Physiotherapeutic procedures along with medicines are nowadays 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 contributes to better absorption of hydrocortisone ointment. Phonophoresis with Hydrocortisone is an excellent solution to chronic and acute processes in the joints.
Physiotherapeutic procedures, which are based on the beneficial effects of physical forces (vibration, heat, light), are one of the methods of rehabilitation therapy. Effective and safe sound treatment is gaining increasing popularity. Among these methods is phonophoresis with Hydrocortisone.
Characteristic of the procedure
Phonophoresis refers to a physiotherapy method that is based on ultrasonic energy. Due to the high-frequency exposure to sound waves, drug components enter the deep skin layers and quickly affect the pathological focus.
The procedure is carried out simultaneously with the appointment of local painkillers and anti-inflammatory drugs. In this case, the therapeutic effect is provided not only by the medication, but also by the ultrasound itself, enhancing skin permeability and improving blood supply to the pathological area.
With phonophoresis, "Hydrocortisone" - an anti-inflammatory, immunosuppressive, anti-allergic hormonal drug - is often used.
In addition to this, you can use painkillers during the procedure (Ketonal, Analgin), antibacterial drugs, Heparin, vitamins, bee venom, etc.
Only Novocain and enzymes that are destroyed by ultrasound are excluded.
Indications for phonophoresis with "Hydrocortisone"
Indications for this procedure are:
- Autoimmune and inflammatory joint pathologies (arthritis, including juvenile juvenile, rheumatoid, deforming), arthrosis.
- Diseases of ENT organs (allergic rhinitis, which is poorly treated, sinusitis at the stage of resolution, sinusitis, chronic tonsillitis).
- Wound, burn, postoperative scars.
- Children's enuresis.
- Sjogren's disease is a progressive chronic autoimmune disorder of the connective tissue, in which the salivary and lacrimal glands are mainly affected.
- Atrophic chronic gastritis.
- Trophic ulcers.
- Dermatological diseases (neurodermatitis, eczema).
- Heel spurs.
- Fractures of tubular long bones at the stage of fusion.
- Muscular atrophy and malnutrition.
- Uncomplicated form of mastitis.
- Chronic prostatitis.
- Chronic adnexitis is a process of inflammation of the tubes of the uterus.
- Hypogalactia (decreased milk production in women).
- The formation of adhesions in the female pelvis, provoked by a chronic infection.
Rules for
For phonophoresis with Hydrocortisone, a sensor is used similar to that used in ultrasound diagnostics.
The difference is that the conductor for ultrasound is a hydrocortisone ointment, and not an inert gel (25 milliliters of lanolin or petroleum jelly + 5 milliliters of hydrocortisone).
Stages of the manipulation:
- The skin is treated with a disinfectant solution.
- Hydrocortisone ointment is applied to the painful area, evenly distributed with a spatula.
- Then ultrasound with a different frequency of oscillations (16-500 kHz) is applied, providing a high-frequency cellular “massage” and the ointment getting to a depth of four to six centimeters. In treatment, two modes are used: continuous intensive and gentle, in which the ultrasound acts impulse with a frequency of about 60 per minute.
One session of the phonophoresis procedure with Hydrocortisone lasts from ten minutes to half an hour. When the procedure ends, it is undesirable 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, you need to conduct a course that includes 10-14 everyday (or every other day) manipulations. A second course of phonophoresis is allowed at least 3-5 months later.
Advantages of the procedure
Experts note that when a physiotherapeutic procedure such as phonophoresis is included in the patient’s treatment plan, recovery comes sooner.
This is due to the fact that:
- thanks to ultrasound, the drug substance penetrates deeply into the tissues of the body and is aimed aimed at the pathological focus;
- eliminates the need to use the drug inside, it is almost not absorbed into the systemic circulation, that is, there is no negative effect on internal organs;
- no discomfort: this procedure is completely painless for the patient;
- affordable cost (one session on average costs from 150 to 300 rubles).
You need to know that phonophoresis with Hydrocortisone does not guarantee instant results. Each treatment session allows the drug to accumulate in the skin, and only after 5-7 days is therapeutic value achieved.
Features of use
The technique of phonophoresis may have some differences depending on the specifics of the disease. The following are the most common pathologies that the procedure successfully allows to fight.
Often prescribed phonophoresis with "Hydrocortisone" on the knee joint.
Arthrosis and arthritis (knee joint and others)
Phonophoresis is an effective additional measure in the treatment of destructive and inflammatory joint diseases. The procedure eliminates pain syndrome, reduces inflammatory activity and inhibits the destruction of cartilage tissue. After an ultrasound course, the number of active movements in the affected joint is significantly expanded.
In case of arthrosis and arthritis, phonophoresis of the joint with "Hydrocortisone" is performed externally with an ointment applied to the surface of the diseased joint and the skin sensor acts on the inflammatory focus.
Scoliosis, osteochondrosis and other pathologies of the spine
The contact method of drug delivery is also used for joint pathologies of the spinal column. With severe pain syndrome, in addition to Hydrocortisone, Ketonal, Analgin and other painkillers are used in phonophoresis.
