Focused Ultrasound Therapy
Focused ultrasound is an early-stage, non-invasive, therapeutic technology with the potential to improve the quality of life and decrease the cost of care for patients with tendon contractures. This novel technology focuses beams of ultrasound energy precisely and accurately on targets deep in the brain without damaging surrounding normal tissue. Where the beams converge, the ultrasound may enable the contraction to be treated without surgery. While significant preclinical work on this is being accomplished, there is still much to be done before this technology will be widely available.
The primary options for treatment of tendon contractures include medication and surgery.
For certain patients, focused ultrasound could provide a non-invasive alternative to surgery with less risk of complications and lower cost.
- Focused ultrasound is noninvasive, so it does not carry added concerns like surgical wound healing or infection.
- Focused ultrasound can reach the desired target without damaging surrounding tissue.
- It can be repeated, if necessary.
At the present time, there are no clinical trials recruiting patients for focused ultrasound treatment of tendon contractures.
Regulatory Approval and Reimbursement
Focused ultrasound treatment for tendon contractures is not yet approved by regulatory bodies or covered by medical insurance companies.
See here for a list of laboratory research sites.
Gellhorn AC, Gillenwater C, Mourad PD. Intense focused ultrasound stimulation of the rotator cuff: evaluation of the source of pain in rotator cuff tears and tendinopathy. Ultrasound Med Biol. 2015 Sep;41(9):2412-9. doi: 10.1016/j.ultrasmedbio.2015.05.005. Epub 2015 Jun 6.
Muratore R, Akabas T, Muratore IB. High-intensity focused ultrasound ablation of ex vivo bovine achilles tendon. Ultrasound Med Biol. 2008 Dec;34(12):2043-50. doi: 10.1016/j.ultrasmedbio.2008.05.006. Epub 2008 Aug 9.
Click here for additional references from PubMed.