thérapie au laser

8 avril 2018

Traitement de syndrome du canal carpien au laser doux versus la décompression du canal carpien

La thérapie au laser doux s’est révélé être une modalité de traitement non invasive et efficace pour le syndrome du tunnel carpien, en particulier pour les cas mineurs à modérés, quand la douleur est le principal symptôme. Treatment of carpal tunnel syndrome by low-level laser versus open carpal tunnel release Elwakil TF, Elazzazi A, Shokeir H. Unit of General Surgery, National Institute of Laser Enhanced Sciences (NILES), Cairo University, Cairo, Egypt. tfelwakil@hotmail.com PMID: 17334675 [PubMed – indexed for MEDLINE] Lasers Med Sci. 2007 Nov;22(4):265-70. Epub 2007 Mar 3   Carpal tunnel syndrome (CTS) is an entrapment neuropathy of the median nerve at the wrist. It is one of the most common peripheral nerve disorders. The cause of idiopathic CTS remains unclear. The diagnosis of CTS is still mainly clinical. Open carpal tunnel release is the standard treatment. The present study was conducted to evaluate the effectiveness of low level laser treatment (LLLT) for CTS in comparison to the standard open carpal tunnel release surgery. Out of 54 patients, 60 symptomatic hands complaining of CTS were divided into two equal groups. Group A, was subjected to LLLT by Helium Neon (He-Ne) laser (632.8 nm), whereas group B was treated by the […]
8 avril 2018

Photobiomodulation de la douleur dans le syndrome du tunnel carpien: examen de sept études de thérapie au laser doux

La photobiomodulation est un traitement conservateur prometteur pour les cas mineur à modéré du syndrome du tunnel carpien. Il est coût-efficace par rapport aux traitements actuels. Photobiomodulation of pain in carpal tunnel syndrome: review of seven laser therapy studies Naeser MA. Department of Neurology, Boston University School of Medicine, MA 02130, USA. mnaeser@bu.edu PMID: 16706688 [PubMed – indexed for MEDLINE] Photomed Laser Surg. 2006 Apr;24(2):101-10   In this review, seven studies using photoradiation to treat carpal tunnel syndrome (CTS) are discussed: two controlled studies that observed real laser to have a better effect than sham laser, to treat CTS; three openprotocol studies that observed real laser to have a beneficial effect to treat CTS; and two studies that did not observe real laser to have a better effect than a control condition, to treat CTS. In the five studies that observed beneficial effect from real laser, higher laser dosages (9 Joules, 12-30 Joules, 32 J/cm(2), 225 J/cm(2)) were used at the primary treatment sites (median nerve at the wrist, or cervical neck area), than dosages in the two studies where real laser was not observed to have a better effect than a control condition (1.8 Joules or 6 J/cm(2)). The […]
8 avril 2018

LLLT using a diode laser in successful treatment of a herniated lumbar/sacral disc

Tatsuhide Abe Tatsuhide Abe, Abe Orthopaedic Clinic Futuoka City Fukuoka Prefecture Japan X12′  Laser Therapy 1989   A 40 year old woman presented at the clinic with a 2 year history of lower back pain and pain in the left hip an leg, diagnosed as a ruptured disc between the 5th lumber/1st sacral vertebrae. The condition had failed to respond to conventional treatment methods including pelvic traction, non-steroid anti-inflammatory drugs and dural block anaesthetic injections. MRI scans were made of the affected disc, showing it protruding on the left side through the dural membrane. Treatment was used in outpatient therapy, and after 7 months, the patients condition had dramatically improved, demonstrated by motility exercises. This improvement was confirmed by further MRI scans, which clearlt showed the normal condition of the previously herniated L5/S1 disc.
8 avril 2018

Est-ce vraiment un syndrome du canal carpien? Compression proximale du nerf médian

Martin C. Normand, PhD, DC & Martin Descarreaux, DC JCCA 2000; 44(3): 149-156   But: Cette étude vise à réviser les différents aspects cliniques et théoriques des syndromes de compression du nerf médian, afin de différencier les syndromes du canal carpien des autres compressions plus proximales du nerf médian. Source des données: Toutes les études et données pertinentes de l’article, proviennent de recherches répertoriées dans MEDLINE entre 1966 et 1998 et de volumes de références traitant du sujet de l’article. Résultats: Le syndrome du canal carpien est la plus fréquente compression du nerf médian. Toutefois, des compressions au coude sous le ligament de Struthers, à l’avant-bras sous le rond pronateur et le biceps et une compression de la branche antérieure du nerf médian peuvent amener des signes et symptômes semblables à ceux du syndrome du canal carpien. Ce sont les tests orthopédiques et l’évaluation neurologique (électromyographie et vitesse de conduction nerveuse) qui permettent de préciser le diagnostic et le site exact de la compression nerveuse. Conclusion: Afin d’éviter les traitements inefficaces, il faut s’assurer, en présence des signes et symptômes d’une atteinte du nerf médian, que le diagnostic est précis et que le site et le mécanisme de compression du […]
8 avril 2018

Improvement of pain and disability in elderly patients with degenerative osteoarthritis of the knee treated with narrow-band light therapy

Jean Stelian et al Geriatric Medical Center, Shmuel Harofe Hospital, Beer Yaakov, Israel. PMID: 1727843 [PubMed – indexed for MEDLINE] J Am Geriatr Soc. 1992 Jan;40(1):23-6   OBJECTIVE: To evaluate the effects of low-power light therapy on pain and disability in elderly patients with degenerative osteoarthritis of the knee. DESIGN: Partially double-blinded, fully randomized trial comparing red, infrared, and placebo light emitters. PATIENTS: Fifty patients with degenerative osteoarthritis of both knees were randomly assigned to three treatment groups: red (15 patients), infrared (18 patients), and placebo (17 patients). Infrared and placebo emitters were double-blinded. INTERVENTIONS: Self-applied treatment to both sides of the knee for 15 minutes twice a day for 10 days. MAIN OUTCOME MEASURES: Short-Form McGill Pain Questionnaire, Present Pain Intensity, and Visual Analogue Scale for pain and Disability Index Questionnaire for disability were used. We evaluated pain and disability before and on the tenth day of therapy. The period from the end of the treatment until the patient’s request to be retreated was summed up 1 year after the trial. RESULTS: Pain and disability before treatment did not show statistically significant differences between the three groups. Pain reduction in the red and infrared groups after the treatment was […]