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Does low level laser therapy work?

Generally speaking, the use of low level laser therapy for purposes of decreasing pain and inflammation and promoting healing has been seen as controversial in the last few years. The ambiguity of the exact process and biochemical mechanism of this treatment contributes to the controversy.

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In addition, research has not always supported the effectiveness of low level lasers, but this may be related to the need for very specific parameters in the low level laser treatment in order for the treatment to be effective. There are studies that do find this treatment intervention to be more beneficial than placebo and it is suggested that a large number of parameters for illumination (wavelength, fluence, power density, pulse structure, and treatment timing) need to be met in order to achieve this positive outcome.

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How low level laser therapy Work?

low level laser therapy—also called low-level or near-infrared laser therapy—uses low-level light energy to treat a wide array of conditions, ranging from sprains, tendinitis, back pain, and arthritis to temporomandibular disorder (chronic jaw pain), carpal tunnel syndrome, diabetic neuropathy, fibromyalgia, and leg ulcers. Used by some physical therapists, physiatrists, chiropractors, and occupational therapists, it is different from conventional “hot” laser surgery. The FDA has cleared more than two dozen cold laser devices, including some sold on the Internet for home use, for the temporary relief of pain, which means only that they are safe, not necessarily that they are effective. The therapy is noninvasive and painless; no serious side effects have been reported.

It’s not clear how low level laser therapy might work, but it may have anti-inflammatory effects, help repair connective and other tissues, and release pain-relieving endorphins.

Overall, though, it’s hard to draw firm conclusions because many of the studies have been small, short in duration, and not well-controlled. Plus, there are differences in the devices and how the treatment is delivered in terms of dosage, wavelength, duration, where on the body it is applied, and technique. Cold lasers may work for one condition but not another, and only in some people—and their effect may depend on the degree of injury.

Though low level laser therapy may provide some temporary relief for some types of pain, it may not affect the underlying ailment or be any more effective than other types of heat delivery,in their coverage policies, both Cigna and Aetna note that there’s little or no conclusive evidence that low level laser therapy is effective for anything. Even in research suggesting some promise for the therapy in treating conditions such as carpal tunnel syndrome, chronic neck or back pain, and diabetic ulcers, the evidence has been limited and conflicting, and it’s hard to know how much any apparent benefit is due to a placebo effect.

Bottom line: If you have tendinitis or other musculoskeletal pain, work with a physical therapist, who may use low level laser therapy among other treatments. Some health insurance policies cover it when it’s provided by a health-care professional for certain ailments. Whether it adds much to the benefits of traditional physical therapy—ice, heat, exercise, and massage, for example—is unclear. Lastly, don’t count on getting the same benefit from self-treatment as you might from having it done by an experienced, trained professional. Home devices, which can cost hundreds of dollars and are often touted as a cure for nearly everything, may not have the power to do much of anything.

 

 


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