• Conventional treatments for knee pain often include medication, physical therapy, and in some cases, surgical intervention.

• However, these treatments may not always provide lasting relief and may be associated with potential side effects.

• This case study highlights the patient’s progress and outcomes over a six-week treatment period, demonstrating the potential benefits of laser therapy in pain management.

WHAT YOU NEED TO KNOW

In recent years, class 4 laser therapy has gained attention as a potential alternative or adjunctive treatment for pain management.

In this case study, after four weeks of class 4 laser therapy, the patient reported noticeable improvements in pain and functionality.

Laser therapy was the only intervention used; there was no spinal manipulation, axial decompression or other interventions utilized with this specific patient.

Chronic neck pain is a prevalent musculoskeletal condition that significantly impacts the quality of life of affected individuals. Neck pain is the fourth leading cause of disability, with an annual prevalence rate exceeding 30%. Emerging modalities such as photobiomodulation via class 4 laser therapy have gained attention for their potential to alleviate pain and promote tissue healing.

This case study explores the application of class 4 laser therapy in treating a patient with chronic neck pain, detailing the treatment protocol, outcomes, and relevant research. The study aims to contribute to the growing body of evidence on the effectiveness of class 4 laser therapy as a non-invasive and safe option for managing neck pain.

Rotator-cuff injuries, ranging from tendinopathies to tears, affect a significant portion of the population, particularly individuals engaged in overhead activities or repetitive motions. These injuries can lead to pain, reduced range of motion and diminished quality of life.

Conventional treatments range from conservative approaches, such as physical therapy and non-steroidal anti-inflammatory drugs (NSAIDs), to surgical interventions. However, recent advances in therapeutic modalities have introduced class 4 laser therapy as a potential alternative for managing rotator-cuff injuries.

If you are considering adding a modality that is scientifically and clinically proven, delivers consistent results, and can be administered by your staff and you are not offering laser therapy yet, now is the time. Doctors of chiropractic are in a unique position to offer this healing modality, as it complements the patient care already being delivered; and can facilitate improved pain relief, injury healing and patient satisfaction.

Photobiomodulation is an excellent modality because it is effective for a wide variety of conditions, can help with managing pain, inflammation and damaged tissues, and has few contraindications. But in the event of an adverse event, advice from a malpractice specialist is warranted.

Laser therapy, also known as photobiomodulation (PBM), is a non-invasive modality that delivers red and infrared laser light to biological tissue with the goals of stimulating cellular processes and enhancing the activation of biochemical mechanisms. Let's examine the contraindications for laser therapy.

A contraindication is a condition that makes a procedure inadvisable; and may be absolute or relative. An absolute contraindication is a situation that makes a particular treatment absolutely inadvisable, such as shining a therapy laser directly into the eye. A relative contraindication is a condition that makes a particular treatment possibly inadvisable, such as a recent steroid injection.

PBM treatments are proven to significantly reduce pain and improve the quality of life for patients suffering from diabetic peripheral neuropathy (DPN). PBM treatments are shown to reduce the levels of inflammatory markers in patients with DPN, which is important because heightened inflammation is one of the contributory factors for pain and disability.

For years, ice has been used to treat acute injuries under the premise that it alleviates pain, reduces tissue metabolism and reduces swelling. It has been a standard treatment for injuries and sore muscles because it helps to relieve pain caused by injured tissue. Health care providers have used and recommended the RICE guideline for decades, but now it appears that both ice and immobilization may delay healing.

In 2015, Dr. Mirkin completely reversed course and now strongly advocates against the use of ice on acute injuries. Healing requires inflammation; and anything that reduces or suppresses inflammation will also delay healing.

The human immune system acts a defense mechanism against potentially harmful invaders, such as bacteria and viruses. Photobiomodulation treatments can stimulate immune responses, and treatment targeting the lymph nodes or spleen can amplify the effect. Therapeutic laser is a safe, effective immunomodulator that can be applied to patients of all ages with a wide variety of clinical conditions.

Peripheral neuropathy is a serious problem regardless of the cause. Chiropractors are in a unique position to safely and effectively treat peripheral neuropathy with PBM delivered from a class 4 therapeutic laser.

As part of our ongoing efforts to help translate research into practice, the Council on Chiropractic Guidelines and Practice Parameters (CCGPP), also known as the Clinical Compass, is working to translate scientific research into tools that the profession can use to improve clinical practice. There are no guarantees, but you can increase your chance of success.

For more information about other conditions that may be responsive to PBM and how to support the medical necessity of your proposed treatment plan, go to https://clinicalcompass.org/resources/clinical-guidelines/https://clinicalcompass.org/resources/clinical-guidelines/

NAALT represents clinicians who use or are interested in therapeutic light. The aim of the organization is to improve the understanding of the mechanisms, basic laser physics, safety, treatment parameters, techniques, regulatory issues and reimbursement of laser therapy for health practitioners.

Therapeutic laser technology and clinical applications are on the "front" of the wave. The use of pulsed and modulated frequencies versus CW to more specifically address certain conditions has a significant body of evidence, and more research will enhance the effectiveness of laser therapy treatments in the years to come.

Therapeutic laser light can also be modulated, or flashed on and off many times per second. The mechanism of how the laser light is modulated inside the laser unit is a topic for another article. Here we are focusing on what the tissue "sees." Whether the light is turned on and off by flipping a switch or by passing a shutter in its path, the outcome is the same: laser light that is flashing.

The purpose of NAALT is to be a forum for therapeutic light therapy practitioners in North America (Mexico, USA and Canada). It is our intention to promote phototherapy as a valid treatment, and to improve understanding of photobiological mechanisms, basic therapeutic light physics, safety, treatment parameters, techniques, regulatory issues and reimbursement.

While exhibiting at a chiropractic trade show a couple years ago, a wily old doctor asked me, "How do you know you're not causing cancer?" which is an excellent question. Let's talk about laser and its effects on tissue.

To summarize, an increasing number of chiropractors are discovering Class IV therapy lasers to be an effective modality for pain management and injury healing. They have the ability to deliver a therapeutic dosage in less time, but also carry an increased risk of eye injury and must be used in a closed room with everyone wearing laser-specific eye protection.

This article will help you calculate the energy density of a therapy laser.

This new class of therapeutic lasers of laser therapy delivers higher-powered penetrating infrared energy to deeper target sites, as well as shortening treatment times for wide area applications.