U.S. patent number 3,867,929 [Application Number 05/021,235] was granted by the patent office on 1975-02-25 for ultrasonic treatment device and methods for using the same.
This patent grant is currently assigned to Linden Laboratories, Inc.. Invention is credited to James W. Anderson, Bobby L. Joyner, Harold S. Kaiser, Betty L. Yearick.
United States Patent |
3,867,929 |
Joyner , et al. |
February 25, 1975 |
ULTRASONIC TREATMENT DEVICE AND METHODS FOR USING THE SAME
Abstract
A therapeutic bath has ultrasonic acoustic transducers around
the outer surface thereof, which uniformly oscillate a liquid
within the bath. A part of the body suffering from a
musculoskeletal disorder is placed in the bath. The power of the
oscillations is adjusted to the individual patient. The liquid may
include a medication to simultaneously treat and clean an open
wound. Treatment is applicable to both humans and animals.
Inventors: |
Joyner; Bobby L. (Spring Mills,
PA), Yearick; Betty L. (Howard, PA), Kaiser; Harold
S. (State College, PA), Anderson; James W. (State
College, PA) |
Assignee: |
Linden Laboratories, Inc.
(State College, PA)
|
Family
ID: |
21803115 |
Appl.
No.: |
05/021,235 |
Filed: |
March 20, 1970 |
Current U.S.
Class: |
601/166;
601/2 |
Current CPC
Class: |
A61H
23/0245 (20130101) |
Current International
Class: |
A61H
23/02 (20060101); A61h 009/00 () |
Field of
Search: |
;128/24A,65,66,172,172.1 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Trapp; Lawrence W.
Attorney, Agent or Firm: Wenderoth, Lind and Ponack
Claims
What is claimed is:
1. A therapeutic treatment device comprising a bath adapted to
contain a therapeutic liquid; at least one acoustic transducer
means attached to said bath for conveying uniform acoustic energy
through said liquid at a uniform ultrasonic frequency; means
operatively connected to said transducer means to selectively
adjust the power of said energy to a uniform level up to 1.0
Watt/square centimeter of surface being treated within said liquid;
and an acoustically transparent container adapted to contain a
medication and surround an open wound, and adapted to be immersed
in said liquid.
2. A device as claimed in claim 1, wherein said transducer
oscillates at a frequency in the range of from 50 to 250
kilocycles.
3. A device as claimed in claim 1, wherein said transducer
oscillates at a frequency of 100 .+-. 20 kilocycles, and said means
for adjusting power is variable between 0.30 and 0.70 Watt per
square centimeter of surface within said liquid.
4. A device as claimed in claim 1, wherein said bath is adapted in
shape and size to accomodate the part of the body undergoing
therapeutic treatment.
5. A device as claimed in claim 1, wherein said bath and adjusting
means are mounted on a movable cart, whereby said device is
portable.
6. A method for the simultaneous treatment and cleaning of an open
wound of a patient comprising placing said wound in a solution
containing a medication within an acoustically transparent
container surrounding said wound; placing said container in an
ultrasonically oscillating bath; conveying uniform acoustic energy
at a uniform ultrasonic frequency from said ultrasonically
oscillating bath through said container and to said solution; and
selectively adjusting the power of said energy up to the maximum
comfort level of said patient while maintaining said uniform
frequency, said level being no higher than 1.0 Watt/square
centimeter of surface being treated in said bath.
7. A method as claimed in claim 6, wherein said frequency of said
oscillations is in the range of from 50 to 250 kilocycles.
8. A method as claimed in claim 6, wherein said power is raised to
from 0.30 to 0.70 Watt square centimeter of the surface of the body
of said patient within said solution and the frequency of said
oscillations is 100 .+-. 20 kilocycles.
Description
BACKGROUND OF THE INVENTION
The present invention relates to an ultrasonic therapeutic
treatment system. More specifically, the present invention relates
to therapeutic treatment for relieving symptoms of certain
musculoskeletal conditions of humans an animals. Furthermore
specifically, the present invention relates to the therapeutic
treatment of open wounds. Even more specifically, the present
invention relates to such treatment by means of an ultrasonic bath,
whereby the entire bath is subject to ultrasonic oscillations and
the power of the ultrasonic oscillations is variable to adapt to
the individual patient.
In the past there has been a great need for relieving symptoms of a
number of musculoskeletal disorders, such as periostitis,
contusions, sprains, strains, sesamoiditis, apophysitis, bunions,
callousitis, tenosynovitis, various types of arthritis such as
osteo arthritis, calcaneal spurs, neuralgia, fractures and
bursitis. A number of attempts have been made in the past to
develop therapeutic treatments for relieving the symptoms of
certain of these disorders.
