Do you know about - How Does Cold Laser Work For Arthritis?
Rehab After Work! Again, for I know. Ready to share new things that are useful. You and your friends.Arthritis affects practically 70 million Americans. The most common forms of arthritis are osteoarthritis, a degenerative disease in which the cartilage wears away, and rheumatoid arthritis, which is an autoimmune inflammatory condition. Also, there are other conditions that fall under the "umbrella" of arthritis along with bursitis, tendonitis, low back and neck pain, carpal tunnel syndrome, and so on.
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The common indication of illness of most forms of arthritis is pain. Pain develops as a succeed of manifold factors along with inflammation with stimulation of neural peripheral pain sensors due to whether biochemical factors such as cytokines or to mechanical factors- joint deformity. Arthritis pain may be accompanied byother problems along with loss of range of appeal and disability.
While medicines, injections, and surgery all have their place and are valuable, there is still a need for potentially beneficial adjunctive modalities that might speed up rescue and sell out pain faster.
Low level therapeutic laser, good known as phototherapy, is a relatively new form of treatment. Its factory is that sure wavelengths of light have effects on living tissue. This succeed is termed "photobiomodulation."
Phototherapy has been shown in experimental settings to stimulate cell growth, increase cell metabolism, improve cell regeneration, induce an anti-inflammatory response, sell out edema, sell out fibrous tissue formation, sell out levels of substance P, stimulate output of nitric oxide, decrease the formation of bradykinin, histamine, and acetylcholine, and stimulate the output of endorphins. These effects are felt to be what sell out pain.
Most cold lasers in use today use a composition of light emitting diodes and infrared emitting diodes.
The beneficial effects of cold laser were first noted in wound curative in rats (Mester E, Spy T, Sander N, Tito J. succeed of laser ray on wound healing. Am J Surg 1971; 122: 523-535).
Subequently, laser was found to be beneficial in a estimate of animal models and is till being studied as a potential tool for cartilage regeneration and curative (Lin Y, Chai Cy, Yang Rc. Effects of helium-neon laser on levels of stress protein and arthritic histopathology in experimental osteoarthritis. Am J Phys Med Rehab. 2004; 83: 758-765).
Data about the usefulness of cold laser on dissimilar conditions seen in a rheumatology office include:
Rheumatoid arthritis and osteoarthritis (Brosseau L, Welch V, Wells G, Tugwell P, de Bie R, Harman K, Shea B, Morin M. Low level laser therapy for osteoarthritis and rheumatoid arthritis: a meta-analysis. J Rheum. 2000; 27: 1961-9);
Elbow tendonitis (Simunovic Z, Trobonjaca T, Trobonjaca Z. Rehabilitation of medial and lateral epicondylitis- tennis and golfer's elbow- with low level laser therapy: a multicenter double-blind, placebo-controlled clinical study on 324 patients. J Clin Laser Rehabilitation Surg. 1998; 16: 145-51);
Fibromyalgia trigger points (Simunovic Z. Low level laser therapy with trigger points technique: a clinical study on 243 patients. J Clin Laser Rehabilitation Surg. 1996; 14: 163-167);
Neck arthritis (Ozdemir F, Birtane M, Kokino S. The clinical efficacy of low-power laser therapy on pain and function in cervical osteoarthritis. Clin Rheumatology. 2001; 20: 181-184);
Carpal tunnel syndrome (Naeser Ma, Hahn Ka, Lieberman Be, Branco Kf. Carpal tunnel syndrome pain treated with low-level laser and micro amperes transcutaneous electric nerve stimulation: a controlled study. Archives Phys Med Rehab. 2002; 83: 978-988);
Shoulder tendonitis (England S, Ferrell Aj, Coppock Js, Struthers G, Bacon Pa. Low power laser therapy of shoulder tendonitis. Scand J Rheum. 1989; 18: 427-431);
Low back pain disorders (Tasaki E, et al. Application of low power laser therapy for relief of low back pain. Ninth Congress of the International community of Laser surgery and Medicine. Anaheim, Ca. Usa. November 2-6, 1991; Tuner J, Hode L. The Laser Therapy handbook. Prima Books. 2004. Sweden, p. 81).
Adequate clinical assessment is vital to determining whether a outpatient is a good candidate for laser therapy. Also, laser is a complementary therapy; it should be used in conjunction with other therapies as well. Concurrent medications, etc. Should not be forgotten.
Phototherapy is Fda approved for a estimate of applications and has been deemed safe. It also requires relatively itsybitsy time to perform. Established protocols and tissue dosages have been established that make clinical application relatively easy.
The estimate of sessions required varies according to disorder, length of time the disorder has been present, and the severity of the disorder.
Contraindications comprise gravidity (use of the laser over the pregnant uterus), thyroid exposure, over a pediatric epiphysis, transplant patients, directly on a an active cancer, on an are where there has been a new (within 24 hours) steroid injection, or on the chest of a outpatient with a pacemaker.
While cold laser is carefully by some to be unproven, it appears so far to be a safe, efficient mode of therapy for many rheumatologic disorders and is worth trying before subjecting a outpatient to more invasive and dangerous procedures.
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