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2022 Beginner's Guide to Laser Therapy

The world of laser therapy can be a confusing place. Terms like class IV, cold laser therapy (CLT), low-level laser therapy (LLLT), and even photobiomodulation (PBM) are all over the internet and can make digesting information about therapeutic laser treatment hard. In this blog post we’ll be attempting to answer some common questions, point out important information to look for, and hopefully provide you with enough basic laser knowledge to ensure you get the most out of your laser therapy experience.

We’re often asked what Class IV, CLT, LLLT, and PBM mean, so we’ll begin with defining those terms. Class IV describes the types of lasers that are used in laser therapy. These lasers are typically higher powered and allow for better tissue penetration than class I-III lasers, which are found in your home, office, or manufacturing.

When laser therapy first became available for human use many terms were coined to describe the therapy process. These terms included cold laser therapy (CLT) and low-level laser therapy (LLLT). As with most therapy devices once laser therapy became available to the public there was a rash of late-night devices that hit infomercials everywhere claiming to fall under these categories. This influx of inferior machines spurred the need in the laser world for clear barriers in what laser therapy is and can do. Today, Photobiomodulation (PBM) is considered the appropriate term for the use of laser therapy on tissue.

What is Laser Therapy and what does it do?

 Laser therapy is the non-invasive, non-thermal application of light energy to stimulate cells. Once stimulated by the near-infrared light, cells in the affected area generate more energy and undergo self-repair. There are no known negative side effects from the use of PBM on cells.

When looking into laser therapy remember that not all laser devices are created equal. It’s important to use a PBM provider that utilizes a class IV laser that works somewhere between 808-908nm wavelengths. These ranges are great for not only tissue regeneration, but also in managing inflammation, and pain relief.

Can I be treated if I don’t have a diagnosis?

Laser therapy should always be performed by knowledgeable staff and under the direct supervision of a physician. Currently, some establishments do not require a diagnosis before treatment begins. Doing so is a bit like shooting at a target blindfolded. Treatment protocols for conditions vary widely in time, intensity, and technique. Having a diagnosis before treatment is essential in evaluating the efficacy of a treatment protocol for the patient, and in understanding how to manage treatment for the best possible results.

Laser Therapy in Sports Medicine

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Sports medicine options are becoming increasingly popular with professional athletes and die-hard couch potatoes alike. Regardless of your activity level, these treatment options can help your body perform more efficiently. Athletic programs from the collegiate to professional level all over the US have made laser therapy a standard treatment protocol in their sports medicine arsenal, and most doctors offer some forms of treatment related to the practice. Here are just a few of the MANY key benefits that have made Photobiomodulation-PBM (laser therapy) such an effective addition to sports medicine.

Cellular Repair

The draw of sports medicine for most people is to remain as active as possible while healing. Laser therapy allows for better management of conditions while keeping patients engaged in activities that will not hinder their healing process.

 

Light energy in specific wavelengths can stimulate fibroblast development in damaged tissue. Fibroblasts are the building blocks of collagen, which is the essential protein required to replace old tissue or to repair tissue injuries.

 

PBM also has an anti-inflammatory effect on tissue. We’ve mentioned that it promotes vasodilation in other posts, but it also activates the lymphatic drainage system which drains swollen areas. This reaction helps reduce swelling caused by inflammation or bruising. Due to the nature of vasodilation, these effects can also help relieve “tight” sensations through muscles and tendons by increasing the supply of nutrients to the area.

 

Currently, blind studies are also being done on the effects of PBM in decreasing muscle fatigue.

 

Pain Management

The world of pain management can sometimes feel… limited. Go to treatment options often include topical, oral, or injectable medications with multiple side effects. Examples like cortisone or NSAIDS designed to fight pain and inflammation are but a few.

 

Laser therapy promotes several pain management mechanisms in tissue. By utilizing the analgesic effect of light energy laser therapy promotes the production of high levels of pain-killing chemicals like endorphins and enkephalin from the brain and adrenal gland. Light energy also affects nerve cells and can block transmissions by nerve cells to decrease sensitivity and pain. 

 

Side Effects

Many traditional forms of therapy (such as injections, and prescription medications) come with a list of side effects or possible reactions between differing medications, and in some cases can weaken tissue over time with extended use (steroid injections). Laser therapy is one of the few non-invasive, safe treatment options available today. Most patients don’t even feel any sensation at treatment. 

 

Conditions treated include:

 

Arthritis

Burns

Bursitis

Cuts

Fractures

Joint Pain (i.e.., ankle, back, knee)

Muscle Sprain / Strain/ Fatigue

Neuritis

Neuropathy

Plantar Fasciitis / Heel Pain

Post-Surgical Healing / Pain Management

Scarring

Tendonitis

Wound Healing

 

 

Treatments

Other therapies can also sometimes be used in conjunction with laser therapy. These can include icing, stretching, and even specialized tapings. Remember, any sports medicine related, or laser therapy treatments should always be performed under the direct supervision of your recommending doctor.

As always, we hope this information is helpful, and if you’d like more information regarding what laser therapy can do for you contact our office. We’re also on Facebook and Twitter @TripodLaser.