LaserStim Cold Laser Therapy

LASER

At Onion River Chiropractic, we use LaserStim cold laser therapy with patients who suffer with pain associated with a variety of conditions:  Tendonitis (knee, ankle, forearm, shoulder, hip) bursitis, rotator cuff injuries, plantar fasciitis, carpal tunnel syndrome, tarsal tunnel syndrome, neck and back pain, muscle strains, soft tissue injuries, myofascial pain syndrome, peripheral neuropathy.  It is helpful, safe and effective for those who have artificial knees or hip replacement or other metal implants.  It is the only physiotherapy modality that can treat joint replacements as it does not cause vibratory insult or heating of the metal implant as is the case with ultrasound treatment.

Laser works by emitting photons (light energy) into the mitochondria and cell membrane of the body’s tissues.  It uses both red, visible light and infrared light which can penetrate the tissues from the surface of the skin up to a depth of 5 inches with a peak power of up to 25W. 

Physiological changes affecting the body’s immune and nervous systems include: 

  • An  increase in cell growth, metabolism and regeneration
  • An increase in vascular activity, increasing blood flow to the injured area
  • Invoking of the anti-inflammatory response, promoting tissue healing
  • Relaxation of muscles and stimulation of nerve transmission, resulting in increased healing of areas affected by nerve damage
  • An increase in the production of endorphins, providing pain relief
  • Reduction in swelling and inflammation
  • Decrease in scar tissue formation from cuts, burns, and surgery

The diverse tissue and cell types in the body all have their own unique light absorption characteristics; that is, they will only absorb light at specific wavelengths and not at others. For example, skin layers, because of their high blood and water content, absorb red light very readily, while calcium and phosphorus absorb light of a different wavelength.  Although both red and infrared wavelengths penetrate to different depths and affect tissues differently, their therapeutic effects are similar. 

Visible red light, at a wavelength of 660nm, is beneficial in treating problems close to the surface such as acne, eczema, psoriasis, wounds, cuts, scars, trigger and acupuncture points, and is particularly effective in treating infections.  Infrared light (905nm) penetrates deeper than visible light and is effective for treating ailments of bones, joints, and deep muscle tissue.

Light therapy can:

  1. Increase vascularity (circulation) by increasing the formation of new capillaries, which are additional blood vessels that replace damaged ones. New capillaries speed up the healing process by carrying more oxygen as well as more nutrients needed for healing and they can also carry more waste products away.
  2. Stimulate the production of collagen. Collagen is the most common protein found in the body. Collagen is the essential protein used to repair damaged tissue and to replace old tissue. It is the substance that holds cells together and has a high degree of elasticity. By increasing collagen production less scar tissue is formed at the damaged site.
  3. Stimulate the release of adenosine triphosphate (ATP).  ATP is the major carrier of energy to all cells. Increases in ATP allow cells to accept nutrients faster and get rid of waste products faster by increasing the energy level in the cell. All food turns into ATP before it is utilized by the cells. ATP provides the chemical energy that drives the chemical reaction of the cell.
  4. Increase lymphatic system activity.  Edema, which is the swelling or natural splinting process of the body, has two basic components. The first is a liquid part which can be evacuated by the blood system and the second is comprised of the proteins which have to be evacuated by the lymphatic system.  Research has shown that the lymph vessel diameter and the flow of the lymph system can be increased with light.  The venous diameter and the arterial diameters can also be increased.  This means that both parts of edema (liquid and protein) can be evacuated at a much faster rate to relieve swelling.
  5. Reduce the excitability of nervous tissue. The photons of light energy enter the body as negative ions. This calls upon the body to send positive ions like calcium among others to go to the area being treated. These ions assist in firing the nerves thereby relieving pain.
  6. Increased phagocytosis, which is the process of scavenging for and ingesting dead or degenerated cells  for the purpose of clean up. This is an important part of the infection fighting process.  Destruction of the infection and clean up must occur before the healing process can take place.

We are offering a Laser treatment special promotion which includes an initial examination and 6 laser treatment sessions for $150.  This offer is not valid with any insurance, personal injury or workers compensation cases.  Scheduled appointments are required.  Valid until July 31, 2013.   Call the office today at 802-655-0354 and see how effective Laser therapy can be for you!

REFERENCES
The Photobiological Basis of Low Level Laser Radiation Therapy, Kendric C. Smith; Stanford University School of Medicine; Laser Therapy, Vol. 3, No. 1, Jan – Mar 1991

Low-Energy Laser Therapy: Controversies & Research Findings, Jeffrey R. Basford MD; Mayo Clinic; Lasers in Surgery and Medicine 9, pp. 1-5 (1989)

New Biological Phenomena Associated with Laser Radiation, M.I. Belkin & U. Schwartz; Tel-Aviv University; Health Physics, Vol. 56, No. 5, May 1989; pp. 687-690

Macrophage Responsiveness to Light Therapy, S Young PhD, P Bolton BSc, U Dyson PhD, W Harvey PhD, & C Diamantopoulos BSc; London: Lasers in Surgery and Medicine, 9; pp. 497-505 (1989)

Photobiology of Low-Power Laser Effects, Tina Karu PhD; Laser Technology Centre of Russia; Health Physics, Vol. 56, No. 5. May 89, pp. 691-704

