Legacy Therapy & Wellness Group offers evidence-based use of Low Level Laser Therapy when clinically indicated for some acute pain conditions, local hypersensitivity with patients who are unable to or elect to not utilize prescription pain medications, or for patients who elect to utilize in an overall treatment plan for speed of healing/recovery.
Low Level Laser Therapy
is the application of red and near infra-red light over injuries or lesions to improve wound and soft tissue healing, reduce inflammation and give relief for both acute and chronic pain.
Low Level Laser Therapy is used to: increase the speed, quality and tensile strength of tissue repair; resolve inflammation and relieve pain (analgesia).
The red and near infrared light (600nm-1000nm) commonly used in Low Level Laser Therapy can be produced by laser or high intensity LEDs. The intensity of Low Level LT lasers and LED's is not high like a surgical laser. There is no heating effect.
The effects of Low Level Laser Therapy are photochemical. When the correct intensity and treatment times are used, red and near infrared light reduces oxidative stress and increases ATP. This improves cell metabolism and reduce inflammation. These effects can be enhanced with pulses however when analgesia is required there is a second mechanism which works best when a strong continuous beam is applied.
Low Level Laser Therapy is reported in the scientific literature as effective and safe for conditions which include: soft tissue conditions/tendonitis, some joint conditions, and some nerve related pain conditions. The following is a partial list of published clinical studies regarding the use of low level or “cold” laser:
Chow RT et al. Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomized placebo or active-treatment controlled trials. Lancet. 2009 Dec 5; 374 (9705):1897-908.
Neck Pain with Radiculopathy (“Pinched Nerve”):
Konstantinovic LM et al. Low-level laser therapy for acute neck pain with radiculopathy: a double-blind placebo-controlled randomized study. Pain Med. 2010 Aug; 11 (8):1169-78.
Carcia CR et al. Achilles pain, stiffness, and muscle power deficits: Achilles Tendinitis: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health from Ortho. Section of the American Physical Therapy Association.
Yavuz F et al. Low-level laser therapy versus ultrasound therapy in the treatment of subacromial impingement syndrome: a randomized clinical trial. J Back Musculosk. Rehab. 2014; 27(3): 315-20.
Carpal Tunnel Syndrome:
Barbosa RI et al. Efficacy of low-level laser therapy associated to orthoses for patients with carpal tunnel syndrome: A randomized single-blinded controlled trial. J Back Musculoskelet Rehabil. 2015 Sep 25 (ahead of Europ. print).
Elbow- Tennis Elbow
Lam LK et al. Effects of 904-nm low-level laser therapy in the management of lateral epicondylitis: a randomized controlled trial. Photomed Laser Surg. 2007 Apr; 25(2):65-71.