Ultrasound Consent Form

1. Ultrasound, as a treatment option is used in the management of a variety of conditions and that ultrasound, is a commonly employed modality (worldwide) as a component of a treatment package and that there is published evidence to support its use (e.g.Sharma et al (2015).

I understand that whilst there are therapists working in the field of Hand Therapy who elect not to use ultrasound, that is not the same as saying it is ineffective. The evidence suggests, quite clearly, that a patient with a clinical condition who would benefit from ultrasound and who is in receipt of this treatment will be advantaged from the treatment when delivered at an appropriate ‘dose’ and in line with the published evidence. This does not mean that its use as a sole intervention. It is used to support the whole treatment program and will provide significant ‘added value’.

2. I agree that the value of ultrasound therapy has been explained to me and that I am aware that a minimum of 6 treatment sessions close together are needed in order to see an improvement in my condition. This is because ultrasound is most beneficial when the dosage and frequency of treatment is correct.

3. I also understand that I may need an additional top-up session once a week for 2-4 weeks after my initial course of treatment in order to receive the full benefits of the treatment.

4. I understand that my condition may not improve or may recur. I accept that my response to the treatment cannot be predicted by my therapist. 

5. I understand that ultrasound therapy cannot do me any harm.

6. Having been informed of the role of ultrasound in my treatment plan, I hereby give consent to its application and accept that there are no clinical risks involved in its application. I do, however, understand that its application may not fully resolve my condition.