal organs.

Indications for use

If the knee joint is injured or inflamed and the doctor has prescribed you a type of treatment such as phonophoresis, there are a number of ailments in this area for which it is specifically used:

Despite the effectiveness of this method, it is not a panacea and works in combination with other methods of therapy. There are also diseases for which phonophoresis can be used, the following systemic or single diseases are indicated:

  • Diseases of the ENT organs, especially those that are difficult to treat with medication. These are allergic sinusitis, sinusitis, tonsillitis.
  • Healing of damaged scar tissue (after operations, injuries, burns). With proper and long-term use, the external defect disappears almost completely.
  • Atrophic gastritis in chronic form.
  • Skin problems - eczema, dermatitis.
  • Trophic disorders of muscle tissue.
  • The healing of tubular bone fractures improves.
  • Chronic prostatitis.
  • Mild forms of mastitis (without complications).
  • Inflammation of the ternary nerve.
  • In gynecology for chronic inflammatory process of the fallopian tubes.

Many diseases, pathologies and defects can be eliminated with the help of hydrocortisone and ultrasound. It is also possible to use this manipulation on the lower abdomen, especially in women.

But there are also contraindications that anyone who wants to try this type of treatment needs to know. Only a specialist can tell you in more detail, so don’t be afraid to go to the hospital if something bothers you.

Contraindications

Corticosteroids have many side effects, so the most preferred way of introducing them into the body is phonophoresis with ultrasound. Hormones in large quantities do not help in the fight against diseases, but, on the contrary, can stimulate the inflammatory process or the growth of tumors. However, in combination with physiotherapy, their bad effects are reduced, and their positive effects are enhanced.

However, even with such an interaction, there are contraindications, namely:

  • The presence of an acute infectious process in the body.
  • Purulent diseases (abscess, gangrene).
  • Malignant tumors of various etiologies and locations.
  • Pathologies of the cardiovascular system.
  • Bronchial asthma.
  • Pregnancy.
  • Allergic intolerance to the components of the drug.

Phonophoresis with hydrocortisone has many moments in which its use is prohibited, so it is very important not to act on your own, but to consult a doctor and select an individual course of therapy.

Technique of the procedure

The mechanism of action of phonophoresis is quite simple; ultrasound waves act on the cellular structure and directly on the tissues themselves. This causes specific and complex reactions. Cell membranes become like a “sponge”, more permeable, and sensitivity in nerve receptors increases. Blood counts change, there are more leukocytes, pH and general composition change, metabolic processes improve. Thanks to this action, swelling subsides, hemorrhages and other fluid accumulations (exudates) resolve.

The device for carrying out this technology is the same as for ultrasound; the sensor itself is configured for continuous or pulsed ultrasound. The first method of exposure is used during long-term treatment, the second is more gentle. In order for the impulses to pass and reach the required point of the inflammatory or degenerative process, it is necessary to apply a conductor, and in our case this is hydrocortisone ointment.

Phonophoresis with hydrocortisone is carried out in several stages:

  • First of all, the place that will be exposed to radiation must be disinfected.
  • Apply a layer of hydrocortisone medicinal ointment and spread it evenly over the surface to be treated with a spatula or gloved hand.
  • It is necessary to set up the device and start massaging the painful area from low frequencies and gradually increase them. Thanks to this gradualness, the medicine will penetrate 4–6 cm deep into the tissue, which is much more effective than simply rubbing the gel into the skin. You also need to choose an exposure mode, gentle or continuous.

The procedure should last from 15 to 30 minutes to achieve the maximum therapeutic effect; the ointment should not be washed off. It's all about the permeability of cells after phonophoresis; their activity will last for a couple of hours.

The course of therapy lasts 10–14 days; the physiotherapy procedure can be repeated after 5 months.

