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Description

Indications:

Sports Injuries,Whiplash (ICBC claims),Non-WCB Work Related,Injuries ,Osteoarthritis,Sprains and Strains,Post Fracture conditions,Foot Injuries,Ankle Injuries,Knee Injuries,Hip Injuries,Low back Injuries,Mid back Injuries,Neck Injuries,TMJ Pain,Shoulder Injuries,Elbow Injuries,Wrist/Hand Injuries,Dizziness (BPPV),Peripheral,Neuropathy,Post Concussion Syndrome 

 Effects:

The effects of the LLLT which are significant for physiotherapy, and makes this tool useful to enhance other treatments as therapeutic exercise, are:

Reduction of inflammation: It can occur within hours to days.

Pain relief

Accelerated tissue regeneration: LLLT stimulates cell proliferation of fibroblasts , keratinocytes , endothelial cells and lymphocytes.

In physiotherapy LLLT is use for pain relief, accelerated tissue regeneration and reduction of inflammation.

Conditions that are treated include：

Osteoarthritis of the knee, hip and ankle,Rheumatoid arthritis

,TMD,Shoulder impingement syndromes,Hip or shoulder bursitis,Low back disc degeneration,Disc herniation,Sciatica,neuropathic pain,Tendonitis,Tennis elbow,Plantar fasciitis,Reduction of volume and pain in lymphedema

Evidence:

A 2017 systematic review and meta-analysis found that LLLT is an effective treatment modality to reduce pain in adult patients with musculoskeletal disorders. They also noted that adherence to the World Association of Laser Therapy (WALT) dosages improved effectiveness.

A 2017 review titled "Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence" concluded that the evidence on effectiveness of laser therapy for shoulder pain or acute or chronic neck pain was inconclusive. With regards to knee pain low level laser therapy may confer added benefits to exercise and / or surgical treatment.

Contraindications

Contraindication according to The North American Association for Laser Therapy are:  

Eyes: Do not aim laser beams into the eyes and everyone present should wear appropriate safety spectacles.

Cancer: Do not treat over the site of any known primary carcinoma or secondary metastasis unless the patient is undergoing chemotherapy when LLLT can be used to reduce side effects such as mucositis. LLLT however can be considered in terminally- ill cancer patients for palliative relief.

Pregnancy: Do not treat directly over the developing fetus.

Epileptics: Be aware that low frequency pulsed visible light (<30Hz) might trigger a seizure in photosensitive, epileptic patients. The adverse effects of LLLT have been reported to be no different from those reported by patients exposed to placebo devices in trials.