Therapeutic Ultrasound has been used by physiotherapists for over 40 years in a variety of clinical conditions. Researchers in Norway have studied it’s use in acute rhinosinusitis and found it to be as effective as antibiotics in strict clinical trials. The pain reduction with Ultrasound was actually a little faster than the antibiotic group. I realise your condition is chronic, and it is hard to assess on the information you have given, but your local hospital physio department may be willing to give it a try while you are on the waiting list for surgery.
Ultrasound is delivered to the face, directly over the sinus cavities, by moving a small treatment head in small circular movements. Clear water based gel is applied and removed at the end. The procedure is not painful or uncomfortable, you will simply be relaxing back on a pillow for around 15 minutes in all. The high frequency sound waves cannot be heard, but transmit mechanical energy through the tissues causing vibration at the deep tissue interfaces. This vibrational effect is thought to detach the infected mucus from the tissue wall, and may break down the biofilms of the bacteria, reducing the infection’s viability. A flow of coloured secretions is often released through the nose after the treatment, reducing pressure and pain.The course of treatment must run for 4 conseutive days and it is vital to complete the full course.
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