Positive sides

In case of joint disease, doctors always prescribe phonophoresis in addition to the main therapy; thanks to its use, recovery or healing occurs much faster. It depends on the following factors and reasons:

  • Ultrasound waves make the cell membrane permeable, allowing the drug to penetrate directly into the area of ​​inflammation.
  • The ointment acts directly on the affected area, so there is no need to take medications internally, and therefore there are no side effects.
  • The procedure does not have any unpleasant sensations, it is completely painless.
  • The price for a course of treatment is low.

Remember that this procedure cannot instantly correct your condition; the medicine itself accumulates in the skin for at least 7 days and only then does a positive therapeutic effect occur.

Treatment with this method should be comprehensive with the use of medications and other methods of therapy, it all depends on the diagnosis and the individual characteristics of the body. Therefore, it is very important to consult a doctor; even in this case, self-medication can be dangerous to your health.

Source: http://elaxsir.ru/lekarstva/drugie-lekarstva/fonoforez-s-gidrokortizonom.html

The benefits of ultrasonic phonophoresis with hydrocortisone

Phonophoresis with hydrocortisone is based on the effect of low-power ultrasound radiation on the body with the simultaneous use of a pharmacological drug. Hydrocortisone is an additional factor influencing internal systems and significantly speeds up the time to restore the functionality of joints and other organs. The complex procedure is used to treat arthrosis and arthritis; it significantly softens the symptoms and psycho-emotional stress on the patient.

Properties and advantages of dual therapy method

Each sound sensing tool has its own unique characteristics. When performing phonophoresis, ultrasonic vibrations penetrate under the skin of the joint to a depth of 6 cm, exerting a mechanical, infrared and physiological effect. Sound energy is converted into heat. At the same time, a gentle massage of the tissue occurs.

As a result of heating and increasing cell tone, the absorption of hydrocortisone accelerates, the rate of biochemical processes of oxidation and reduction increases, and the adsorption capacity of cells increases.

Hydrocortisone has the ability to influence the membrane surface of joint structures, suppressing the formation of pathogenic compounds that are involved in the development of inflammatory processes. It also blocks histamine, which is in an inactive state in histiocytes. By preventing its penetration into the general circulatory system, hydrocortisone has an anti-allergic effect. In addition, the substance binds atoms of sodium, water and plasma components, relieving swelling and redness. The analgesic effect is due to a decrease in irritation of nerve fibers. Additionally, the drug delays protein synthesis, while simultaneously accelerating their breakdown.

The main advantages of the combined use of ultrasound and hydrocortisone:

  • relative safety;
  • local effect on the lesion;
  • increasing the duration of the drug’s effect and the overall effect of treatment.

After 2-3 sessions, an increase in pain cannot be ruled out, which should soon disappear in the normal course of the process.

Indications and principle of operation of the method

Phonophoresis and hydrocortisone are prescribed for moderate inflammation of the musculoskeletal mechanism. This method is especially recommended for damage to the synovial membrane of the ankle, knee and hip joints. Double exposure promotes nutrition of periarticular organs and their regeneration. Connective tissue becomes less sensitive due to inhibition of the exudation and proliferation reaction. High-frequency vibrations increase blood circulation in tissues due to their full supply of oxygen and the removal of waste products.

In addition to treating joints, the ultrasound method is used for developing and advanced sinusitis, tonsillitis and otitis media. Restrictions apply to cases of pus content. Phonophoresis with hydrocortisone is indispensable for:

  • softening and removal of postoperative scars, post-burn seals;
  • therapy of the genitourinary system, skin, neuralgia;
  • eliminating cosmetic imperfections.

When carrying out the phonophoresis procedure, a relatively small amount of the drug is needed, since the sound, which is not perceived by human hearing, enhances the reaction of the interaction of the drug with the affected object. The essence of the local oscillator operation is to generate oscillations with a frequency of more than 20 KHz by piezoelectric crystals when alternating current is supplied. Before this, a medicinal material is applied to the sore spot, which, due to the activation of cellular structures, works more effectively. Ultrasound is a kind of transport that delivers medication to the right place.

