LOW LEVEL LIGHT THERAPY – LLLT – “COLD LASER”
– Non-painful treatment.
– Simple, fast and effective.
– Insurance covers, or low self-pay.
– Tendonitis, Trigger Points, TMJ, Carpal Tunnel, Fibromyalgia, Myofascial pain, Wound healing; Scar recovery, Strain and Sprain, acute and chronic joint pain.
The Dynatronics Solaris D890 Therapy Probe incorporates one laser diode emitting a wavelength of 875 nm and 3 red diodes emitting a wavelength of 660nm with a maximum power output of 625 mW. The Solaris D880plus Infrared Cluster Probe uses 32 infrared super luminous diodes emitting a wavelength of 880nm and 4 red diodes emitting a wavelength of 660nm. The differences in LLLT units lies in the power with which the light is delivered. The D880plus Probe has a maximum power output of 1000 mW compared to the maximum output power of a 500 mW probe thus reducing treatment time to 30 seconds per burst, which is then typically repeated several times per session.
With the LLLT machine I can treat chronic pain conditions and trigger points, tendonitis, myofascial pain sites, and chronic joint pain in a way we had not been able to before. This system has been extraordinarily well-received. Light Therapy is very non-invasive, and it is covered by insurance.
There are several pathways proposed to explain the results, but the bottom line is that this therapy may be useful to you.
Light Therapy is backed by extensive research with over 500 published studies covering a number of soft-tissue injuries, pain, and inflammatory conditions. These include more than 150 positive, double blind clinical studies (12), hundreds of positive in vitro studies, lots of animal studies, all pointing
into one direction – it works. Since Laser therapy works at a cellular level by improving the activity of cells in a reduced condition, many pathologicals situation will improve through laser therapy.
Being skeptical is a good scientific quality and accepting a paradigm shift takes a lot of documentation! As early as 2003, there were more than 50 different medical indications described in the literature, and 18 in the list of double blind studies. With sophisitication in the equipment, that is increasing as we speak.
At Blue Heron Chiropractic, we are using cluster probes with light emitting diodes (LEDs) as the active sources. Cluster probes often pair infrared diodes together with laser diodes. The type of light we apply is a combination of red and far-red light using a multi-probe. We are typically applying non-coherent, continuous or pulsed light.
Typically, we will want to treat as many as three times a week for an acute condition, but one treatment a week may be appropriate for a chronic condition – the problem will determine the frequency. It is rather common to start a treatment series with two or three sessions per week and then after some time go down to one treatment per week. In the clinical situation, the intervals can be related to the patient’s response.
Light therapy is a relative contraindication in persons with a history of cancer.
1) Mester E et al. Effect of laser-rays on wound healing. Am J Surg. 1971; 122 (4): 532-535.
2) Tunér J, Hode L. It’s all in the parameters: a critical analysis of some well-known negative studies on low-level laser therapy. J Clin Laser Med Surg. 1998; 16 (5): 245-248.
3) Tunér J. The Cochrane analyses – can they be improved? Laser Therapy. 1999; 11 (3): 138-143.
4) Beckerman H et al: The efficacy of laser therapy for mucoskeletal and skin disorders: a criteria-based meta-analysis of randomized clinical trials. Physical Therapy. 1992; 7 (72):
5) Gam A N et al: The effect of low-level laser therapy on musculo-skeletal pain: a meta-analysis. Pain. 1993; 52: 63-66.
6) Flemming K, Cullum N: Laser Therapy for venous leg ulcers (Cochrane review). In: The Cochrane Library, 4, 2000.
7) Brosseau L, Welch V, Wells G et al: Low level laser therapy (Classes I, II and III) for treating Osteoarthritis. The Cochrane Library. Issue 4, 2000.
8) Brosseau L, Welch V, Wells G et al: Low level laser therapy (Classes I, II and III) for treating rheumatoid arthritis. The Cochrane Library. Issue 4, 2000.
9) Bjordal J M, Greve G. What may alter the conclusions of reviews? Physical Therapy Reviews. 1998; 3: 121-132.
10) Bjordal J M, Couppe C, Ljunggren A. Low level laser therapy for tendinopathies. Evidence of a dose-response pattern. Physical Therapy Reviews. 2001; 6 (2): 91-100.
11) Bjordal J M, Couppè C, Chow R T, Tunér J, Ljunggren A E. A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Australian J Physiotherapy. 2003; 49: 107-116.
12) Tunér J. 100 positive double-blind studies: enough or too little? Proc. SPIE. 1999; Vol. 4166: 226-232.