One form of such a prior art treatment involves a system to apply
vibrations directly or through a coupling such as grease to parts
of the body. However, such a treatment has a very limited degree of
application and success. A later form of treatment comprises a
therapeutic bath with a transducer located within the bath.
However, this form of treatment also met with limited application
and success. A primary problem with this system is that the
oscillations are made uneven throughout the bath, and therefore the
effect of the treatment varied greatly within the bath.
All of the above methods of treatment suffer from certain inherent
disadvantages in addition to the above listed disadvantages. Each
patient is subjected to the same treatment. However, it has been
found that each patient is not susceptible to the same treatment.
This is due to differences in bone structure, skin flesh density,
water content, and other musculoskeletal traits of the
individual.
With these disadvantages in mind, it is an object of the present
invention to provide therapeutic treatment to relieve the symptoms
of certain musculoskeletal disorders, which treatment provides
vastly improved results over the above-mentioned prior art
treatments.
Furthermore, it is an object of the present invention to provide
such treatment having a much greater field of application that
prior art treatments.
Additionally, it is an object of the present invention to provide
therapeutic treatment which is adaptable to the individual needs
and limitations of each patient.
It is still a further object of the present invention to provide
such a therapeutic treatment to relieve the symptoms of certain
disorders in both humans and in animals.
It is to be understood that the scope of the present invention
includes the treatment of all musculoskeletal disorders. For
instance, the present invention encompasses the treatment of bone
disorders such as fractures, and also disorders which relate to and
effect bones such as calcaneal spurs and apophysitis. The present
invention also encompasses the treatment of all types of muscle
disorders such as contusions, membrane disorders such as
periostitis, skin disorders such as callousitis, tendon disorders
such as tenosynovitis, and bursa disorders such as bursitis and
bunions. Furthermore, the present invention encompasses the
treatment of disorders relating to and/or effecting bone and
muscle, cartilage, ligament or nerve such as sprains, strains,
sesamoiditis, various types of arthritis such as osteo arthritis
and Morton's neuralgia.
These objects are achieved in accordance with the present invention
by ultrasonically vibrating a therapeutic bath by means of
ultrasonic acoustical transducers attached to the outside of the
bath. This enables the entire bath to be uniformly oscillated. Such
oscillations provide therapeutic relief of the symptoms of certain
disorders. Means are provided to vary the power of the oscillations
over a wide range. This variation of power allows each treatment to
be adapted to the individual musculoskeletal limitations of the
patient. Therefore, the conditions of treatment for each patient
may be adjusted to provide the most effective treatment. This
treatment will relieve the symptoms of certain musculoskeletal
conditions in humans, and also in horses, cattle, dogs, cats and
other similar livestock and pets.
Similarly, in the past there has been a great need for a method of
debridement whereby open wounds may be cleaned and treated
simultaneously. In the past, such therapeutic treatment and
cleaning has consisted of a meticulous surgical debridement, such
as wiping or sponging the open wound with a medication. However, it
has been difficult by the use of such treatment to remove implanted
dirt and debris from the wound.
Therefore, it is a further object of the present invention to
provide a vastly improved therapeutic treatment of open wounds.
Such objects are achieved in accordance with the present invention
by providing a medication in the ultrasonic bath. The ultrasonic
bath performs cleaning of the wound, and simultaneously applies
medication to the wound. The power of the bath is variable to adapt
both to the limitations of each patient, and also to the severity
of the particular wound.
Additionally, the present invention provides such a cleaning and
therapeutic treatment whereby an acoustically transparent container
surrounds the open wound, and contains medication which is in
contact with the open wound. The wound and the container are then
placed within the bath. Simultaneous cleaning and medication are
performed in a similar manner as previously described.
Other objects and features of the invention will be made clear by
the following description, taken together with the accompanying
drawings.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a schematic diagram of a therapeutic treatment device in
accordance with the present invention;
FIG. 2 is a diagram of a perferred portable therapeutic treatment
unit in accordance with the present invention; and
FIG. 3 is a diagram, partly in section, of a modified embodiment of
the present invention for use in the simultaneous treatment and
cleaning of open wounds.
With reference now to the drawings, a device will be described
which will conveniently be used to perform the treatment of the
present invention. In FIG. 1 is shown a bath 1 which is susceptible
to ultrasonic oscillation. Around the outer surface of the bath 1
are provided a plurality of ultrasonic transducers 2. Transducers 2
are connected in a known manner through frequency oscillator 4 to
an AC source 3. When power is supplied from source 3 to ultrasonic
transducers 2, the liquid within the bath 1 is uniformly oscillated
at a desired power and frequency. In order to adapt the power of
the oscillations to the individual patients, variable power control
5 is provided in the control circuit. Control device 5 may be any
such known device, or any commercially available such device. They
are connected within the circuit in a known manner. By the
provision of the control element 5, the power of the oscillation of
the bath may be independently controlled and adjusted.