Contraindications for a phonophoresis session

This method has a wide range of indications and high efficiency. Therefore, it is prescribed with extreme caution. There is a general ban on the use of the procedure for cancer, hypertensive pathology of 2-4 degrees, acute tuberculosis of the respiratory system, severe forms of endocrine diseases, paralysis of the nerve endings of the face, as well as during pregnancy and lactation.

Phonophoresis with hydrocortisone is not used in case of skin problems associated with the activation of acne, eczema, and herpes virus. Sound therapy is limited in cases of vascular diseases and a tendency to hemorrhage. Hydrocortisone has a number of contraindications specific to it. These include allergies, dermatitis of various etiologies, ulcers and wound formations.

Treatment with a complex method using ultrasound and hydrocortisone is possible under the strict supervision of the attending physician. The latter’s task is to assess the patient’s condition and draw up the correct strategy when prescribing a course of treatment.

The optimal solution is to determine the biological parameters of the condition before and after therapy.

In this way, the course of diseases of both an individual joint and the entire musculoskeletal system is greatly facilitated.

The information published on this site is for reference only. Before using it in practice, be sure to consult your doctor.

Source: http://gidomed.ru/plasticheskaya-hirurgiya/fonoforez-s-gidrokortizonom.html

How to do ultrasound with hydrocortisone for joint disease

Diseases of the musculoskeletal system deprive a person of the opportunity to lead a full life. Various techniques are being developed to eliminate them, but physiotherapy has been and remains the most popular and effective method of treatment. Therefore, next we will talk about the use of ultrasound with hydrocortisone for joint diseases.

Phonophoresis with hydrocortisone on joints - the essence of the procedure

Phonophoresis is one of the types of physiotherapeutic treatment. It consists of the effect of low-frequency ultrasonic waves on the penetration of the drug, which ensures the maximum possible therapeutic effect.

The principle of operation of sound waves is the transmission of vibrations at the cell level, due to which there is a targeted effect on the focus of the pathological process.

Reference. Ultrasound is capable of creating vibrations in the range from 800 to 3000 kHz and penetrating deep into tissue.

A number of medications are used in combination with ultrasound, which enhances the therapeutic effect. These can be vitamins, antibacterial agents, anesthetics, NSAIDs, hydrocortisone, etc.

Since the procedure is widely used in various fields of medicine, the medication is selected by the attending physician individually in each case.

Specifically for the treatment of pathologies of the musculoskeletal system, a combination of phonophoresis with hydrocortisone is most often used.

Hydrocortisone is a synthetic hormone that is an analogue of the hormone produced in the human body by the adrenal cortex.

The drug is capable of providing anti-inflammatory, antipruritic, antiexudative and antiallergic effects.

How it works and to whom it is indicated

Ultrasound treatment of joints with hydrocortisone allows the active substance to penetrate the skin faster and more effectively and reach the affected joint.

This procedure can have the following effects on the human body in the treatment of joint ailments:

  1. Elimination of pain.
  2. Reducing swelling and inflammation.
  3. Improving trophism and functional abilities of the joint.
  4. Stimulating the natural regeneration of connective tissues of the joint.
  5. Restoration of muscle fiber tone.

In addition, manipulations also affect the condition of the entire body as a whole, improving the general well-being of the patient.

Ultraphonophoresis is used for various diseases of the musculoskeletal system:

  • osteochondrosis;
  • spinal hernia;
  • radiculitis;
  • arthrosis;
  • periarthrosis;
  • gout;
  • bursitis;
  • osteoarthritis;
  • meniscopathy.

The procedure is also effective for injuries (bruises, dislocations, fractures), as it speeds up the rehabilitation process.

Reference. The therapeutic effect of phonophoresis with hydrocortisone is almost equivalent to intra-articular administration of the drug.

How is it carried out?

The ultrasound therapy procedure is carried out by contact in a physiotherapy room by a medical professional.

