Physiotherapy phonophoresis with hydrocortisone

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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.

Table of contents:

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

Phonophoresis with hydrocortisone: indications and technique

Physiotherapeutic procedures based on the beneficial effects of physical forces (light, heat, vibration) are one of the methods of rehabilitation treatment. Safe and effective sound therapy is becoming increasingly popular. One such method is phonophoresis with hydrocortisone.

Description of the procedure

Phonophoresis is a physiotherapeutic method based on ultrasound energy. With the help of high-frequency exposure to sound waves, medicinal substances penetrate into the deep layers of the skin and quickly affect the source of pathology.

The procedure is painless and is carried out without damaging the skin.

The procedure is carried out in conjunction with local anti-inflammatory and painkillers. In this case, not only the drug, but also the ultrasound itself has a therapeutic effect, increasing skin permeability and improving blood supply to the painful area.

Often during phonophoresis, hydrocortisone is used - a hormonal anti-inflammatory, antiallergic, immunosuppressive drug.

In addition to hydrocortisone, during the procedure you can use painkillers (analgin, ketonal), antibacterial agents, vitamins, heparin, bee venom and other drugs. The exception is enzymes and novocaine, which are destroyed under the influence of ultrasound.

Indications for the use of phonophoresis with hydrocortisone:

  • inflammatory and autoimmune diseases of the joints (arthritis, including deforming, rheumatoid, juvenile), arthrosis;
  • diseases of the ENT organs (allergic rhinitis that is difficult to treat, chronic tonsillitis, sinusitis, sinusitis in the resolution stage);
  • postoperative, burn, wound scars;
  • Sjögren's disease is a chronically progressive autoimmune disease of connective tissue with primary damage to the lacrimal and salivary glands;
  • enuresis in children;
  • chronic atrophic gastritis;
  • dermatological diseases (eczema, neurodermatitis);
  • trophic ulcers;
  • fractures of long tubular bones in the healing phase;
  • heel spurs;
  • muscle wasting and atrophy;
  • chronic prostatitis;
  • hypogalactia (decreased milk production in nursing women);
  • uncomplicated mastitis;
  • chronic adnexitis - inflammation of the fallopian tubes;
  • adhesions in the pelvis in women caused by chronic infection.

Technique

The sensor for physiotherapeutic procedures is similar to that intended for ultrasound diagnostics. The difference is that the conductor for ultrasound is not an inert gel, but hydrocortisone ointment (5 ml of hydrocortisone + 25 ml of petroleum jelly or lanolin).

Hydrocortisone is a pharmacological analogue of human adrenal hormones

Stages of the procedure:

  1. Treating the skin with a disinfectant solution.
  2. Apply hydrocortisone ointment to the painful area and distribute it evenly with a spatula.
  3. Ultrasound supply with power up to 1 W/cm² and various oscillation frequencies (from 16 to 300–500 kHz). This provides high-frequency “massage” of the cells and penetration of hydrocortisone to a depth of 4–6 centimeters. Two modes are used for treatment: gentle, with pulsed ultrasound at a frequency of about 60 per minute, and intense continuous.

An ultrasonic wave generator usually includes several sensors

One phonophoresis session lasts from 10 to 30 minutes. After the procedure is completed, it is not recommended to remove hydrocortisone ointment from the skin for some more time, since the increased permeability of the skin pores persists for two to three hours. To achieve a positive effect, it is recommended to carry out a course of 10–14 daily (or every other day) procedures. A repeated course of phonophoresis can be carried out no earlier than after 3–5 months.

Advantages

Doctors note that when this physiotherapeutic procedure is included in the patient’s management plan, recovery occurs faster.

Ultrasound is a relatively new and safe treatment method

This is due to the fact that:

  • Ultrasound promotes deep penetration of the drug into the tissues of the body and its targeted delivery to the site of pathology;
  • the need to take the medicine orally is eliminated, it is practically not absorbed into the systemic bloodstream, and, therefore, there is no negative effect on internal organs;
  • no discomfort: the phonophoresis procedure is absolutely painless;
  • affordable price (on average, one phonophoresis session costs 150–300 rubles).

It is important to know that phonophoresis does not guarantee instant results. Each session of the procedure promotes the accumulation of the drug in the thickness of the skin, and only after 5–7 days does it reach therapeutic values.

Features of the use of phonophoresis with hydrocortisone

Depending on the characteristics of the disease, the procedure technique may differ slightly. Listed below are the most common diseases that phonophoresis successfully combats.

Arthritis and arthrosis (knee joint and others)

Phonophoresis is an effective means of additional treatment of inflammatory and destructive joint diseases. The procedure relieves pain, reduces inflammation and inhibits the destruction of cartilage tissue. After a course of ultrasound therapy, the range of active movements in the diseased joint expands significantly.

