Low energy laser therapy has been shown — at appropriate dosimetry, wavelength, duration, and site-specific application — to reduce tissue pain/tenderness, normalize circulation patterns in tissue trauma, and increase collagen formation in wounds. by Tiziano Marovino, PT, DPT, MSc, BA, BHSc, BRLS, Dip.PT, FAAPM
How Light Therapy is surprising skeptics and gaining converts By Rich Smith Once he saw the light, a 59-year-old Texan became a changed man. Not emotionally or spiritually, but physically. The man was a patient at Park Cities Physical Therapy in Dallas, suffering from right upper extremity reflex sympathetic dystrophy. A diabetic with heart disease, he’d developed complex regional pain syndrome after a surgical procedure that compromised circulation in his forearm and hand.
Ce nouveau traitement conservateur (laser doux) est efficace dans le traitement de la douleur du syndrome du tunnel carpien. Carpal tunnel syndrome pain treated with low-level laser and microamperes transcutaneous electric nerve stimulation: a controlled study Naeser MA, Hahn K-AK, Lieberman BE, Branco KF PMID: 12098159 [PubMed – indexed for MEDLINE] Arch Phys Med Rehabil. 2002 Jul;83(7):978-88 Objective: To investigate whether real or sham low-level laser therapy (LLLT) plus microamperes transcutaneous electric nerve stimulation (TENS) applied to acupuncture points significantly reduces pain in carpal tunnel syndrome (CTS). Design: Randomized, double-blind, placebo-control, crossover trial. Patients and staff administered outcome measures blinded. Setting: Outpatient, university-affiliated Department of Veterans Affairs medical center. Participants: Eleven mild to moderate CTS cases (nerve conduction study, clinical examination) who failed standard medical or surgical treatment for 3 to 30 months. Intervention: Patients received real and sham treatment series (each for 3[ndash ]4wk), in a randomized order. Real treatments used red-beam laser (continuous wave, 15mW, 632.8nm) on shallow acupuncture points on the affected hand, infrared laser (pulsed, 9.4W, 904nm) on deeper points on upper extremity and cervical paraspinal areas, and microamps TENS on the affected wrist. Devices were painless, noninvasive, and produced no sensation whether they were […]
Le laser a rapidement atténué la douleur et les picotements dans les bras, les mains et les doigts et a diminué la douleur le long des apophyses épineuses impliquées. Successful management of female office workers with “repetitive stress injury” or “carpal tunnel syndrome” by a new treatment modality–application of low level laser. Wong E, Lee G, Zucherman J, Mason DT. Western Heart Institute, St. Mary’s Medical Center, San Francisco, CA 94117, USA. Int J Clin Pharmacol Ther. 1995 Apr;33(4):208-11. PMID: 7620690 [PubMed – indexed for MEDLINE] Female office workers with desk jobs who are incapacitated by pain and tingling in the hands and fingers are often diagnosed by physicians as “repetitive stress injury” (RSI) or “carpal tunnel syndrome” (CTS). These patients usually have poor posture with their head and neck stooped forward and shoulders rounded; upon palpation, they have pain and tenderness at the spinous processes C5-T1 and the medial angle of the scapula. In 35 such patients we focused the treatment primarily at the posterior neck area and not the wrists and hands. A low level laser (100 mW) was used and directed at the tips of the spinous processes C5-T1. The laser rapidly alleviated the pain and […]
En conséquence, nous suggérons que la thérapie au laser doux peut être utilisé comme une bonne méthode alternative de traitement des patients ayant une arthrite rhumatoïde qui souffrent également du syndrome du tunnel carpien. Effect of low level laser therapy in rheumatoid arthritis patients with carpal tunnel syndrome Ekim A, Armagan O, Tascioglu F, Oner C, Colak M. Osmangazi University, Department of Physical Therapy and Rehabilitation, Eskisehir, Turkey. PMID: 17629805 [PubMed – indexed for MEDLINE] Swiss Med Wkly. 2007 Jun 16;137(23-24):347-52 OBJECTIVE: the aim of the present study was to evaluate the efficacy of low level laser therapy (LLLT) in patients with rheumatoid arthritis (RA) with carpal tunnel syndrome (CTS). MATERIAL AND METHODS: a total of 19 patients with the diagnosis of CTS in 19 hands were included and randomly assigned to two treatment groups; LLLT (Group 1) (10 hands) with dosage 1.5 J/ per point and placebo laser therapy group (Group 2) (9 hands). A Galium-Aluminum-Arsenide diode laser device was used as a source of low power laser with a power output of 50 mW and wavelength of 780 nm. All treatments were applied once a day on week days for a total period of 10 days. Clinical […]