With reference now to FIG. 2, an example of a practical device
embodying the present invention is shown. The treatment device
described with reference to FIG. 1 is conveniently mounted in a
portable cart generally indicated at 10. Cart 10 includes handle 11
and wheels 12 for portable movement. Bath 1, having transducers 2
mounted on the outer surface thereof, is conveniently and
conventionally mounted within cart 10. Electronic power and control
circuit 6, which includes frequency oscillator 4 and variable power
control 5, is also conveniently mounted on cart 10.
It is to be understood that the practical embodiments of the
present invention may be other than that specifically shown in FIG.
2. For instance, the cart 10 may have a different shape than that
shown. Furthermore, the device may be mounted permanently rather
than in a portable unit.
Furthermore, it is to be understood that the bath 1 may be of
various shapes and adapted to receive various limbs and parts of
the body undergoing treatment. For instance, the bath 1 may be
particularly shaped to receive a foot, or a leg, or a hand, or an
arm, or an elbow. Thus, it is to be seen that the scope of the
present invention includes more than the diagrammatic shape of bath
1 shown in the figures.
Furthermore, it is to be understood that the present invention may
include variable control units of a known type. For instance, as
mentioned above, the frequency oscillator and transducers may be
any which are commercially available and known in the art, for
instance of polycrystalline ceramic material such as barium
titanate or zirconium titanate. One example is the "Sono" type,
manufactured by Linden Laboratories.
The variable power control may be any which is known and
commercially available in the art. One such example is the
"Powerstat" (7.5 amps/100-140V) manufactured by Superior Electric
Co., of Springfield, Ill.
The operation of the above device will now be described. The part
of the body which is to undergo treatment is comfortably placed
within the bath. The transducers cause the liquid in the bath to
oscillate, whereby acoustic energy is conveyed throughout the
liquid in the bath and the part of the body within the bath. A
sufficient number of transducers are used to insure that the energy
is uniformly conveyed throughout the liquid in the bath and the
part of the body within the bath at the desired power level.
It has generally been found that the greater the energy applied to
the part of the body undergoing treatment, the more successful will
be the treatment. Thus, the variable power control is then adjusted
to raise the power level as high as possible. When the power
reaches the level at which there appears discomfort to the patient,
the power level is slightly reduced. The practical range of power
depends upon the patient, and may vary a great deal up to, for
instance, a level of 1.0 watt per square centimeter of skin within
the bath. However, it has been found that the most practical range
is from 0.30 to 0.70 Watt/cm.sup.2 of skin within the bath.
The frequency of oscillation of the acoustic energy may be set at
any desired level, usually within the range of 50 to 250
kilocycles. A particularly effective setting is 100 kc, with a
tolerance of .+-. 20 kc. Thus, according to this embodiment, the
oscillator would be designed for 100 kc, and within commercial
tolerances would oscillate at a frequency in the range of from 80
to 120 kc.
The time length of each treatment may practically range from 3 or 4
minutes up to 10 minutes or more. It has been found that the
treatment embodying the present invention is effective very
rapidly. It has also been found that usually after 10 minutes of
treatment, no additional benefits accrue. The number of treatments
necessary vary a great deal, and depend on the individual patient,
on the particular condition being treated, and upon the severity of
the symptoms of the condition. It has been found that satisfactory
results may occur after only a single treatment. It has also been
found that good results have required as many as eleven treatments.
It is conceivable of course, that relief of symptoms may take more
than eleven treatments.
The composition of the bath may include any liquid which is
sensitive to the transmission of acoustical energy, and which may
be beneficial to the treatment of the particular condition. Water
alone may be used, or various aqueous, oil or wax solutions may be
used.
The temperature of the bath is not critical, although it has been
found generally that warmer temperatures are helpful. The main
consideration would be the comfort of the patient.
EXAMPLE 1
A patient suffering from a condition medically diagnosed as
periostitis tibial tuberosity at the ankle, an old injury, was
treated in accordance with the present invention. The patient,
prior to treatment, suffered pain upon contact with shoes, or upon
digital pressure. The ankle was placed in a bath in accordance with
the present invention. The power was adjusted to 0.46 Watt/cm.sup.2
of skin with in the bath. This was found to be the maximum
acceptable comfortable limit for this patient. The frequency of the
ultrasonic oscillations was between 80 and 90 kilocycles. The
treatment was continued for 10 minutes. Two treatments such as
described were performed on the patient. After the second
treatment, the pain was completely gone and the patient could walk
and wear shoes without pain.
A further patient was treated for symptoms of a similar condition
in accordance with the present invention. The results are
summarized in Table 1.
