Do i want ultrasound and electrolysis when I goto physical psychiatric therapy for acl recouping?
It's been 4 months since I had a acl re-enactment sergery and the therapist I goto, they still do ultrasound on my knee after the bake pack and then when they place a cold pack at the end of the exercise, they place electrolysis (i assume that's what it's called..) pads on my knees and they charge extra for those two. Do I need them? Or can I stop getting those?
Answer: I am not sure of when you started therapy or for that event what condition the knee is. So without that information it is going to be difficult to truly answer the quiz. In general the use of heat, be that hot pack or ultrasound is for a specific rationale. Usually they are used to increase blood flow to an area to facilitate the ease of an distraction or exercise. The use of ultrasound may also be used to breakup scar tissue. Having said that by now you should be sour of those modalities unless there is a specific reason for it. The use of electric stimulation can be multipurpose. One motivation is to reduce any swelling that might still be there and possibly this is the reason that it still is being used, if they are using it to augment the muscular response. By that sometimes after surgery the muscles give the impression of being to lose the ability to contract completely. To override this inhibitory response electrical stimulation is used. Now if none of this is true in your specific armour then yes it is time that the use of modalities are stopped except for the use of ice. The use of rime and heat can be billed for but in almost every baggage no insurance company pays for it. Check with your Explanation of Benefits on the payment sheet to see what be paid for and what was not. To me the work should be centered on regaining any lost strength and knees proprioception, regaining of the sense of where the joint is contained by space. Not knowing what procedure has been done is also a factor but at this stage barring any specific problem you should be getting close to full functional pattern. The work done now should be in a counterbalance room and hands on therapy. Talk to your psychotherapist about this. Also ask who owns the practice that you are receiving keeping in. If it is owned by the therapist after definitely express your concerns about this situation. They should be unbelievably responsive to your concern. If it is owned by a corporation or a doctor the same level of concern may not be here..
No, they do not need to be done, nor have they proven to facilitate better or faster outcomes.
Multiple systematic reviews of the literature exist that demonstrate that near is little, if any, benefit to ultrasound. Electical stimulation can be done for pain and edema control, but doesn't result in any better outcomes. Neuromuscular stimulation (stimulation to the point of sustain contraction) can be done if the quad is exceptionally anodyne, but I doubt this would have any effect by 4 months.
...they are bulking up your charges. It's certainly above-board for you to say you are only interested surrounded by the theraputic exercise.