Therapeutic ultrasound is a non-invasive treatment modality that may be used alongside osteopathic care to support the management of certain soft-tissue and musculoskeletal conditions.

It uses high-frequency sound waves delivered through the skin into underlying tissues. Depending on the treatment settings and the condition being addressed, therapeutic ultrasound may help influence local tissue processes and can be used as an adjunct when managing pain, irritation or soft-tissue injury.

It may be considered as part of treatment for presentations such as tendon-related pain, muscle strains, bursitis, plantar heel pain and some joint or soft-tissue irritations. Whether ultrasound is appropriate will depend on your individual presentation, medical history and clinical assessment.

During treatment, a small amount of conductive gel is applied to the skin, and the ultrasound head is moved slowly over the treatment area for several minutes while controlled sound-wave energy is delivered to the tissues. Your osteopath will select the appropriate settings based on the area being treated, your presentation and the goals of the session.

Within an osteopathic appointment, therapeutic ultrasound may be used alongside hands-on treatment, movement advice and rehabilitation, rather than as a stand-alone treatment. Your osteopath will determine whether it is appropriate and how it may best complement your overall treatment plan.

A typical application takes approximately 5–10 minutes, depending on the area being treated and your individual needs.

Therapeutic ultrasound isn’t suitable for everyone or every condition. Your osteopath will assess for relevant precautions and contraindications before treatment.