hello to all PT's,
i have been a PT for 7 years, graduated in 2001. i have learned in school that we are not allowed to use Estim within joint areas that contain any metal implants which includes TKR, THR, and spinal/ankle fusions containing metal materials such as rods and screws. Although Estim is a superficial modality, such implants may still conduct currents especially if the intensities are high and because such joint areas do not have a lot of soft tissue covering them to provide an insulating effect. in my opinion, i continue to choose not to use Estim in such cases. However, i have seen other PT's use Estim on such conditions. Can anyone please share their perspectives on this topic? and/or refer me to literature/research that says it is ok to use it. Thank you!