For arthritis and arthrosis, the procedure is carried out externally, applying hydrocortisone ointment to the surface of the affected joint and influencing the source of inflammation with a skin sensor.

Osteochondrosis, scoliosis and other diseases of the spine

For joint diseases of the spinal column, a contact method of drug delivery is also used. In case of severe pain, in addition to hydrocortisone, phonophoresis is carried out with analgin, ketonal and other painkillers.

Diseases of the ENT organs (effects on the tonsils, nasal area, etc.)

Phonophoresis has become widespread for diseases of the ear, nose and throat. It is prescribed for prolonged sinusitis, sinusitis, frontal sinusitis, etc. in the resolution stage. Both external (through the skin in the projection of the chamber or sinus) and endonasal use are possible. The latter involves the introduction into the nasal cavity of gauze turundas, generously soaked in hydrocortisone, and special applicators - ultrasound conductors.

Phonophoresis should be prescribed in the resolution stage, when the symptoms of intoxication have subsided

For chronic tonsillitis and hypertrophy of the tonsils, physiotherapy is also prescribed - phonophoresis is carried out according to the standard scheme in the submandibular area.

Gynecology

For the treatment of adnexitis, metritis and colpitis, a special vaginal sensor is used, onto which a condom generously lubricated with hydrocortisone ointment is placed. The sensor is then inserted into the vagina for 10–15 minutes. Treatment is stopped during menstruation.

Phonophoresis in cosmetology

Phonophoresis with hydrocortisone has also become widespread in cosmetology practice: ultrasound radiation helps saturate tissues with oxygen, stimulates the production of collagen - a structural protein of the body, provides lymphatic drainage and blood supply. Hydrocortisone, in turn, moisturizes and tightens the skin, smoothing out fine wrinkles.

For cosmetic procedures, as a rule, a special flat sensor is used

The procedure is performed on the entire face, excluding the area around the eyes. To achieve a significant cosmetic effect, 10 procedures are enough.

Carrying out at home

The physiotherapeutic procedure can also be carried out at home. To do this, you need to purchase a special ultrasonic wave generator for phonophoresis. As a rule, home installations have less power and are relatively inexpensive: prices for simple models start from 3000–3500 rubles.

Attention! Phonophoresis with hydrocortisone should be carried out only as prescribed by a doctor, taking into account indications and contraindications! Self-medication is unacceptable and can lead to serious complications.

The power of appliances for home use is usually low

Techniques for home use of the device

  1. Thoroughly clean the affected area with a cotton swab soaked in an antiseptic solution (chlorhexidine, furatsilin).
  2. Apply hydrocortisone ointment to the affected area and spread it with a spatula or a special brush supplied with the device.
  3. Set the recommended mode and intensity of exposure for your disease. All this information should be displayed in the device's user manual.
  4. Bring the electrode to the skin and begin slow, smooth movements. During the massage, the intensity of the ultrasound can be changed, this will facilitate the penetration of the drug into different layers of the skin and a better therapeutic effect. For the first time, it is better to limit yourself to 5–10 minutes of massage; subsequently, you can increase the time to 30 minutes.
  5. Leave the hydrocortisone ointment on the skin for another 20–30 minutes, wrapping the skin in a warm cloth or covering it with plastic.
  6. Repeat home ultrasound procedures every other day (10–12 procedures in total).

Contraindications

The phonophoresis procedure is prohibited when:

  • blood diseases associated with impaired coagulation (hemophilia, thrombocytopenic purpura, hemorrhagic vasculitis, etc.);
  • severe diabetes mellitus in the decompensation phase;
  • chronic renal failure;
  • arterial hypertension of 2–3 degrees, poorly controlled with medications;
  • atherosclerosis of large vessels;
  • coronary heart disease, exertional angina, unstable angina;
  • active forms of pulmonary tuberculosis;
  • malignant neoplasms;
  • I and lll trimesters of pregnancy;
  • viral and bacterial infections in the acute stage (ARVI, tonsillitis, laryngitis, bronchitis, pneumonia);
  • bronchial asthma;
  • pustular skin rashes;
  • neuralgia, neuritis in the acute stage;
  • thyrotoxicosis, hyperfunction of the thyroid gland;
  • immunodeficiency states;
  • individual intolerance to hydrocortisone.

Reviews about the procedure

At the end of last spring, my son poured a mug of hot tea on himself. We spent three weeks in the hospital and underwent skin graft surgery. And then, 3 months after discharge, they returned to undergo a course of rehabilitation and relief of tissue scarring. To treat the scar and reduce it, electrophoresis and phonophoresis were prescribed.

