Patient
Screen
Protocol
Note
Patient & Complaint
Enter visit details — drives frequency, intensity, and mode recommendations.
Patient Info
Treatment Region & Parameters
Contraindication Screen
Check ALL that apply before proceeding. Absolutes = stop immediately.
🛑 STOP — Absolute Contraindication Present
Therapeutic ultrasound is contraindicated. Do not proceed. Notify the treating provider.
⚠️ Caution — Relative Contraindication(s) Present
Proceed only with provider awareness. Use conservative parameters and document.
Absolute Contraindications — Do Not Treat
Relative Contraindications — Use Caution / Provider Clearance
Treatment Protocol
Evidence-based settings for the SoundCare Plus — adjusted for tissue depth, phase, and goal.
Frequency
—
MHz
Intensity
—
W/cm²
Duty Cycle
—
%
Mode
—
Sound Head
—
cm²
Time
—
minutes
Session —
Recommended Frequency
1 MHz
Deep Penetration
3–5 cm depth
3 MHz
Superficial / Fast
1–3 cm depth
⚠️ Region-Specific Caution
Recommended Parameters
Clinical Rationale
Application Technique
Patient Position & Setup
SoundCare Plus Setup Reminders
🧴 Coupling gel: Apply liberally — bead of gel, spread with sound head. Re-apply every 2–3 min.
🔄 Movement speed: 3–4 cm/sec. Slow, overlapping strokes. Never stationary (hot spots).
📐 Sound head angle: Perpendicular (90°) to skin for maximum energy transfer. No rocking.
💬 Patient feedback: Ask every 60–90 sec. Thermal US should feel "warm, not hot." Stop if pain.
🔊 Sound head check: If patient cannot feel warmth at 1.0+ W/cm² — verify gel contact.
⏱ Area rule: ~1 min per sound head ERA. 5cm² head = 5 min per treatment zone.
Patient Response During Treatment
Select the best match — feeds into the clinical note.
Well Tolerated
Completed full protocol, no issues
Warmth Reported
Patient confirmed therapeutic sensation
Intensity Reduced
Parameters decreased during session
No Sensation
Patient reported no feeling — check coupling
Immediate Relief
Pain/spasm reduction post-treatment
Stopped Early
Discomfort — treatment discontinued
Clinical Note
Ready to copy into the EHR.
Colleyville Chiropractic
Therapeutic Ultrasound — Richmar SoundCare Plus
Progress Note
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