TABLE 1
__________________________________________________________________________
PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Periostits Navi- Pain upon 0.49-0.57 80 to 90 8 9 Pain subsided
cular - right foot pressure and upon motion
__________________________________________________________________________
Thus it is shown that treatment in accordance with the present
invention is successful in the relief of symptoms of
periostitis.
EXAMPLE 2
A patient suffering from a condition medically diagnosed as
contusion of the first metatarso-phalangeal joint was treated in
accordance with the present invention. The patient evidenced pain
and edema and restricted motion. The particular joint was placed in
the ultrasonic bath as above described. Power was adjusted to 0.37
Watt/cm.sup.2. The frequency of the ultrasonic oscillations was
between 80 and 90 kilocycles. The length of each treatment was 10
minutes. Three treatments were given, and at the end of the third
treatment the pain and edema had subsided and motion was completely
restored.
Other patients suffering from similar contusions underwent similar
treatment, the results of which are summarized in Table 2.
TABLE 2
__________________________________________________________________________
PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Severe Contusion Pain upon walking 0.55 80 to 90 8 5 Pain complete-
Lt. Heel ly absent Severe Contusion Pain and edema 0.57 80 to 90 10
2 Pain ceased 5th toe right foot and reduc- tion of edema Severe
Contusion Ecchimosis and 0.57 85 5 2 Absorption of of foot pain as
well edema and dis- as edema appearance of ecchimosis
Contusion-second, third constant pain 0.57 80 to 90 5 6 Complete
ab- and fourth metatarsal and edema sence of pain and edema. No
sensitivity anywhere in foot Contused Sesamoid Bone Pain at ball of
0.52 80 to 90 8 5 Edema subsided. left foot great toe joint Pain
reduced to on weight bear- negative except ing. Edema of when
walking area (left foot barefooted. only) Change of wea- ther
noticeably in area of con- dition treated Contusion severe
Edema-Extensive- 0.57 80 to 90 8 6 2nd, 3rd and 4th Pain on Edema
and Metatarsal head contact with pain subsided area right food shoe
and digi- tal pressure
__________________________________________________________________________
Thus, it is seen that treatment in accordance with the present
invention significantly relieves the symptoms of severe
contusions.
EXAMPLE 3
A patient suffering from a condition medically diagnosed as right
ankle sprain was treated in accordance with the present invention.
The symptoms of the patient's condition included massive edema,
ecchymosis, weight bearing very painful. The power was adjusted to
0.57 Watt/.sub.cm 2 after the patient's ankle was placed in the
bath. The frequency of the oscillations was between 80 to 90
kilocycles. Each treatment lasted 8 minutes. Seven treatments were
conducted, and after the seventh treatment, the edema had been
reduced, there was no pain on locomotion, and the ecchymosis had
been absorbed. Other patients suffering from similar conditions
were treated in accordance with the present invention. The results
of these treatments are summarized in Table 3.
TABLE 3
__________________________________________________________________________
PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Sprain mid-tarsal area Pain on weight absence of pain right foot
bearing limited 0.61 80-90 8 3 motion normal motion Sprain rt. 1st
carpal Pain no power 0.55 80-90 10 5 Pain eased to metacarpal jt.
in grip point of occa- sion twinge Chronic sprain left constant
ache Free from pain and sensitiv- 0.66 80-90 8-10 5 ity Sprain
midtarsal Pain on pres- Absence of pain joints sure and edema 0.41
80-90 10 3 and reduction of edema completely Chronic sprain of rt.
Pain and edema ankle on standing 0.69 80-90 8-10 4 No edema, pain
completely re- lieved. Function excellent Sprain right ankle Pain
and Edema Pain and Edema (lateral right ankle 0.49-0.57 80-90 10 7
subsided. Walking is Patient walked possible with without cane a
cane. after 2nd treatment Sprain midtarsal area Pain causing Edema
subsided. right foot limp upon 0.53-0.57 80-90 10 3 Pain eliminated
walking and pain on any pressure. Edema at in- step Sprain left
ankle Edema-Ecchymo- Edema subsided- Motion unrestric- - sis
extensive 0.66 80-90 10 35 ted-Ecchymosis extremely faded in one
limited motion week
__________________________________________________________________________
Thus, it is seen that the treatment of sprains, in accordance with
the present invention, significantly eliminates the symptoms of
such conditions.
EXAMPLE 4
A patient suffering from a condition medically diagnosed as
post-poliomyelitis plantar fascia strain of the right foot was
treated in accordance with the present invention. The symptoms of
the condition were severe pain and edema, patient almost
nonambulatory. The patient's foot was placed in a bath in
accordance with the present invention. The power level was adjusted
to 0.55 Watt/.sub.cm 2 and the frequency of oscillations was
between 80 to 90 kc. The time length of each treatment was 8-10
minutes. After the end of the sixth treatment, the pain and edema
had disappeared.
