Therapeutic ultrasound · North Beach, San Francisco

Ultrasound Therapy in San Francisco

Therapeutic ultrasound, the kind used in physical therapy and chiropractic clinics, gently warms and loosens tight muscles, tendons and scar tissue to ease pain and support healing. For stubborn tendon pain, ask about our stronger option: focused shockwave therapy.

5.0 from 272 Google reviewsNo needlesNo downtime
Type
Therapeutic, not imaging
Session
5–10 minutes per area
How it feels
Gentle warmth, or nothing
Where
50 Francisco St, Suite 257

How it works

What is ultrasound therapy?

Ultrasound therapy is a treatment that uses high-frequency sound waves, delivered through a handheld wand and gel, to warm and stimulate soft tissue below the skin, increasing blood flow, relaxing muscles and supporting healing.

It is one of the most widely used tools in physical therapy and chiropractic care. You may hear it called therapeutic ultrasound, ultrasound massage or ultrasound treatment.

It is different from an ultrasound scan. Diagnostic ultrasound makes pictures of the body. Therapeutic ultrasound uses sound waves to treat it.

Continuous mode: deep heat

Gently heats tissue to relax muscle spasm, improve blood flow and make tight tendons and scar tissue more flexible before stretching.

Pulsed mode: gentle stimulation

Creates tiny vibrations with little heat, used to support healing in newer or more sensitive injuries.

Deep or shallow

We choose a lower frequency to reach deeper muscles and joints, or a higher frequency for tissue closer to the surface.

What it treats

Conditions we treat with ultrasound therapy

Ultrasound works best on soft tissue that is tight, sore or slow to heal, as part of a plan with hands-on care and exercise.

Muscle strains and spasms

Tight, guarded muscles in the back, neck and legs that will not let go.

Tendonitis

Sore, irritated tendons in the shoulder, elbow, wrist, knee or ankle. For stubborn cases, see shockwave.

Learn more →

Bursitis

Inflamed bursae around the shoulder, hip and knee.

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Scar tissue

Tight, restricted scar tissue after an injury or surgery has fully healed.

Learn more →

Low back pain

Muscle spasm and stiffness around the lower back, alongside chiropractic care.

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Neck pain and stiffness

Tight neck and upper back muscles from desk work and stress.

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Knee pain

Stiff, achy knees and irritated tendons around the kneecap.

Learn more →

Shoulder pain

Rotator cuff irritation and tight, sore shoulders.

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Sprains

Ankle, wrist and knee sprains once the first few days have passed.

Stiff joints

Joints that feel tight and slow to warm up, before stretching and mobilization.

Carpal tunnel symptoms

Wrist and forearm tightness that adds pressure on the nerve.

Sports injuries

Overuse and training injuries, so you get back to your sport sooner.

Learn more →

What to expect

Your ultrasound therapy visit, step by step

  1. 01

    Exam first

    We find the source of your pain and confirm ultrasound is safe and the right tool for you.

  2. 02

    Gel and wand

    We apply a cool gel and glide the wand slowly over the area for about 5 to 10 minutes.

  3. 03

    Gentle warmth

    Most people feel a mild warmth or nothing at all. There is no pain and no downtime.

  4. 04

    Move and strengthen

    We follow with adjustments, soft tissue work or exercises while the tissue is warm and relaxed.

Need stronger results?

Ultrasound therapy vs. shockwave therapy

Both use sound energy, but shockwave is in a different league. Ultrasound gently warms and relaxes tissue. Focused shockwave delivers powerful acoustic pulses deep into the injured tendon or muscle to trigger the body's own repair process.

If you have stubborn tendon pain, or ultrasound has helped but not enough, shockwave is usually our recommendation. Ask us at your visit.

Ultrasound therapyShockwave therapy
EnergyGentle, continuous sound wavesPowerful, focused acoustic pulses
Main effectWarms and relaxes tissueTriggers new blood flow and tissue repair
Best forMuscle tightness, spasm, early injuriesStubborn tendon pain: plantar fasciitis, tennis elbow, Achilles, calcific shoulder
How it feelsMild warmth or nothingTapping pulses, adjusted to your comfort
Session5–10 minutes per area7–10 minutes per area
Dr. Supreet Shah treating a patient's upper back with focused shockwave therapy at TruSpine San Francisco

Focused shockwave therapy at our North Beach clinic.

The research

Does ultrasound therapy work?

Research supports therapeutic ultrasound as part of a treatment plan, with the strongest results for knee pain and some shoulder and wrist conditions.

That is why we never use it on its own. We pair it with adjustments, soft tissue work and exercise, and move to shockwave when a tendon needs a stronger push.

Safety

Is ultrasound therapy safe?

Yes. It is non-invasive, painless and has no downtime when done by a trained provider.

