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.
Moore, K. C. Hira, N. Broome, I. J. Cruikshank, J. A. Laser Therapy, 1992, VOL 4; NUMBER 4, pages 145 There was a significant difference in the number doses of narcotic analgesic required between the groups. No patient in the treatment group required narcotic analgesia after 24 hours. Similarly the requirement for oral analgesia was reduced in the treated group. Control patients assessed their overall pain as moderate to severe compared with mild to moderate in the treated group.
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. email@example.com 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 […]
– Washington Post, February 17, 2004By Lois Lindstrom The New England Patriots won Super Bowl XXXVIII with some help from a little-known form of laser technology that could change the way athletic injuries and chronic pain are treated. The treatment, known as “cold” laser therapy or low-level laser therapy (LLLT), has been used internationally for 18 years to treat soft tissue injuries, cervical neck pain, carpal tunnel syndrome, repetitive stress injuries, tendinitis, hamstring injuries, arthritis and wound healing, among others.The lasers — hand-held, flashlight-like devices that direct a beam of narrow-spectrum (but not hot) light at injured tissue beneath the skin — have been integrated into medical practice in Japan, Russia and the United Kingdom. In the United Kingdom, cold laser therapy has become a preferred treatment for “whiplash” injuries, neuralgia and shingles. In Japan, the lasers were approved in 1987 and are in widespread use today.In the United States, the technology received marketing clearance from the Food and Drug Administration (FDA) in 2002 for treating carpal tunnel syndrome, a painful inflammation of the wrists and hands that results from repetitive motion. But the mainstream medical establishment still considers the cold laser’s benefits unproven. Most U.S. users are athletic […]