Similar treatments were conducted on patients suffering from
similar conditions. Results of these treatements are summarized in
Table 4.
TABLE 4
__________________________________________________________________________
PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Plantar fascia strain; Pain on stand- result of pes cavus ing and
walk- 0.49 80-90 8-10 7 Absence of edema ing. Edema edema complete-
ly. Freedom from pain com- pletely Chronic Plantar Fascia Extreme
pain strain(Fascitis)both upon any use 0.41-0.49 80-90 8 8 Pain
subsided- feet of feet Activities (Athletic re- sumed)
__________________________________________________________________________
Thus it is seen that treatment in accordance with the present
invention relieves the symptoms of strains.
EXAMPLE 5
A patient suffering from a condition medically diagnosed as
sesamoiditis of the left foot was treated in accordance with the
present invention. The symptoms of the condition were chronic pain
and edema. The foot was placed in a bath in accordance with the
present invention as described above. The power level was adjusted
to 0.64 Watt .sub./cm 2, and the frequency of oscillations was
between 80 to 90 kc. The length of each treatment was 8-10 minutes.
After the end of the fourth treatment, the pain was gone and the
edema was completely absorbed.
Patients suffering from similar conditions were treated in
accordance with the present invention. The results of these
treatments are summarized in Table 5.
TABLE 5
__________________________________________________________________________
PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Sesamoiditis left foot Unable to bear Pain free- first Metatarsal
head weight on fore- 0.61 80-90 10 4 weightbearing foot pain on
normal motion flexion and unrestricted extension
Sesamoiditis(Bifurcated) Pain at ball Pain on exten- right foot of
foot upon 0.57-0.61 80-90 8 9 sion ceased standing and walking and
upon exten- sion of great toe Sesamoiditis(Bifurcated) Pain on
stand- Pain subsided right foot ing or exten- 0.57-0.61 80-90 8 7
motion was nor- sion of great mal and pain- toe less
__________________________________________________________________________
Thus, it is seen that treatment in accordance with the present
invention relieves the symptoms of sesamoiditis.
EXAMPLE 6
A patient suffering from a condition medically diagnosed as
apophysitis of the left heel was treated in accordance with the
present invention. The symptoms of the condition were pain on
weight bearing and upon physical activities. The heel was placed in
the bath in accordance with the present invention. The power level
was varied between 0.49 and 0.53 Watt/.sub.cm 2, and the frequency
was between 80 to 90 kc. The length of each treatment was 8
minutes, and after the end of the third treatment the pain had
subsided.
A further patient suffering from a similar condition was treated in
accordance with the present invention. The results of such
treatment are summarized in Table 6.
TABLE 6
__________________________________________________________________________
PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Apophysitis left Pain on walk- heel ing and runn- 0.49-0.55 80-90 8
5 Pain upon walk- ing and on ing ceased. Runn- digital pres- ing
was forbid- sure den
__________________________________________________________________________
Thus, it is seen that treatment in accordance with the present
invention is successful in relieving the symptoms of
apophysitis.
EXAMPLE 7
A patient suffering from a condition medically diagnosed at
Tailor's bunion of the left foot, head of the fifth metatarsal, was
treated in accordance with the present invention. The symptoms were
edema and erythema, right 5th metatarsal head. The foot was placed
in a bath and the power level was adjusted to 0.53 to 0.61
Watt.sub.cm 2. The frequency of oscillations was between 80 to 90
kc. Each treatment last 8 minutes. At the end of the fourth
treatment, the pain has subsided. The enlarged joint however, being
bone, did not decrease.
Thus it is seen that the symptoms of bunions may be relieved by the
employment of treatment in accordance with the present
invention.
EXAMPLE 8
A patient suffering from a condition medically diagnosed as
multiple callousitis bilateral was treated in accordance with the
present invention. Symptoms of the condition were pain at
metatarsal areas of both feet. The feet were placed in a bath and
the power was adjusted to from 0.59 to 0.61 Watt/.sub.cm 2. The
frequency of oscillation was between 80 and 90 kc. The length of
each treatment was 8 minutes. At the end of the third treatment,
the inflammation had been reduced. The ache, however, although
decreased, remained present, due to the foot structure of the
patient.
Thus it is seen that treatment in accordance with the present
invention is successful in relieving symptoms of callousitis.
EXAMPLE 9
A patient suffering from a condition medically diagnosed as
tendonitis posterial tibial muscle of the right foot was treated in
accordance with the present invention. The symptoms of the
condition were pain upon motion, motion restricted. The foot was
placed in a bath in accordance with the present invention. The
power level was adjusted to 0.52 Watt/.sub.cm 2, and the frequency
was between 80 and 90 kc. Each treatment lasted 10 minutes. At the
end of the fourth treatment, the pain had disappeared, and motion
was completely unrestricted.