Pathology of ENT organs (nose, tonsil, etc.)
Phonophoresis with "Hydrocortisone" on the nose has become widespread in diseases of the nose, throat and ear. It is prescribed for prolonged frontal sinusitis, sinusitis, sinusitis, etc. at the resolution stage. Use can be both external (in the sinuses of the nose or projection of the camera through the skin), and endonasal. The latter refers to the introduction of turundum from gauze into the nasal cavity moistened abundantly in Hydrocortisone, as well as special applicators - ultrasonic conductors.
With tonsil hypertrophy and chronic tonsillitis, physiotherapy is also prescribed - the procedure is performed on the submandibular zone according to the standard scheme.
Gynecology
In the treatment of colpitis, metritis and adnexitis, they use a special vaginal probe, on which a condom is put on, well lubricated with Hydrocortisone ointment. After that, the sensor is inserted for 10-15 minutes into the vagina. For critical days, treatment is discontinued.
Procedure in cosmetology
Phonophoresis with "Hydrocortisone" has also spread in the cosmetology field: ultrasonic radiation allows you to saturate tissue with oxygen, stimulates the production of collagen, that is, a structural protein of the human body, provides blood supply and lymphatic drainage. In turn, "Hydrocortisone" tightens and moisturizes the skin, and also smoothes small wrinkles.
Phonophoresis is done on the entire face, while excluding the area near the eyes. To achieve a noticeable cosmetic effect, ten manipulations are enough.
Where to do phonophoresis with hydrocortisone? The procedure can be performed in any medical institution where this service is provided.
Carrying out the procedure at home
Physiotherapeutic treatment procedure can be done at home. For this purpose, it is necessary to buy a special ultrasonic wave generator in order to conduct phonophoresis. Home installations, as a rule, do not have such strong power and are quite affordable: the cost of simple models starts from three to five thousand rubles.
It is worth noting that the procedure with Hydrocortisone can be carried out only as directed by a specialist, on the basis of indications and contraindications. Self-medication is unacceptable, as it can lead to significant complications in the body.
How to conduct phonophoresis with "Hydrocortisone" at home?
Features of the home use of the device
It is necessary to thoroughly clean the affected area with a swab previously moistened in an antiseptic solution (Furacilin, Chlorhexidine).
Apply hydrocortisone ointment to the affected area, distribute it with a special brush or spatula that comes with the device.
Then set the intensity and mode recommended for a particular disease. All this information should be displayed in the instructions for use of the device.
The electrode is brought to the skin, movements should be smooth and slow. During massage, the ultrasound intensity is allowed to be changed, due to which the drug will penetrate into different skin layers and produce a stronger therapeutic effect. It is better for the first time to be limited to 5-10 minutes, then the massage time can be increased to half an hour.
Hydrocortisone ointment is left on the skin for another 20-30 minutes, covering it with polyethylene or wrapping it with a warm cloth.
Repeat the home procedures with ultrasound every other day (a total of 10-12 manipulations).
Are there any contraindications for phonophoresis with hydrocortisone?
Contraindications
In what situations can not be performed? Phonophoresis is prohibited:
- with blood pathologies provoked by coagulation disorders (hemorrhagic vasculitis, thrombocytopenic purpura, hemophilia);
- severe diabetes mellitus at the stage of decompensation;
- chronic kidney failure;
- 2-3rd degree of arterial hypertension, which is poorly controlled by medications;
- atherosclerosis of large vessels;
- active forms of pulmonary tuberculosis;
- coronary heart disease, unstable angina pectoris, angina pectoris;
- malignant neoplasms;
- acute stage of bacterial and viral infections (pneumonia, bronchitis, laryngitis, tonsillitis, SARS);
- pustular rashes on the skin;
- bronchial asthma;
- acute neuritis and neuralgia;
- hyperthyroidism, thyrotoxicosis;
- individual sensitivity to Hydrocortisone;
- immunodeficiency conditions;
- in the second and third trimesters of pregnancy.
Phonophoresis Reviews with Hydrocortisone
Patients who have used the phonophoresis procedure leave various reviews in nature. Most of them talk about significant improvements in the condition of the body, relief of pain syndrome. However, about 30% of respondents noted a short-term exacerbation of the disease during the course. It usually includes ten procedures. In the treatment of joints after the 2-3rd session, there may be paroxysmal pains that are associated with increased blood circulation in the affected areas. In the second half of the treatment course, improvements are noted. With reviews of phonophoresis with "Hydrocortisone" it is better to familiarize yourself in advance.
With an increase in the pain syndrome and its accompanying skin manifestations, puffiness, it is necessary to tell the attending physician about this, because in this way an individual reaction to the procedure or to “Hydrocortisone” may occur.
In gynecology, the drug is responded positively. Thanks to him, the cycle normalizes, menstruation becomes painless.
In the field of cosmetology, the procedure helps patients. It does not eliminate all defects, but allows to achieve significant improvements.