As for the effect of phonophoresis, I cannot say for sure, because the scar became softer, decreased in volume and became lighter. This is very good! But at the same time as ultrasound, my son also underwent electrophoresis. So I can’t say for sure that Hydrocortisone worked. But overall I liked the ointment. I didn't observe any side effects.

My desire to get rid of nasolabial folds brought me to the doctor’s clinic. And the phonophoresis procedure did its wonderful job, the lips became more expressive, the wrinkles disappeared. Now I look younger and better, I’m very happy

I was given phonophoresis with hydrocortisone for 10 days on the 4th day of the cycle. Pregnancy occurred in the same cycle)

Thus, proper use of phonophoresis with hydrocortisone ointment provides a positive therapeutic effect and promotes rapid recovery. However, like any treatment method, it has specific contraindications and requires medical supervision.

Source: http://medvoice.ru/fonoforez-s-gidrokortizonom-pokazaniya-i-tehnika-provedeniya/

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.

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.

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

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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

Phonophoresis with hydrocortisone

For diseases of the musculoskeletal system, physiotherapy is very effective. They help reduce the symptoms of the disease, relieve the inflammatory process and normalize blood circulation in the tissues. In addition, physical therapy helps the active substances of the necessary drugs penetrate the body faster.

Phonophoresis with hydrocortisone is prescribed for the treatment of completely different pathologies to reduce inflammation and pain in joints, organs and soft tissues. Complex treatment of any disease using physiotherapy is very useful, and it has been proven more than once that patients who have attended phonophoresis recover faster.

Definition

Phonophoresis is a treatment with ultrasonic waves that penetrate deep into tissues and make cells more permeable. Typically, such a procedure is prescribed with a medicine, which, thanks to the effects of ultrasound, penetrates the painful area much more easily and has an effect on it.

Phonophoresis with hydrocortisone ointment perfectly reduces pain and relieves inflammation in the joints and spine. pelvic organs and respiratory tract. Along with hydrocortisone, other painkillers, such as analgin, are often prescribed during this procedure; the use of antibiotics or vitamins may also be indicated.

About hydrocortisone

Hydrocortisone is a drug from the group of corticosteroids, that is, a hormonal drug. This remedy relieves swelling, inflammation, quickly relieves pain in the affected area and even has anti-allergenic and anti-toxic effects. But the effect of the drug is due to the suppression of the immune system, so the drug is not recommended for people with immune deficiency.

The drug also has a number of side effects that may occur when using it:

  • endocrine disorders, for example, obesity, diabetes, growth retardation in childhood, etc.
  • disorders of the musculoskeletal system, arthropathy may occur;
  • Gastrointestinal tract disorders;
  • Allergic reactions;
  • Mental disorders;
  • Vision problems.

A complete list of side effects and contraindications for the drug can be found in the medication leaflet.

Hydrocortisone is a fairly effective and inexpensive drug; a tube of ointment will cost about 50 rubles. In order for the drug to better penetrate cells and have a pronounced anti-inflammatory effect, it is often prescribed during phonophoresis.

It is important to note that the drug has a number of contraindications, which every patient must be familiar with:

  • Hydrocortisone is not prescribed to children under two years of age;
  • Do not use the product immediately after vaccination;
  • It is not recommended to use hydrocortisone if the integrity of the skin is damaged;
  • The product should not be used for any infectious skin diseases;
  • The drug is not recommended during lactation and is prohibited during pregnancy;
  • Hydrocortisone is prescribed with caution to HIV-infected patients;
  • In the period after surgery, the drug is used with caution.

Indications

Phonophoresis with hydrocortisone is prescribed for the following diseases:

  • The procedure is considered very effective for joint diseases of an inflammatory and degenerative nature, for example, arthritis, arthrosis, periarthritis.
  • Ultrasound therapy with hydrocortisone is often prescribed for upper respiratory tract disease, especially if other conservative treatment methods are not effective;
  • Phonophoresis helps get rid of scars after operations, deep wounds or burns;
  • The procedure is also effective for inflammation of the female genital organs; phonophoresis is prescribed for the treatment of adnexitis and adhesions.
  • Ultrasound also helps with lactostasis and mastitis in nursing women;
  • The procedure is often prescribed for chronic prostatitis in men;
  • Phonophoresis with hydrocortisone helps bones heal faster after a fracture and reduce pain;
  • For trophic ulcers, the procedure helps to get rid of the inflammatory process and relieve pain;
  • The procedure is also indicated for chronic gastritis.
  • Enuresis in children is also an indication for phonophoresis.

