Services · Milwaukie, OR

Ultrasound & E-Stim

Two gentle therapies we often pair: therapeutic ultrasound for deep soft tissue, and electrical muscle stimulation for pain and spasm.

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Therapy wand applied to a patient's shoulder during soft-tissue treatment in Milwaukie, Oregon

What these therapies are

Therapeutic ultrasound uses sound waves delivered through a small handheld wand, moved slowly over the skin with a layer of gel. The sound waves reach below the surface into muscles, tendons, and other soft tissue, where they aim to boost circulation and support healing. It’s different from diagnostic ultrasound — we’re treating tissue, not taking pictures of it.

Electrical muscle stimulation (e-stim) sends a mild electrical current through small pads placed on the skin. It’s used to reduce pain, relax muscles that are in spasm, and support recovery after an injury.

What they’re commonly used for

  • Strained muscles and tendons
  • Muscle spasm and guarding in the neck or back
  • Soft-tissue injuries, including those from a car accident or work injury
  • Supporting recovery alongside adjustments and exercise

What a visit feels like

With ultrasound, most people feel little more than the cool gel and, sometimes, a mild warmth. With e-stim, you’ll feel a tingling or gentle pulsing under the pads. We set the intensity to your comfort and adjust it whenever you ask. Both are quiet, low-key parts of a visit — many patients simply relax while they run.

Who they may not be right for

We’ll ask about your health history first, because these therapies aren’t suitable for everyone or every area of the body. E-stim is generally avoided if you have a pacemaker or other implanted electrical device, and neither therapy is used over areas such as a pregnant abdomen, broken skin, an active infection, or a known tumor. Reduced sensation in an area can also be a reason to choose something else. If either isn’t right for you, there are other options.

How they fit with other therapies

Ultrasound and e-stim are rarely the whole plan. They often prepare tight tissue for, or follow up after:

Injured in a crash? Soft-tissue strain and muscle spasm are common after a collision. Our auto injury care page explains how Oregon PIP generally covers treatment regardless of fault — and we bill it directly. Your policy governs, so check with your agent or insurer. This isn’t legal advice.

Common Questions

Ultrasound & E-Stim: questions we hear

Does e-stim hurt?

It shouldn’t. Most people feel a tingling or light pulsing sensation. We set the intensity to your comfort and can turn it down anytime.

Is therapeutic ultrasound the same as the ultrasound used for imaging?

No. Diagnostic ultrasound creates pictures. Therapeutic ultrasound delivers sound waves into soft tissue to support circulation and healing — no images are taken.

Can I have e-stim if I have a pacemaker?

E-stim is generally avoided with a pacemaker or other implanted electrical device. Let us know about any implants, and we’ll choose a different approach.

Will ultrasound or e-stim be my whole treatment?

Usually not. They’re typically combined with adjustments, soft-tissue work, traction, or exercise, depending on your exam.

Ready to get started?

Every visit starts with a thorough exam and an honest conversation about what’s likely to help. Book online, or call and we’ll find a time that fits.

Mon, Wed, Thu 10am–6pm · Tue 10am–1pm · Saturday by appointment