Using the ultrasound for therapeutic heat in PE

You are right. Just to complete Tutts answer: After trying the DragonSkin20, I found that to be quite stiff. Therefore, my recommendation came rather to try the DragonSkin 10 NV. CBateman has it in use.

Thanks for the feedback.

Much Appreciated.

Hola a todos, soy nuevo en la comunidad pero tengo más de 7 años de experiencia en PE y la verdad es que quería dejarles algo que estoy haciendo y que descubri.

En un frasco de vidrio pongo 5 cucharadas de crema humectante neutro y dos cucharadas y media de jengibre rallado.

Ese “ungüento ” casero me lo aplico después de mis sesiones de hanging y gelking con una venda. Es increíble como multiplica el crecimiento en las venas y los cuerpos cavernosos. Lo increíble de esto es que parece como un brazo de un físico culturista desde que empecé a usar esto. Lo recomiendo mucho.

If the key to tissue expansion is to heat tissues above a certain level whilst under low tension, then how are girth gains achievable?

Most girth routines are quite harsh, I’m currently hanging using a foreskin restoration device with a weight on the end whilst using 3MHz ultrasound for 20 minutes, this will be fine for length but does nothing for girth.

I have thought to clamp immediately after ultrasound heating but from Krypa’s previous post, little to no gains have been achieved by doing this.

The problem is that the temperature drops under 39C in one minute once you remove the applicator.
So it is clear ultrasound is not a warm-up method, it is an active tool to be used while the tissue is manipulated.
Otherwise, the anticipated results via heating are negligible.

This has been the stumbling block for success in physical therapy.
I don´t know how they ended up launching the term “therapeutical window”, a 10 minutes time after heating the tissue to therapeutic heat, which was supposed to be a productive manipulation window.
This was set up as a norm despite the fact there was widely recognized research available this can´t possibly be true.
It was well presented and documented in the early nineties that the temperature drop is really fast after the removal of the source.
The temperature drops immediately to a level making no difference in manipulating the tissue cold.

And now these morons, after decades of misuse keep telling to each other in symposiums that ultrasound is a low-risk low reward application in physical therapy.
Of course, it is, because they have had very little or no actual practices utilizing the power of the tool to be used all this time.

Thanks for the tip, will use it in the future.

They use ultrasound to give anti aging facials. And they have some prove that it works to some degree. Could you give yourself anti aging facial with US Pro 2000 2nd? Does anyone know Power and intensity what they use to face? I would not dare to use it forehead wrinkles in fear of heating brains 😮. But they do, so power must be low.

Improving EQ they use pulsatile ultrasound. Do you think pulsatile nature has something to do with improvements or does 100 % duty cycle give same EQ benefits when used as heat source when stretching?

Not in any circumstences I would put US Pro on my face. So absolutely not.

About the LIPUS they have actually used compatible intensity to 20% duty cycle we have with US Pro.

The difference to high end machines used in studies being the 20/100Hz pulse ratio (all cheap machinery) ,compared to 200/1000Hz on professional equipment.
Both equal the 20% duty cycle.

I have done and do encourage to use the setting on different occasions than heating exercise to find If there is improvement on EQ.

Thanks for answer. I though so that US for face is different kind of devices. Like this
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Do you find that US Pro 2000 2nd L (5 %) or M (50 %) are not suitable for EQ improving purposes?

US 1000 3rd has settings of duty cycle
8 % 0,5ms
14 % 1ms
29 % 2ms
Repetition rate 150Hz
Max power 4W
Area 6,16cm2
Intensity max 0,65 W/ cm2

would this unit be good on EQ improvement purpose?

RF works MUCH better than US for skin improvement like facials and any other type of skin tightening and collagen enhancement. If US is used it must be higher frequency.

Trapezius just caught me sleeping and talking a bit of nonsense, the 5 % duty cycle, of course, 0.08w / cm^2 is the (L) setting on US PRO 2000 2nd.
So here is the corrected reply:


“About the LIPUS they have used compatible intensity to 5% duty cycle we have with US Pro.

The difference to high-end machines used in studies being the pulse ratio 100Hz
(all cheap machinery), compared to 1000Hz on professional equipment for ED treatment.”
Additionally they have used pulse ratio not available with US PRO 2000 2nd.

