Ultrasound in Wound Management

DMCA.com Protection Status
Blog Category: 

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Ultrasound was successfully used as a non-invasive diagnostic tool for years before its potential benefits in wound healing were first investigated. Ultrasound waves, formed when electrical energy is converted to sound waves at frequencies above the range of human hearing, are now routinely used in wound management, and can be transferred to tissue through a treatment applicator. The depth of penetration is dependent on the frequency, with higher frequencies resulting in lower tissue penetration.

Both the thermal and non-thermal properties of ultrasound contribute to its therapeutic benefits. The warmth generated at relatively high intensities can be used in musculoskeletal conditions such as spasm, as well as in the remodeling phase of wound healing to improve scar/wound outcome. The non-thermal effects of ultrasound generated at lower intensities are currently attracting considerable interest, as they appear to cause changes in cell membrane permeability and thus the diffusion of cellular metabolites.

Ultrasound therapy is indicated for chronic or recalcitrant wounds that are clean or infected, pressure wounds, venous insufficiency, acute trauma, and recent surgery. The technique should not be used in simple wounds or in cases of osteomyelitis, bleeding, severe arterial insufficiency, or acute deep vein thrombosis.

Although ultrasound therapy appears to have a number of advantages, the main evidence to support its use still comes from laboratory results, with clinical data proving somewhat disappointing. However, anecdotal reports do provide some evidence for its use in a broad range of wound types.


1. Hess CL, Howard MA, Attinger CE. A review of mechanical adjuncts in wound healing: hydrotherapy, ultrasound, negative pressure therapy, hyperbaric oxygen, and electrostimulation. Ann Plast Surg. 2003 Aug;51(2):210-8.

2. McCulloch J. Physical modalities in wound management: ultrasound, Vasopneumatic devices and hydrotherapy. Ostomy Wound Manage 1995; 41:32-37.

3. Davis SC, Ovington LG. Electrical stimulation and ultrasound in wound healing. Derm Clinics 1993;11(4):775-781.

4. Dyson M. Therapeutic application of ultrasound. Clin Diagnost Ultrasound 1985;16:121-134

About The Author
Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS is a Certified Wound Therapist and enterostomal therapist, founder and president of WoundEducators.com, and advocate of incorporating digital and computer technology into the field of wound care.

The views and opinions expressed in this blog are solely those of the author, and do not represent the views of WoundSource, Kestrel Health Information, Inc., its affiliates, or subsidiary companies.

Recommended for You

  • Leeches
    October 15th, 2020

    By Lauren Lazarevski, RN, BSN, CWOCN

    As summer begins to wind down and we look ahead to Halloween, let’s discuss some “creepy crawlies” we may encounter in wound care that may cause apprehension in even the most seasoned health care staff.

  • Outpatient Wound Care
    February 27th, 2019

    by Kelly Byrd-Jenkins, CWS

    What you do in the outpatient center is not easy, and not everyone is doing it. In many cases, they'd prefer to let us decipher this challenging demographic's path to healing. Patients we're entrusted to serve are complex in their needs, diagnoses, and...

Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. The content is not intended to substitute manufacturer instructions. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition or product usage. Refer to the Legal Notice for express terms of use.