Reference. You can buy a device for performing manipulations at home in specialized stores, but it is better if the treatment is supervised by a doctor.

Using an example, let's look at the technique of performing phonophoresis with hydrocortisone on the knee joint:

  1. Treating the skin with an antiseptic in the affected area.
  2. Apply Hydrocortisone ointment to the skin in an even layer.
  3. Turning on the device and regulating the power to a certain level (depending on the type and severity of the disease).
  4. During the procedure, the sensor moves within the problem area.
  5. Average session time minutes.
  6. Duration of treatment sessions.

After performing the manipulation, it is not recommended to remove the ointment for another half hour, since while on the skin, the drug still has a therapeutic effect for some time.

In addition to ultrasound, another method of physiotherapeutic treatment is widely used to treat affected joints - electrophoresis.

Reference. Electrophoresis is performed using a machine that allows medications to penetrate the skin and accumulate there, gradually entering the bloodstream to the affected areas.

The methodology for carrying out these procedures is somewhat different. Therefore, now let’s look at how to do electrophoresis with hydrocortisone on the knee joint:

  1. Inspecting the skin in the problem area for the absence of inflammation or abrasions.
  2. Hydrocortisone ointment is prepared for the leading electrode, for which the product is applied to a piece of gauze.
  3. A preparation is prepared for electrode 2 to enhance the effect. Eufillin is usually used.
  4. Connecting the electrodes and placing them on the affected area. For example, a pad with hydrocortisone is placed on top of the knee, and a pad with Eufillin is placed on the popliteal area.
  5. The duration of the procedure is no more than 15 minutes.
  6. General course of procedures.
  7. Repeated course - after 2 months.

If the procedure will be carried out at home, you should consult a specialist in advance.

Contraindications

There is an extensive list of contraindications to ultrasound with hydrocortisone. In this case, contraindications to the procedure itself and to hydrocortisone as a drug should be considered separately.

Important! In view of such circumstances, the therapeutic course should be prescribed only by a doctor after a comprehensive examination.

An ultrasound physiotherapeutic procedure is prohibited in the following situations:

  • pregnancy period;
  • pathologies of the cardiovascular system;
  • neoplasms of benign and malignant nature;
  • diabetes;
  • renal failure;
  • bronchial asthma;
  • pathologies associated with blood clotting disorders;
  • nervous disorders;
  • malfunctions of the endocrine glands;
  • immunodeficiency;
  • infections, inflammatory processes that require active functioning of the immune system.

Hydrocortisone should not be used under the following circumstances:

  1. Individual intolerance to the components of the product.
  2. Violations of the integrity of the skin at the site of the procedure.
  3. Pregnancy and breastfeeding.
  4. Severe forms of tuberculosis, diabetes.
  5. Dermatological pathologies - ulcers, dermatitis, rash.

In rare cases, this procedure can cause adverse reactions in the form of itching, swelling and hyperemia in the area affected by the device. There have also been cases of increased blood pressure.

Reviews

After analyzing the forums and reading reviews about this therapeutic method, we can conclude that the procedure is effective.

However, among the many positive comments you can find negative opinions, which are also based on people’s personal experiences.

Here are a few opinions on the effectiveness of the technique.

Marina: “At first I had constant discomfort in my hand. Then I noticed that the bone on my hand had grown and become rounder. I didn’t delay it and went to a traumatologist. I was diagnosed with arthritis.

They prescribed compresses and ultrasound. I took a six-day course. After the first procedure, I felt relief; the pain did not completely disappear, but noticeably subsided. After the treatment, my arm returned to normal.”

Alexandra: “I was prescribed ultraphonophoresis with hydrocortisone to treat my knee joint. For me it’s just a pleasant procedure, but nothing more. It didn't make me feel any better.

But I can’t talk about the ineffectiveness of manipulation, because there is one point. The doctor offered me more serious treatment (intra-articular injections), from which I concluded that my situation was already too advanced for such methods.”