With the machine, you suggested the 8% duty cycle(L) equals the 5% duty cycle(L) on US PRO 2000 2nd, both having a 0.5 ms pulse width.

US Pro 2000 having a 100Hz pulse frequency compared to US 1000 150Hz the difference in pulse modulation having the pulses coming 1,5 times more frequently both having output oscillating at 1MHz frequency.
This meaning the machines producing different duration rest times between the pulses.

There has been a lot of confusion around the pulsed output of these machines and the continuous waveform we use to heat tissue.

The thing is every ultrasound therapy machine has pulsed primary output. The difference is made with the modulation of the pulses.

Continuous mode equals 100% duty cycle meaning 100Hz pulses pulsing without modulation, each pulse oscillating in 1 MHz (secondary) output frequency at amplitude providing the 1.6 w/cm^2 average intensity without any rest times between the pulses. This example is the (H) setting of the US Pro 2000 2nd.

Then if we put the machine on a 5% duty cycle (L) the primary pulsing output is heavily modulated.

During the 100Hz(100 pulses a second) pulses each pulse is modulated having 0.5 ms pulse-width at the same amplitude the (H) setting, followed by 9.5 ms pulse duration rest time.
100 of these modulated pulses per second provide the average intensity output of 0.08 w/cm^2.
Pulse ratio being 1:19(5% duty cycle).

If we inspect the US Pro 1000 at 8% duty cycle it outputs 150 primary pulses per second oscillating at 1 MHz frequency. Pulses modulated in a form staying 0.5 ms at maximum amplitude followed swith a 5.5 ms rest time providing an average output intensity of 0.05 w/cm^2.
Pulse ratio being 1: 11 (8% duty cycle).

Chinese researchers have produced convincing studies using LIPUS machine with a 1: 4 pulse ratio(200mcs:800mcs) with 1000Hz pulsing primary frequency. They have found similar to L-ESWT (shock wave) treatment results treating mild to moderate ED with LIPUS. The average output intensity of 0.3w/ cm^2.

Also, there has been research confirming these LIPUS treatments 2 to 3 times a week for a duration of 16 treatments being safe, and similarly effective with no adverse effects found.

There are also studies with healthy volunteers using 1MHz and 3MHz machinery providing highly enhanced endothelial functions on the human brachial artery which is suspected to be a partial reason for success in the above LIPUS research as well.
These studies have been conducted with 1MHz machinery using both continuous modes with 0.4 w /cm^2 intensity.
Pulse modulated from with pulse ratio of 1:4 with 1000Hz pulsing equaling 20% duty cycle (2ms ON 8 ms OFF). With the pulsed output, the average intensity of 0.08w/cm^2 was applied.

No significant differences were detected between 1MHz or 3 MHz regardless being the pulse form is continuous or pulsed.
All led to positive outcomes in endothelial functions.

At these studies increase in NO production was detected to cause increased vasodilation lasting 20 minutes after the treatment.

For treating ED with light intensity pulsed ultrasound, there being no actual research available with 1MHz or 3MHz, the closest we can get is similar to LIPUS research(1.7MHz) intensity of 0.05 w/ cm^2 and pulse ratio of 1:4. The frequency between 1 to 3 MHz producing similar outcomes.

If we look at the US 1000 the 29% setting comes close, having 0.19 w/ cm^2 output intensity.

But another problem can occur. Having a 6.6 cm^2 ERA the diameter of 3 cm has to be in firm contact with the shaft which can be a problem with many of the shafts out there.

If we were about to utilize the ultrasound machinery optimizing for ED/EQ treatment only, I suggest purchasing a piece of better machinery having more options for adjustments.

Additionally US 1000:

14% 1ms equals pulse ratio of 1 : 5.66 with average intensity of 0.09 w/cm^2.
29% 2ms pulse ratio being 1: 2.33

Is there a risk of the CC getting smaller, when the 40-42C heat range for tissue remodeling occurs and you are stretching/hanging ? (In a flaccid state of course).

Is there any thinking to this that since the Cavernosa arent engorged but they are still heated that that could possibly lose girth?

That hasn’t shown to be the case.

Why would you not be able to use the US to warm up then throw on a clamp and keep using the US to keep the temp where you need it to expand?