Patients suffering from conditions similar to that above were
treated in accordance with the present invention. The results of
these treatments are summarized in Table 7.
TABLE 7
__________________________________________________________________________
PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Tendonitis-Extensor Pain on motion Hallucis Longus left extension
and 0.43-0.61 80-90 10 6 Pain subsided- foot Hallux Valgus left
flexion of Motion returned foot great toe left to normal and foot
pain free Chronic Hallux Valgus Pain in shoes Edema reduced- right
foot and Erythema 0.57 80-90 8 5 pain eliminated of area
Tenosynovitis right Pain on exten- Pain completely foot-extensor
Hallugis sion of great 0.55 80-90 8 8 absent. Motion Longus Mosue
toe rightfoot unlimited upon either active or passive motion. Range
of motion limited due to pain Tenosynovitis right Extreme pain on
tendon achilles motion Edema in 0.53-0.70 80-90 8 7 Pain and Edema
ankle area subsided
__________________________________________________________________________
Thus it is seen that treatment in accordance with the present
invention is successful in relieving symptoms of tendonitis and
similar conditions.
EXAMPLE 10
A patient suffering from a condition medically diagnosed as osteo
arthritis of both feet was treated in accordance with the present
invention. Symptoms of the condition were pain and edema in joint
areas, stiffness and limited motion. Both feet were placed in the
bath in accordance with the present invention. Power was adjusted
to 0.41 Watt/cm.sup.2, and frequency was between 80 and 90 kc. Each
treatment lasted 8 minutes. At the end of the seventh treatment,
the pain and edema had been decreased, and motion was
increased.
Other patients suffering from similar conditions were treated in
accordance with the present invention. The results of these
treatments are summarized in Table 8.
TABLE 8
__________________________________________________________________________
PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Osteo Arthritis both Pain upon walk- feet Metatarsal Phalan- ing
Edema 0.55 80-90 10 4 No pain - Re- geal area chronic duction of
Edema Hallux Valgns (right) Pain-intermit- chronic Edema tent edema
0.57 80-90 8-10 4 Pain decreased. No edema Osteo Arthritis Phalan-
Pain on digi- geal Metatarsal joints tal pressure 0.53-0.59 80-90 8
4 Pain subsided and bilateral and when stand- ache disappeared ing
for short periods Osteo Arthritis right Patient felt pain ankle
Pain and ach- 0.57-0.61 80-90 10 2 ache had subsided ing after
walk- and further treat- ing or standing ment wasn't nec- essary
Osteo Arthritis mid Pain upon Pain subsided Tarsal joints bilater-
walking and 0.49-0.52 80-90 8 5 upon walking standing Arthritis-2nd
right Pain on pres- Metatarsal sure (lateral) or 0.59 80-90 8 5
Motion unrestric- dorsal) flex- ted and pain free. ion and exten-
Edema absorbed sion Edema Osteo Arthritis-Digital Pain and Edema
both feet Pain on motion 0.49 80-90 10 5 and when re- subsided
tired Edema of toes Osteo Arthritis both Pain on walk- feet ing and
stand- 0.49-0.57 80-90 8 6 Pain decreased ing to point of com- fort
__________________________________________________________________________
Thus it is seen that treatment in accordance with the present
invention is successful in relieving the symptoms of osteo
arthritis.
EXAMPLE 11
A patient suffering from a condition medically diagnosed as
calcaneal spur of the left foot was treated in accordance with the
present invention. Symptoms of the condition were pain upon walking
and pain upon standing after rest. The foot was placed in the bath
and the power was adjusted to 0.46 Watt/cm.sup.2. The frequency was
between 80-90 kc. The length of each treatment was 10 minutes. At
the end of the sixth treatment, the pain had completely
subsided.
Patients suffering from similar conditions were treated in
accordance with the present invention. The results of these
treatments are summarized in Table 9.
TABLE 9
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PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
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Bitaleral Calcaneal Extreme pain on 0.46 80-90 10 11 Pain subsided,
spurs standing and walking and especially after standing pro-
resting vides no sensi- tivity Plantar calcaneal spur Pain on digi-
tal pressure 0.62 80-90 8-10 4 Pain subsided and weight- and heel
aches bearing only after ex- tensive walking Calcaneal spur(left)
Pain on stand- ing,walking, 0.62 80-90 8-10 6 Pain subsided, and
digital and recurs only pressure periodically after extended
standing or walk- ing Calcaneal spur left Pain upon stand- foot ing
and walk- 0.57 80-90 10 7 Pain subsided and ing walking and stand-
creates no dis- comfort Calcaneal spur right Pain-needle 0.53 80-90
8 increas- 5 Pain subsided foot Plantarly sharp upon ed to 10 and
symptom free standing or walking Calcaneal spurs- Pain upon aris-
Plantarly both feet ing and on walk- 0.52 80-90 8 8 Pain subsided.