We do not use it over the abdomen during pregnancy, over the eyes, over a pacemaker, over cancer or an active infection, over a blood clot, or over growing bones in children.

Questions?

Not sure if ultrasound or shockwave is right for you?

Send us a message and our team will get back to you, or call (415) 421-1115.

  • Which treatment fits your pain
  • Insurance and benefits questions
  • Booking at our North Beach clinic

Ultrasound therapy FAQs

Straight answers from our San Francisco clinic.

What is ultrasound therapy?

Ultrasound therapy, also called therapeutic ultrasound, uses high-frequency sound waves delivered through a small handheld wand to gently warm and stimulate muscles, tendons and ligaments below the skin. It increases blood flow, relaxes tight muscles and supports soft tissue healing. It is a common treatment in physical therapy and chiropractic clinics.

Is ultrasound therapy the same as an ultrasound scan?

No. An ultrasound scan (diagnostic ultrasound) creates pictures of the inside of the body, like a pregnancy scan. Therapeutic ultrasound does not take pictures. It uses sound waves to treat sore, tight or injured soft tissue. TruSpine does not offer imaging scans.

Where can I get ultrasound therapy in San Francisco?

TruSpine offers therapeutic ultrasound at 50 Francisco Street, Suite 257, in North Beach / North Waterfront, near Fisherman's Wharf, Russian Hill, Telegraph Hill, the Marina and the Financial District. Book online or call (415) 421-1115.

What is ultrasound massage?

"Ultrasound massage" is a common name for therapeutic ultrasound. The wand glides over the skin with gel, which can feel like a gentle massage, but the benefit comes from the sound waves working in the tissue underneath.

How does therapeutic ultrasound work?

The wand sends sound waves into the tissue. In continuous mode they create gentle deep heat that relaxes muscles and makes tight tissue more flexible. In pulsed mode they create tiny vibrations without much heat, which supports healing in newer injuries. We choose the frequency to reach either deeper or more surface tissue.

What conditions does ultrasound therapy treat?

We use it for muscle strains and spasms, tendonitis, bursitis, stiff joints, scar tissue, sprains, and low back, neck, shoulder and knee pain, usually alongside chiropractic care and exercise.

Does ultrasound therapy work?

Research supports therapeutic ultrasound as part of a treatment plan, with the strongest results for knee pain and some shoulder and wrist conditions. It works best combined with hands-on care and exercise, which is how we use it.

Is ultrasound therapy or shockwave therapy better?

They do different jobs. Ultrasound is gentle and great for warming and relaxing soft tissue. Shockwave therapy delivers much stronger acoustic pulses that trigger the body's healing response, and it is our first choice for stubborn tendon problems such as plantar fasciitis, tennis elbow, Achilles pain and calcific shoulder tendinitis. Many patients who start with ultrasound move on to shockwave for faster, longer-lasting relief.

Does ultrasound therapy hurt?

No. Most people feel nothing at all or a gentle warmth. Let us know if it ever feels hot or uncomfortable and we will adjust it.

How long is an ultrasound therapy session?

Treatment usually takes about 5 to 10 minutes per area, and it is often done during your chiropractic visit.

How many ultrasound sessions will I need?

It depends on the problem and how long you have had it. After your exam we recommend a plan, check your progress and let you know if shockwave or another treatment would get you better results.

Can ultrasound therapy help scar tissue?

Yes. The deep heat helps tight scar tissue become more flexible so it stretches and moves more easily. For stubborn scar tissue we often pair it with the Graston Technique.

Can ultrasound therapy help a bulging or herniated disc?

It can ease the muscle spasm and tightness around an irritated disc, but it does not treat the disc itself. For disc pain and sciatica we usually recommend spinal decompression therapy.

How much does ultrasound therapy cost?

Ultrasound is usually part of your treatment visit rather than a separate service. We work with many in-network and out-of-network insurance plans, and our team can check your benefits before your visit.

Can I do ultrasound therapy at home?

Home ultrasound devices exist, but they are lower powered and easy to use incorrectly. In the clinic we choose the right settings for your tissue and combine ultrasound with treatments that make it work better.

Who should not have ultrasound therapy?

It is not used over the abdomen during pregnancy, over the eyes, over a pacemaker, over cancer or an active infection, over a blood clot, or over growing bones in children. Tell us your full health history so we can confirm it is safe for you.

Get the right treatment for your pain

Book a visit at our North Beach clinic. We will find the source of your pain and tell you whether ultrasound, shockwave or another treatment will get you the best results.

TruSpine Ultrasound Therapy
50 Francisco St, Suite 257, San Francisco, CA 94133
North Beach / North Waterfront · Mon–Fri, 8am–6pm

Individual results vary. An exam is required to confirm ultrasound therapy is right for you. TruSpine provides therapeutic ultrasound only and does not offer diagnostic imaging. This page is for informational purposes and is not medical advice.