A Review of Low Level Laser Therapy, S Kitchen MSCMCSP & C Partridge PhD; Centre for Physiotherapy Research, King’s College London Physiotherapy, Vol. 77, No. 3, March 1991

Systemic Effects of Low-Power Laser Irradiation on the Peripheral & Central Nervous System, Cutaneous Wounds & Burns, S Rochkind MD, M Rousso MD, M Nissan PhD, M Villarreal MD, L Barr-Nea PhD. & DG Rees PhD,

Low Level Laser Therapy: Current Clinical Practice In Northern Ireland, GD Baxter BSc, AJ Bet, MA,,JM AtienPhD, J Ravey PhD; Blamed Research Centre University Ulster Physiotherapy, Vol. 77, No. 3, March 1991

Low Level Laser Therapy: A Practical Introduction, T. Ohshiro & RG Caiderhead, Wiley and Sons

Bone Fracture Consolidates Faster With Low-Power Laser, MA Trelles, MD and E Mayayo, MD, Barcelona, Spain; Lasers in Surgery & Med. 7:36-45 (1987)

Wound Management with Whirlpool and Infrared Cold Laser Treatment, P Gogia; B Hurt and T Zim; AMI-Park Plaza Hospital, Houston TX, Physical Therapy, Vol. 68, No. 8, August 1988

Effects of Skin-Contact Monochromatic Infrared Irradiation on Tendonitis, Capsulitis and Myofascial Pain, T.L Thomassoi DDS, 19th Annual Scientific Meeting, American Academy of Neurological & Orthopaedic Surgeons, Aug. 27-30, 1995 Facial Pain/TMJ Centre, Denver, CO

Benefits of Stretching

Stretching is not just for athletes.  The following are some of the reasons why stretching may be beneficial for YOU!

1. Increase your range of motion.   Stretching helps to warm up muscles and joints. Synovial fluid is released from the cartilage within the joints, lubricating them and keeping bones moving freely.  Elongation of muscles and tendons becomes even more important as we age as our range of motion can become quite restricted along with loss of joint flexibility.  Getting into a stretching routine will help keep us strong and flexible.

2. Injury prevention.  Stretching will help us become stronger and more flexible in performing a variety of physical activities, including household chores.  Stretching affects the viscoelastic behavior of muscle and tendon. (Viscoelasticity refers to the ability to exhibit a change in length as well as amount of flow and movement).  Flexible muscles are able to distribute strength, increased balance and use less energy in the process.

3. Reduce muscle tension. Stretching is helpful in getting blood flowing into the muscles and joints.  This improves movement, circulation, promotes lower blood pressure and lessens fatigue.  Mentally, the relaxing signals sent to the brain during stretching are carried on for several hours after the exercise.

Tips when stretching:

  • Focus on major muscle groups.  Neck, shoulders, low back, hips, thighs, hamstrings, calves.  Stretch both sides (right and left) equally.
  • Slow and steady.  Hold the stretch for about 30 seconds, breathing with each stretch.  Inhale during rest and exhale while doing work.   Don’t bounce.  Bouncing can cause small tears in the muscle, tendons or ligaments leaving scar tissue as it heals.  This will actually make you less flexible over time.
  • Be consistent.  You can achieve the greatest benefits by stretching regularly, at least 3 times a week.  Stretching should feel good, increasing your flexibility with gentle tension.

Beginner Gluteal Stretches – Single Knee to Opposite Chest:  Begin by lying on back, with both knees bent.  Take a breath in and as you exhale bring right knee towards the left side of your chest, grab with both hands and pull towards chest to hold for 20 seconds. Repeat for the left side.

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Figure Four:  Lying on your back, place your right foot on your left knee. Take a breath in, and as you exhale bring your left knee towards the left side of your chest and hold with both hands under your left knee for 20 sec.  Repeat other side.

Figure4

Rock the Baby: Seated exercise, begin by lifting one leg up and grabbing under the knee and ankle.  Stretch for 5-10 seconds and then move leg across your body for another 5-10 second stretch. Remember to breathe!       

B4        

Lying Knee Extension:  Lying on your back, take a breath in and as you exhale bring one leg towards your chest, grab behind knee (or use a towel to wrap behind your leg) and bring leg toward chest.  This can be done lying in a doorway, with one leg resting on the doorframe. Hold for 30 seconds, breathe!

B6 B7

Dick, F. Sports Training Principles. London, A & C Black. 1997

Lipowitz, Alan J.  Synovial Fluid Chapter 86 http://cal.vet.upenn.edu/projects/saortho/chapter_86/86mast.htm

http://www.mayoclinic.com/health/stretching/HQ014447 Stretching:  Focus on flexibility, accessed 3/12/13

http://www.medicalnewstoday.com/releases/40656.php New Insight Into Joint Lubrication That Keeps Osteoarthritis At Bay

Article Date: 02 Apr 2006 – 5:00 PDT

National Strength & Conditioning Association Human Kinetics. 2002  Champaign, IL Essentials of strength training and conditioning,2nd ed

Joint cracking and popping: Understanding noises that accompany articular release Marina G. Protapapas, DO, Tyler C. Cymet, DO http://www.jaoa.org/content/102/5/283.full.pdf

Shrier, Ian.  Does stretching help prevent injuries?  Blackwell Publishing 12/26/2006, page 36 http://www.blackwellpublishing.com/medicine/bmj/sportsmedicine/pdfs/ch3.pdf