ing or stand- Walks with ease. ing Bilateral Calcaneal Pain upon
aris- spur Plantarly ing and walking 0.66 80-90 8-10 6 Pain ceased
or standing Calcaneal spur-Plan- Standing and tarly both feet
walking caused 0.64 80-90 10 6 Pain subsided extreme pain after 2nd
treat- ment and patient was pain free after completion of 6th
treatment Calcaneal spur left Pain on walk- Pain eased - No foot
plantarly ing or standing 0.57 80-90 8 5 pain when aris- especially
upon ing, walking is arising comfortable
__________________________________________________________________________
Thus, it is seen that treatment in accordance with the present
invention is successful in relieving the symptoms of calcaneal
spurs.
EXAMPLE 12
A patient suffering from a condition medically diagnosed as Morton
Neuralgia bilateral was treated in accordance with the present
invention. Symptoms of the condition were pain after wearing shoes.
The feet were placed in a bath and the power level was adjusted to
0.66 Watt/cm.sup.2. Frequency was between 80-90 kc. The length of
each treatment was 8-10 minutes. At the end of the third treatment,
the pain had decreased.
Thus, it is seen that treatment in accordance with the present
invention is successful in relieving the symptoms of neuralgia.
EXAMPLE 13
A patient suffering from a condition medically diagnosed as
fracture proximal phalanx of the left third toe was treated in
accordance with the present invention. Symptoms of the condition
were pain and edema upon weight bearing. The foot was placed in a
bath and the power level was adjusted to 0.46 Watt/cm.sup.2. The
frequency was between 80 and 90 kc. The length of each treatment
was 8-10 minutes. At the end of the sixth treatment, the edema had
been absorbed, and the pain has subsided. The patient was able to
ambulate.
Patients suffering from similar conditions were treated in
accordance with the present invention. The results of these
treatments are summarized in Table 10.
TABLE 10
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PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
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Fracture 5th toe(right) Pain on pres- 0.61 80-90 8-10 3 Edema
reduced. three wks. old. Pain sure and when No pain while and edema
walking.Edema wearing foot- gear or when walking Post fracture
Fibrosis Pain on weight and Edema of ankle. bearing. Edema 0.53
80-90 10 6 Ankle has motion. Left loss of motion(ex- after walking.
Fibrosis dis- tension and flexion) Lack of mo- solved. Edema - tion
even with eliminated and passive exer- pain free cise Fracture
Proximal Pain on weight Phalanx 4th toe- bearing and 0.52 80-90 8 4
Edema subsided- Duration 3 weeks Edema Pain absent
Fracture,Proximal Pha- Pain upon flex- Pain subsided- lanx right
4th toe ion and exten- 0.55 80-90 8 4 able to ambulate sion
painlessly Transverse fracture 5th Pain on pres- pain subsided toe
right foot Prox. sure either shoe 0.57 80-90 8 3 Phalanx or digital
con- dition has been present for 2 weeks prior to treatment
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Thus it is seen that treatment in accordance with the present
invention is successful in relieving the symptoms of fractures.
EXAMPLE 14
A patient suffering from a condition medically diagnosed as
adventitious bursitis metatarsal phalangeal area of the left foot
was treated in accordance with the present invention. The symptoms
of the condition were pain on digital pressure, and slight edema.
The foot was placed in the bath, and the power level was adjusted
to 0.53 Watt/cm.sup.2. The frequency was between 80-90 kc. The
length of each treatment was 8 minutes. At the end of the fourth
treatment, all pain and edema had subsided.
Patients suffering from similar conditions were treated in
accordance with the present invention. The results of these
treatments are summarized in Table 11.
