Can Ultrasound Therapy Cause Headaches? Exploring the Connection - Rehabilitation

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Does ultrasound release any substances that can cause headaches?


Dr.
Chou: Hello! A few months ago, I experienced shoulder and neck pain and underwent rehabilitation.
The doctor prescribed heat therapy, electrical stimulation, and ultrasound.
After two to three days, I developed severe migraines that were unbearable, prompting me to visit the emergency department at National Taiwan University Hospital.
After that, my shoulder and neck pain subsided, so I stopped the rehabilitation, and the headaches did not recur.
Recently, I have been diagnosed with shoulder tendonitis, and the doctor recommended rehabilitation again.
The rehabilitation physician prescribed the same treatments: heat therapy, electrical stimulation, and ultrasound.
However, after two to three days, I experienced severe migraines again.
I am wondering if there is any correlation between these treatments and my migraines.
Can you provide an explanation? Are there any related literature or documented cases regarding this issue? I have never heard of such a connection, and it sounds a bit unbelievable, but it is causing me significant distress since my shoulder has not yet healed, and now I have headaches (sometimes even painkillers do not alleviate the pain).
I am hesitant to undergo rehabilitation again and am unsure of what to do.
Thank you, Dr.
Chou, for taking the time to help me with this.

Yin Yin, 50~59 year old female. Ask Date: 2015/09/03

Dr. Zhou Jianwen reply Rehabilitation


The therapeutic ultrasound used in rehabilitation medicine is a type of deep heat modality that has certain efficacy for shoulder myofascial pain syndrome and acts locally.
Currently, there is no literature indicating that it causes migraines.
It is recommended to consult a neurologist for further diagnosis and treatment.

Reply Date: 2015/09/03

More Info


Ultrasound therapy is a common treatment modality used in physical rehabilitation, particularly for musculoskeletal conditions such as shoulder and neck pain. It employs high-frequency sound waves to promote tissue healing, reduce inflammation, and alleviate pain. However, your experience of developing severe headaches after undergoing ultrasound therapy raises important questions about potential side effects and individual responses to treatment.

While there is limited literature directly linking ultrasound therapy to headaches, it is essential to consider several factors that may contribute to your symptoms. First, the mechanism of ultrasound therapy involves generating heat in the targeted tissues, which can sometimes lead to increased blood flow and muscle relaxation. However, if the treatment is applied too intensely or for prolonged periods, it could potentially lead to discomfort or adverse reactions, including headaches.

Additionally, the context in which the therapy is administered is crucial. For instance, if you were already experiencing tension or stress in your neck and shoulders, the ultrasound treatment might have inadvertently exacerbated these issues, leading to tension headaches. Tension headaches are often characterized by a feeling of tightness or pressure around the forehead and can be triggered by muscle strain or stress.

Moreover, the positioning during treatment can also play a role. If you were in an uncomfortable position or if the therapist applied pressure in a way that strained your neck, this could contribute to headache development. It is also worth noting that some individuals may have a heightened sensitivity to certain therapeutic modalities, which could explain your unique reaction.

In your case, it is advisable to consult with a healthcare professional, preferably a neurologist or a pain specialist, to explore the underlying causes of your headaches further. They may recommend diagnostic tests, such as imaging studies, to rule out other potential causes of your symptoms. Additionally, discussing your experiences with the physical therapist who administered the ultrasound therapy could provide insights into whether adjustments can be made to the treatment plan to avoid triggering headaches in the future.

If you are hesitant to continue with ultrasound therapy due to your past experiences, consider alternative treatment options. Physical therapy can encompass a variety of modalities, including manual therapy, stretching, and strengthening exercises, which may be effective without the risk of exacerbating your headaches. Heat therapy and electrical stimulation are also commonly used and may provide relief without the same potential side effects.

In conclusion, while there is no definitive evidence linking ultrasound therapy to headaches, individual responses can vary significantly. It is essential to communicate openly with your healthcare providers about your symptoms and concerns. By doing so, you can collaboratively develop a treatment plan that addresses both your shoulder pain and the headaches you have experienced, ultimately leading to a more effective and comfortable rehabilitation process.

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