Quite often, phonophoresis is prescribed if the knee joint or other joints in the body are bothering you, since corticosteroids in this case perfectly relieve inflammation and pain. Also, recently, the procedure is often prescribed for heel spurs, as it effectively eliminates pain, and you can do without surgery.

But it is worth noting that in any case, physiotherapy is not the main thing; it is always used in combination with taking medications. If you are treated only with phonophoresis, there is a risk that the symptoms will subside during treatment, but after a course of procedures everything will start all over again.

Contraindications

Phonophoresis with hydrocortisone has a number of contraindications:

  • Pregnancy period;
  • During lactation, you need to stop feeding for the duration of treatment;
  • Diabetes mellitus in an advanced stage;
  • Hydrocortisone intolerance;
  • Oncology;
  • Acute tuberculosis;
  • Bleeding disorders and other problems with the circulatory system, such as atherosclerosis;
  • Infectious diseases;
  • Purulent rashes on the skin;
  • Kidney inflammation;
  • Increased blood pressure.

Due to the fairly large list of contraindications and side effects for hydrocortisone, only a doctor should prescribe the procedure, taking into account all the risks. Self-medication can lead to disturbances in the body and irreparable consequences, so you should not use hormonal drugs without consulting a doctor.

Technique

The device for phonophoresis does not differ in appearance from the sensor for ultrasound examination, the only thing is that during the procedure, instead of a special gel for ultrasound, the doctor applies the necessary medicinal drug to the skin, in our case ointment with hydrocortisone.

The procedure is carried out in several stages:

  • First of all, the doctor treats the skin at the site of exposure with a special antiseptic solution;

Usually the patient is prescribed procedures that must be performed every other day. The average duration of one procedure is from 15 to 30 minutes, and it is not recommended to wash off the ointment from the treatment area immediately after phonophoresis. The ointment should remain on the skin for at least 2 hours, since during this time the cells retain their permeability and substances continue to be actively absorbed into the body.

Depending on the location of the impact, various sensors can be used:

  • For gynecological diseases, a sensor with medicine is inserted into the vagina;
  • For diseases of the joints and spine, a skin sensor is used;
  • For pathologies of the ENT organs, special sensors and cotton swabs moistened with a hydrocortisone solution are used.

Device for home use

The phonophoresis procedure can also be performed at home if the patient does not have the opportunity or desire to visit the treatment room every time. To do this, you need to purchase a phonophoresis device that emits ultrasonic radiation.

It is worth noting that in no case should you carry out treatment with hydrocortisone without a doctor’s recommendation; self-medication in this case will most likely lead to serious consequences. In addition, it is necessary to inform the doctor about the decision to carry out the procedure yourself at home, so that the specialist can clarify how to do it correctly.

Recommendations for performing the procedure at home:

  • It is necessary to treat the affected area with a chlorhexidine solution; to do this, moisten a cotton swab or sterile bandage with the product and wipe the skin well.
  • The ointment must be squeezed onto the sore spot and spread over the skin using a brush that comes with the device;
  • On the device, you need to carefully set the impact power and mode; your doctor can help you with the choice. Also, recommendations for use are indicated in the instructions for the device;
  • Next, you need to massage the skin with the sensor; you can change the intensity of the effect on the device, according to the instructions.
  • The duration of the first procedure is 5 minutes, each time the exposure time can be increased, but the duration of the procedure should not exceed 30 minutes.
  • After phonophoresis with hydrocortisone, you need to wrap the sore spot with cling film and lie under a blanket for half an hour.

If, after the procedure of phonophoresis with hydrocortisone, discomfort occurs in the skin area, a rash appears, or weakness occurs, or the general condition worsens, then you must stop attending the procedure and immediately consult a doctor. In general, side effects to hydrocortisone are quite rare, but they are still possible.

Efficiency

Ultrasound not only increases cell permeability, thus improving the effect of medicinal ointments, but also perfectly massages the skin, improving blood circulation in the tissues, swelling goes away, muscles relax, and cell nutrition improves.

It is especially useful to use phonophoresis for problems with joints, since the procedure improves blood circulation, as a result, nutrients and oxygen reach the tissues faster, and they are better restored. The same effect occurs in the treatment of fractures of long bones.

Ultrasonic waves also perfectly relieve muscle spasms, thereby reducing unpleasant pain in the area. It was repeatedly noted by specialists and patients that after a course of phonophoresis, the motor activity of the joints improved and the patient generally felt better.

A big advantage of phonophoresis is that it does not cause pain and has a local effect. The patient does not need to take hydrocortisone by mouth, so the risk of side effects is significantly reduced. In addition, the procedure is quite affordable and very effective.

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Source: http://nogi.guru/raznoe/lechebnye-procedury/fonoforez-s-gidrokortizonom.html