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Clinical Effectiveness of Laser Therapy

Low level or Low Level Laser Therapy (LLLT) has proven to be a very effective treatment for many conditions including those that have not responded well to traditional methods, including surgery. In many instances, it can also be a viable alternative to surgery and long-term use of pain medications.
Light therapy has been shown in over 40 years of independent research worldwide in more than 1200 studies to deliver powerful therapeutic benefits to living tissues and organisms. Both visible red and invisible infrared light have been shown to affect at least 24 different positive changes at a cellular level. Einstein even touted the benefits of light on the human body in 1918.

Selected Studies:

A prominent college of medicine in Houston, Texas, conducted a later double-blind study in 2000. That study showed 70% improvement in the active group.

One study of 324 patients obtained total pain relief in 82% of the acute cases and 66% in the chronic cases of tennis and golfer's elbow as reported in Clinical Laser Medicine & Surgery, 1998; 16 (3): 145-151.

A recent meta-analysis in the Journal of Rheumatology for rheumatoid arthritis, low-level laser therapy reduced pain by 70% relative to placebo, reduced morning stiffness, and increased flexibility. Brosseau L, Welch V, Wells G, et al. Low level laser therapy for osteoarthritis and rheumatoid arthritis: a meta-analysis. J Rheumatol. 2000;27:1961-1969

“… results obtained after low level laser therapy (LLLT) treatment of more than 200 patients (headaches, facial pain, musculoskeletal, myogenic neck pain, shoulder and arm pain, epicondylitis, tenosynovitis, low back and radicular pain, Achilles tendonitis) were better than we had ever expected…mobility is restored (functional recovery), pain decreases or disappears…” 1

“ LLLT improves local microcirculation and improves oxygen supply to hypoxic cells…normalization of microcirculation, due to laser applications, interrupts the “circulus vitosus: of the pain and its development.” 1

“ acute pain, diminished more than 70%; chronic pain more than 60%…use of analgesic drugs could be reduced or completely excluded. LLLT can be used as monotherapy or supplementary treatment to other therapeutic procedures for pain treatment.” 1

1Low Level Laser Therapy with trigger points technique: a clinical study on 243 patients. Journal of Clinical Lasers in Medicine and Surgery, 1996 Aug; 14(4):163-7

"Successful management of female office workers with “repetitive stress injury” or “carpal tunnel syndrome” by a new treatment modality- application of low level laser.” E. Wong G Lee, J. Zu Cherman and D.P. Mason; Western Heart Institute and St. Mary’s Spine Center, San Francisco, CA, and Head and Neck Pain Center, Honolulu, HI

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. In 35 such patients we focused the treatment primarily at the posterior neck area and not the wrists and hands. The [low level] laser rapidly alleviated the pain and tingling in the arms, hands and fingers and diminished tenderness at the involved spinous processes. Laser Therapy, 1997:9:131-136

“With low level laser treatment, complete resolution of pretreatment symptoms and abnormal physical findings was achieved in 77% of cases. It is a safe, cost-effective therapy producing a 77% success rate and appears to be an attractive substitute for surgery.” Noninvasive Laser Neurolysis in Carpal Tunnel Syndrome. Muscle and Nerve, 20:1029-1031, 1997.

Clinical Application of GaAIAs 830NM Diode Laser in Treatment of Rheumatoid Arthritis, Department of Orthopaedic Surgery, Osaka City University Medical School, Japan, Average patient age was 61. “This gave a total effective rating for pain attenuation of 90%, and for ROM [range of motion] improvement of 56.3%.

The Efficacy of Laser Therapy for Musculoskeletal and Skin Disorders: A Criteria-Based Meta-Analysis of Randomized Clinical Trials, Beckerman H, deBie RA, Bouter LM, et al. “The efficacy of laser therapy for musculoskeletal and skin disorders has been assessed on the basis of the results of 36 randomized clinical trials (RCTs) involving 1,704 patients. More specifically, for rheumatoid arthritis, post-traumatic joint disorders, and myofacial pain, laser therapy seems to have a substantial specific therapeutic effect. For this purpose, a criteria-based meta-analysis that took into account the methodological quality of the individual trials was used. Physical Therapy, 72(7):483-91, 1992 Jul. (60 ref)

The discovery of new applications for low level lasers are continuing with an impressive array of on-going research.

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