TABLE 11
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PRE-TREATMENT SYMPTOMS OF POWER FREQUENCY LENGTH OF NO. OF EFFECT
OF MEDICAL CONDITION WATT/cm.sup.2 (KC) TREATMENT TREATMENTS
TREATMENT DIAGNOSIS (MIN) ON SYMPTOMS
__________________________________________________________________________
Bursitis-Head of 5th Pain and Edema 0.61 80-90 8 6 Pain,Edema and
Metatarsal Lt(Tailor of Area, Erthema Absol- Bunion) Erythema ved
Bursitis-Navicular Pain when wear- Tubercle Lt. Foot a shoe or 0.49
80-90 8 4 Edema and pain slipper,Edema subsided. and Erythema
Slight erythema present but area was gener- ally normal Bursitis
sesamoid Edema and ex- 0.32 80-90 8-10 3 Absorption of right first
metatarsal treme pain on edema and com- head weight-bearing plete
absence of pain Adventitious Bursitis Pain on walking right foot
Metatarso- Edema at the base 0.62 80-90 10 4 Edema subsided-
Phalangeal joints of the toes pain subsided Bursitis front metatar-
Pain on walk- sal head of first meta- ing or runn- 0.32 80-90 8-10
3 Pain subsided tarsal ing on activity Posterior Calcaneal Pain on
shoe Bursitis right foot pressure as 0.70 80-90 8 5 Pain subsided
well as digi- tal pressure Bursitis 5th toe left Pain upon foot
beneath Kerotosed wearing any 0.57-0.61 80-90 8 6 Pain and Edema
tissue and Edema shoe subsided.Shoe no longer caused pain Bursitis
right foot 1st Pain when flex- Metatarsal joint ing foot or 0.66
80-90 8 6 Pain free-En- digital pres- largement did sure not reduce
Bursitis-left calcaneal Chronic pain Edema subsided area Posterior
or flexion or 0.41-0.49 80-90 8 5 Pain ceased on extension with
motion or pres- shoe on-Edema sure Bursitis right achilles Pain on
motion Motion is pain- tendon (flexion and ex- 0.32-0.41 80-90 8 5
less and full tension of foot) motion freely accomplished Posterior
Calcaneal Pain and Edema Bursitis left foot left foot 0.49-0.52
80-90 8 6 Pain and Edema absorbed Bursitis-right foot Extreme pain,
5th Metatarsal head Erythema and 0.49-0.57 80-90 10 5 Pain-Edema
and Edema Erythema elimi- nated Adventitious Bursitis- Pain
-extreme 0.57-0.67 80-90 10 4 Pain subsided- Metatarso-Phalangeal
upon standing Edema absorbed joints both feet or walking. Edema of
fore- foot Bursitis right 5th meta- Edema-slight Pain free and
tarsal head(known also and pain when 0.57 80-90 10 3 Edema absorbed
as Tailor's Bunion) wearing shoes Posterior Calcaneal Bur-
Pain-Constant 8 to 10 sitis-Bilateral and severe 0.49 80-90
gradually 9 Edema and Rubor Edema and Rubor increased absorbed and
pain of the area completely sub- sided. Shoes again could be worn
__________________________________________________________________________
comfortably
Thus it is seen that treatment in accordance with the present
invention is successful in relieving the symptoms of bursitis.
The present invention is furthermore applicable to the treatment of
other similar disorders than those specifically mentioned.
Additionally, although the above examples all involve the treatment
of humans, it is to be understood that the scope of the present
invention encompasses the treatment of similar disorders in horses,
cattle, dogs, cats and other livestock and pets. For instance, it
is to be understood that a race horse suffering from a sprained
knee joint could readily be treated in accordance with the present
invention. This example is not meant to be limiting, however, since
it is further to be understood that virtually any animal could be
treated for any of the above specific disorders or similar related
disorders.
It is also to be understood that the scope of the present invention
encompasses the simultaneous treatment and cleaning of open wounds.
As previously discussed there are great practical difficulties in
thoroughly cleaning and treating open wounds. For instance, it is
difficult by mere surgical debridement such as wiping or sponging
of the wound to eliminate all debris or dirt therefrom. However, by
employing the concept of the present invention, an open wound no
matter how severe and dirty may be cleaned and treated
simultaneously. Furthermore, such treatment and cleaning may be
carried out more thoroughly and quickly than by any previously
known method.
For instance, in this embodiment of the invention the liquid used
in the bath shown in FIGS. 1 and 2 may include a medication. As the
bath is ultrasonically vibrated, the wound in cleaned and
simultaneously the medication is applied. The power of the
ultrasonic vibrations is adjusted as described above. However, in
addition to the discomfort of the patient, other limitations of the
power include the severity of the wound and the amount of debris
and dirt in the wound.
Often times, however, it may not be desirable to subject the open
wound to the liquid bath. This may be for hygienic reasons.
Therefore, in accordance with a further embodiment of the present
invention, the advantages of the present treatment may be retained
while isolating the open wound from the liquid in the bath. As
shown in FIG. 3, open wound 20 is surrounded by an acoustically
transparent container 21. Container 21 contains medication 22 which
surrounds and covers wound 20 and which is also acoustically
transparent. Container 21 may be made of any convenient material,
the only requirement being that it be capable of transmitting
acoustic vibrations. Examples of such material are polyethylene or
polypropylene from 3-10 mils thick. The limb with the wound and the
container are placed together in the bath. Treatment is then
performed as described above. The ultrasonic oscillations are
transmitted from the bath through container 21 and medication 22 to
simultaneously clean and treat wound 20.
Although several embodiments of the invention have been described
in detail, such description is intended to be illustrative only,
since many details of the performance and construction of the
invention may be altered or modified without departing from the
spirit or scope thereof.
* * * * *