Valery: “There was a crunch in the knee and stiffness that began to bother me. I went to the doctor. He prescribed an ultrasound for me. The effect did not appear immediately. After the course, my friend realized that the crunch in his knee had stopped and the stiffness had disappeared.”

Conclusion

Treatment of articular pathologies should be comprehensive using various therapeutic areas. This tactic will increase the effectiveness of each technique used and speed up the healing process.

Seek help and ask any questions of our staff rheumatologists.

All consultations are free!

© 2017–2018 – In simple words about rheumatology and joint diseases

Copying of materials is permitted only with an active link to the site.

All information posted on the site is for informational purposes only and is not a guide to action. Before using any medications or treatments, you should always consult your doctor.

Source: http://revmatolog.org/lechenie/medicamenty/ultrazvuk-s-gidrokortizonom-pri-zabolevanii-sustavov.html

Application of phonophoresis with hydrocortisone

What is this procedure?

Phonophoresis with hydrocortisone is the effect of ultrasound on any part of the human body using hydrocortisone as a therapeutic agent, replacing a traditional, neutral medical gel.

Phonophoresis method

The phonophoresis procedure, or, as it is also called, sonophoresis, is a combined, progressive method in physiotherapy, the main characteristic of which is the combination of the effects of medications and ultrasound on the problem area.

As a rule, when conducting a course of procedures using the phonophoresis technique, hydrocortisone is used as a medication, due to its excellent ultrasound conductivity and strong effect on cells.

The drug Hydrocortisone

Hydrocortisone, or as it is called in medicine - cortisol, is a glucocorticoid hormonal steroid with active biological characteristics.

The substance very well regulates and normalizes the processes of carbohydrate metabolism in cells. Once in the bloodstream, it reaches internal organs, increases the percentage of glucose synthesis in hepatocyte cells, promotes the accumulation of glycogen in the body and reduces the level of hypothalamic hormones, especially corticoliberin.

Accordingly, the role of cortisol, or hydrocortisone, is the preservation, increase and accumulation of energy reserves in the human body.

The appropriateness of this procedure, that is, phonophoresis with hydrocortisone, is quite controversial. For example, in 1996–1998, a fairly large study was conducted at one of the universities in the USA, which convincingly proved that all ultrasound procedures with hydrocortisone are useless, since ultrasound does not in any way affect the speed and depth of penetration of the substance into the body tissues.

However, the procedure of phonophoresis with hydrocortisone remains one of the most popular. Many people, having first learned what phonophoresis with the use of hydrocortisone is as prescribed by a doctor, subsequently independently turn to physiotherapy rooms for this very procedure.

When is the phonophoresis procedure with hydrocortisone used?

Phonophoresis with hydrocortisone is completely aimed at improving the health of the human body.

The use of ultrasound treatment with the use of medications is recommended for a fairly wide range of problems. The main reasons to visit a physiotherapist are many diseases.

Respiratory diseases

First of all, ultrasound is recommended in the presence of sinusitis. Depending on the location of the suppuration and the complexity of the disease, therapy can be applied both externally and endonasally.

However, if you suspect sinusitis or its relapse, before starting a course of medical therapy procedures, any physiotherapist will definitely send you for an x-ray to confirm the presence of the disease and clarify the degree of its severity.

And also this effect of ultrasound is extremely effective in various forms of tonsillitis, otitis and frontal sinusitis.

Joint diseases

The method of mixed physiotherapeutic treatment, that is, phonophoresis with hydrocortisone, is very effective for moderate joint disease. After the procedures, there is a noticeable analgesic effect, relief from inflammation, and a beneficial effect on the elasticity and overall tone of the connective tissue.

It is recommended and actively prescribed by doctors for the following joint diseases - arthrosis, including deforming arthrosis, arthritis, periarthrosis, reactive form of synovitis pathologies.

