Low Level Laser Therapy (Lllt) for Chronic Joint Pain of the Elbow, Wrist and Fingers

Okuni, Ikuko; Ushigome, Nobuyuki; Harada, Takashi; Ohshiro, Toshio; Musya, Yoshiro; Sekiguchi, Masayuki

doi:10.5978/islsm.12-or-04

Cited by 10 publications

(3 citation statements)

References 4 publications

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“…Photochemical effects of laser therapy can also activate endorphins and decrease local serotonin concentration, thereby reducing neural excitability. [ 28 ]…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal ultrasound-guided physical therapy in hemiplegic shoulder pain

Zhang

Wang

2017

Medicine

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Rationale:The use of musculoskeletal ultrasound (MU) method in the diagnosis of shoulder pain and injury and guidance of injection and pain blocking has been established. However, the treatment of posthemiplegic shoulder pain (HSP) with MU-guided precise physical therapy has not been reported.Patient concerns:Here, we present the first case report of a 64-year-old man with a right basal ganglia hemorrhage. Left side shoulder pain remained unbearable, which seriously affected sleep and shoulder-related activities.Interventions:The patient received MU-guided precise drug administration, laser, and other physical therapy in addition to exercise training for 2 months.Outcomes:The pain was significantly relieved and shoulder function was improved. Effusion extent and tendon thickness were reduced.Lessons:MU-guided precise physical therapy can effectively reduce symptoms of HSP and improve inflammation and effusion absorption of lesioned tissue.

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“…Photochemical effects of laser therapy can also activate endorphins and decrease local serotonin concentration, thereby reducing neural excitability. [ 28 ]…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal ultrasound-guided physical therapy in hemiplegic shoulder pain

Zhang

Wang

2017

Medicine

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“…The effectiveness of laser therapy has not yet been a standardized optimal treatment parameter, and there is controversial clear effect of PBMT [ 11 ]. Nevertheless, there were some papers that PBMT was an effective treatment option for wrist pain including musculoskeletal disease and carpal tunnel syndrome [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Therapeutic efficacy and safety of home-based portable laser irradiation on patients with wrist pain: a single-blinded randomized controlled trial

Yun,

Kim,

Won

et al. 2024

Lasers Med Sci

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The purpose of this study is to confirm the effect of small, portable low-level laser therapy (light sources in square configuration: 830 nm GaAs diode 3.2 mW at the center, 4 × 650 nm InGaAIP diodes over the corners) treatment in reducing and enhancing hand function in patients with wrist pain. This study was a prospective, randomized, sham-controlled, and home-based self-therapy trial. A total of thirty subjects with wrist pain were enrolled. All participants received low-level laser therapy on painful area at the wrist. The experimental group (n = 15) received laser stimulation, while the control group (n = 15) received sham stimulation using identical equipment that generated only a red light without the laser output. Both groups self-treated for 30 min a day, 5 days per week for 3 weeks, total of 15 sessions. The primary outcome was assessed using a visual analogue scale (VAS) for wrist pain from 0 (painless) to 10 (extreme pain). The secondary outcomes were measured with patient-rated wrist evaluation (PRWE), grip strength, lateral, palmar, and tip pinch strength. Measures were taken before and after treatment. A total of thirty participants provided outcome data. After the intervention, both groups showed a significant decrease in VAS score, from 4.93 to 3.67 in experimental group, from 5.53 to 4.00 in control group (the experiment group: p = 0.020, the control group: p = 0.003). The experimental group showed a significant improvement in function scale score (p = 0.012), the control group did not. Lateral and pinch strength was significantly improved in the experimental group (p = 0.017) and in the control group (p = 0.034) respectively. There were no side effects in the patients. Medical laser irradiation is a portable and easy-to-use laser irradiator without side effects. Clinical Trial Registration number: KCT0006604.

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“…These effects help reduce inflammation and degeneration in soft tissues such as fascia, ligaments, and muscles [8]. Studies have shown that LLLT can treat pain caused by a variety of conditions including epicondylitis lateralis (tennis elbow), carpal tunnel syndrome, OA knee, and rheumatoid arthritis [9][10][11]. Still now, the effectiveness of LLLT for the treatment of hand OA remains contentious.…”

Section: Introductionmentioning

confidence: 99%

Low-Level Laser Therapy for Thumb Carpometacarpal Joint Osteoarthritis: A Randomized Controlled Trial

Rahman,

Shakoor,

Ferdous

et al. 2024

Cureus

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Background and aim Low-level laser therapy (LLLT) is considered a promising non-invasive treatment option for osteoarthritis (OA). The current study aimed to evaluate the effectiveness of LLLT on patients with OA of the first carpometacarpal joint (CMC1) of the thumb. Methods An open-level, prospective, randomized controlled trial was conducted in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, for one year. Initially, 120 patients were approached for the study. Among them, 112 eligible patients were randomly divided into two groups: the intervention group received LLLT in addition to conservative treatment, while the control group received conservative treatment alone for four weeks. Pain and functional capability (motor) improvement were assessed on a weekly follow-up basis by using various parameters such as the visual analogue scale (VAS), Ritchie articular index (tenderness scale), grip strength, key pinch strength, Dreiser functional index, and CMC1 palmer abduction. Eventually, 90 patients completed the follow-ups and were included in the analysis. Results The majority of patients diagnosed with CMC1 joint OA were in their fifties. At baseline, patients of both intervention and control groups were indifferent in terms of demography, pain intensity, motor responses, and duration of suffering. After four weeks of treatment, results indicated an overall improvement in both groups. However, the reduction of pain and increase in functional capability were not found statistically significant (p-value: ≥0.5). Conclusion LLLT with conventional treatment was not found significantly more effective enough than conventional treatment alone, but more well-designed clinical trials with larger sample sizes are needed to reach a definitive conclusion.

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Low Level Laser Therapy (Lllt) for Chronic Joint Pain of the Elbow, Wrist and Fingers

Abstract: We concluded that LLLT at the wavelength and parameters used in the present study was effective for chronic pain of the elbow, wrist, and fingers.

Cited by 10 publications

References 4 publications

Musculoskeletal ultrasound-guided physical therapy in hemiplegic shoulder pain

Musculoskeletal ultrasound-guided physical therapy in hemiplegic shoulder pain

Therapeutic efficacy and safety of home-based portable laser irradiation on patients with wrist pain: a single-blinded randomized controlled trial

Low-Level Laser Therapy for Thumb Carpometacarpal Joint Osteoarthritis: A Randomized Controlled Trial

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