I have been using a 1% hydrocortisone cream for phonophoresis with diagnoses such as plantar fascitis. You mention in your presentation on ultraound that is an ineffective treatment option. Is there a good alternative medication that doesn't require a prescription that is still a good conduit for ultrasound?
Answer
I would simply go with regular ultrasound & be very aggressive with the heating to increase the tissue elasticity & be sure to address the gastroc/soleus flexibility since it is continuous with the plantarfascia.
Dawn T. Gulick, PT, PhD, ATC, CSCS
Dawn T. Gulick, PhD, PT, AT, CSCS, a Professor of Physical Therapy. Her areas of expertise are orthopedics, sports medicine, modalities, and medical screening. As a clinician, she has owned a private orthopedic/sports medicine practice. She also provides athletic training services from the middle school to elite Olympic/Paralympic level. As a member of the Olympic Sports Medicine Society, Dr. Gulick has provided medical coverage at numerous national and international events. As a scholar, Dr. Gulick is the author of 4 books (Ortho Notes, Screening Notes, Sport Notes, Mobilization Notes), four book chapters, > 60 peer-reviewed publications, and > 100 professional and civic presentations. OrthoNotes is in the 5th edition and has been translated into multiple languages. Dr. Gulick is an entrepreneur. She is the developer of a mobile app called iOrtho+ (Apple, Android, & desktop versions). Her app has been downloaded over 160K times around the world. She is the Founder & CEO of Therapeutic Articulations. She is the inventor of the Mobil-Aider, an orthopedic device designed to quantify joint mobility. She is the recipient of a phase I and phase II National Science Foundation grant of over $1.2M for the commercialization of the Mobil-Aider. She owns the utility patent & has achieved FDA clearance. She has two other medical projects in process. Dr. Gulick has served and held leadership roles on numerous committees over her 25 years in academia.
Dr. Gulick earned a Bachelor of Science in Athletic Training from Lock Haven University (Lock Haven, PA), a Master of Physical Therapy from Emory University (Atlanta, GA), and a Doctorate in Exercise Physiology from Temple University (Philadelphia, PA). She is an AMBUCS scholar and a member of Phi Kappa Phi (past chapter president) and Kappa Delta Pi Honor Societies.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/medical-screening-part-1-systemic-4473Medical Screening – Part 1 Systemic PathologyThis course focuses on medical screening for the physical therapist and is Part 1 of a four-part series on screening. Part 1 provides an overview of the signs/symptoms of systemic pathology. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMedical Screening – Part 1 Systemic PathologyThis course focuses on medical screening for the physical therapist and is Part 1 of a four-part series on screening. Part 1 provides an overview of the signs/symptoms of systemic pathology. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.4473OnlinePT120M
This course focuses on medical screening for the physical therapist and is Part 1 of a four-part series on screening. Part 1 provides an overview of the signs/symptoms of systemic pathology.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.
2https://www.physicaltherapy.com/pt-ceus/course/medical-screening-part-2-pediatrics-4474Medical Screening – Part 2 Pediatrics & AdolescenceThis course focuses on medical screening for the physical therapist and is Part 2 of a four-part series on screening. Part 2 addresses pathology in the pediatric and adolescent lifespan. Part 1 is recommended prior to part 2. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMedical Screening – Part 2 Pediatrics & AdolescenceThis course focuses on medical screening for the physical therapist and is Part 2 of a four-part series on screening. Part 2 addresses pathology in the pediatric and adolescent lifespan. Part 1 is recommended prior to part 2. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.4474OnlinePT120M
This course focuses on medical screening for the physical therapist and is Part 2 of a four-part series on screening. Part 2 addresses pathology in the pediatric and adolescent lifespan. Part 1 is recommended prior to part 2.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.
3https://www.physicaltherapy.com/pt-ceus/course/medical-screening-part-3-adult-4475Medical Screening – Part 3 AdultThis course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMedical Screening – Part 3 AdultThis course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.4475OnlinePT120M
This course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.
4https://www.physicaltherapy.com/pt-ceus/course/medical-screening-part-4-geriatrics-4476Medical Screening – Part 4 GeriatricsThis course focuses on medical screening for the physical therapist and is Part 4 of a four-part series on screening. Part 4 addresses pathology in the geriatric portion of the lifespan. Part 1 is recommended prior to part 4. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMedical Screening – Part 4 GeriatricsThis course focuses on medical screening for the physical therapist and is Part 4 of a four-part series on screening. Part 4 addresses pathology in the geriatric portion of the lifespan. Part 1 is recommended prior to part 4. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.4476OnlinePT120M
This course focuses on medical screening for the physical therapist and is Part 4 of a four-part series on screening. Part 4 addresses pathology in the geriatric portion of the lifespan. Part 1 is recommended prior to part 4.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.
5https://www.physicaltherapy.com/pt-ceus/course/complex-and-chronic-impairment-in-4353Complex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comComplex and Chronic Impairment in ConcussionThis webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.4353OnlinePT120M
This webinar will include an exploration of the various etiologies of dysfunction following mTBI, including, headache, visual/oculomotor impairment, chronic dizziness, and pain. The challenging issue of prioritizing intervention and appropriate referral to other medical practitioners will be discussed. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for .5 hour of general and 1.5 hour of Direct Access CE credit.