Scars

Thanks to the procedures of this therapy, the scarred area of ​​skin softens, blood flow increases, carbohydrate metabolism increases, oxygen saturation occurs, which causes cells to regenerate. As a result, the damage becomes much less noticeable both visually and to the touch.

Diseases of the reproductive system

Physiotherapy, namely the procedure of phonophoresis with hydrocortisone, is actively used in urology and gynecology. It is especially often used:

  • in the treatment of problems and pathologies of the uterus, appendages and ovaries, including chronic forms;
  • as a restorative therapy after adnexitis;
  • to completely restore the proper functionality of the ovaries and uterus after antibacterial drugs;
  • to prevent the formation of fibroids and scarring of internal tissue.

However, before starting ultrasound manipulation, you will need not only a referral from a doctor and an extract from the medical record, but also the results of the examination.

Diseases of neurological origin, post-traumatic and painful nerve pathologies

Thanks to the influence of ultrasound vibrations, healing and restoration of damaged nerve fiber occurs very quickly, and the prevention of painful pulsating sensations occurs after just a couple of sessions.

Physiotherapy in general, and phonophoresis with hydrocortisone ointment in particular, becomes simply a panacea:

  • for neuritis and neuralgia, regardless of their localization;
  • for the treatment of the consequences of injury to peripheral nerve fibers;
  • for contracture of facial muscles in case of disruption of the process of nervous activity;
  • in conditions after decompressions.

Cosmetological defects

Physiotherapy deals with fine wrinkles, both age-related and facial wrinkles. After a course of therapeutic procedures, the effect of a face lift is clearly visible, which is achieved through active stimulation by ultrasound and hormonal ointment of all metabolic processes in cells, during phonophoresis procedures with hydrocortisone.

Spinal diseases

The phonophoresis technique with hydrocortisone is effective against osteochondrosis, especially intervertebral, effectively relieves radicular syndrome and resolves swelling around the inflamed area. In complex pathological conditions, the physiotherapist uses pulsed, softer and more delicate effects during procedures.

Before starting treatment, the results of a number of examinations will be required, including x-rays of internal organs associated with the affected spinal region.

Allergies, skin diseases, insect bites

Quite often people turn to physiotherapy, especially phonophoresis procedures with hydrocortisone, for various allergic problems.

For insect bites, the method of phonophoresis with hydrocortisone, in one session, relieves red swollen tubercles and unbearable itching.

As for dermatological ailments, at this moment the effectiveness of the use of physiotherapy has been confirmed only against dermatitis that occurs on a nervous basis.

When should you not resort to phonophoresis with hydrocortisone?

There are common barriers to visiting a physical therapist, including a number of illnesses:

  • oncological formations and tumors;
  • hypertension from the second degree and above;
  • diabetes mellitus of both types;
  • tuberculosis;
  • a state of paralysis of any major nerve, from the facial to the vagus;
  • the presence of eczema of non-nervous origin;
  • herpes;
  • pregnancy;
  • bacterial or fungal infectious diseases;
  • tendency to bleeding of various types.

In addition to these main points, obstacles to treatment using phonophoresis using hydrocortisone can be such things as an individual reaction to the use of ultrasound or complete immunity to it.

The same can be noted with regard to the medication itself used during the course of treatment; the following diseases may become contraindications to the procedure:

  • peptic ulcers;
  • osteoporosis;
  • acute endocarditis;
  • jades;
  • arterial hypertension;
  • liver and kidney failure;
  • presence of arthroplasty;
  • myasthenia gravis;
  • AIDS and HIV;
  • disorders and pathologies in the activity of the thyroid gland;
  • diverticulitis of any degree of development.

Despite the controversial issue of the feasibility and effectiveness of using the phonophoresis method in physiotherapy using hydrocortisone, a large number of people who have undergone a course of this therapy have fully recovered and are trying to resort to treatment and prevention of all sorts of diseases, from the runny nose to convulsive syndromes of an age-related or biological nature .

Source: http://gormonys.ru/lechenie/fonoforez-s-gidrokortizonom.html