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Treatment Protocols

 

 

 

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Treatment Protocol for Specific Tissues

 

A description of LLLT/LELT Treatment for each tissue type follows:

 

Skin, Subcutaneous Tissue and Mucous Membranes

Open Wounds

            Treatment Interval:  Once a week during the first two weeks, then 2-3     times     weekly.

            Number of Treatments: To resolution

 

Dermatitis

             Treatment Interval:  Every day

Number of Treatments: 2-8

Comment: A temporary exacerbation of the symptoms is often seen after the first treatment

 

Eczema

            Treatment Interval: Every other day

            Number of Treatments: 8-10

Comment: LELT for skin diseases may result in an increase of pain due to the pressure of the laser probe.  However, treatment can be carried out as Distance Laser Treatment, meaning that the convex lens is held 1-2 mm above the area of skin affected.

 

Complications During Healing

 

Lack of healing/lack of granulation tissue formation

            Treatment Interval: Daily 5 days, then twice weekly

            Number of Treatments: 4 weeks

            Comment: Insufficiently granulation wounds may require longer treatment                 period

 

Scar Tissue Contracture/Exuberant Granulation

            Treatment Interval: Every other day in the first week, then twice weekly

            Number of Treatments: To resolution

 

Edema/Cysts/Bursae

            Treatment Interval: Daily

            Number of Treatments: 2-4 days

Comment: the effect of producing an increase in fluid drainage is due to the biological increase of the microcirculation by the laser energy.  This effect is seen at an early stage of the treatment so that edema or a bursa may disappear within 2-4 days.

 

 

 

 

Disorders of Muscles/Acute Conditions

 

Myositis/Muscle Contusions/Muscle Ruptures

            Treatment Interval: Daily for the first 4 days, then 2-3 times a week, if                 necessary

            Number of Treatments: Myositis: 6-10

                                                 Muscle Contusions: 6-10

Comment: In the case of myositis, an exacerbation of symptoms is often felt after the first 2-3 treatments.  This is temporary.  If necessary, the dosage should be given every second day instead of every day.

 

Muscle Atrophy/Muscle Contractures

            Treatment Interval: 2-3 times a week,

            Number of Treatments: 6 weeks, give maintenance treatments

            Comment:        The prognosis depends on circumstances, which should be                 identified.

 

Disorders of the Nervous System

 

Generally, it can be stated that incomplete nerve lesions have a good prognosis.  However, complete lesions will require surgery, and LLLT can be given postoperatively.

 

LLLT for neural conditions produces:

            Pain relief

            An increase of action potential

            An increase of the microcirculation

            An increase in the regeneration of tissues

 

Neuritis/Neuralgia/ Neurotmesis

            Treatment Interval: 1-2 times a week,

            Number of Treatments: 4-10

            Comment: When considering ruptured nerve treatment, LLLT is given                 postoperatively.

 

Contusions of Nerves/Neurectasis

            Treatment Interval: 2-3 times a week

            Number of Treatments: 4-10

Comment: Incomplete nerve lesions without tissue necrosis should be treated soon after injury.

 

Atrophy of Nerves

            Treatment Interval: 2-3 times a week

            Number of treatment: 20 or more as needed

            Comment: The cause should be identified and corrected

 

Paresis/Paralysis

            Treatment Interval: Daily for the fist  4 days then twice weekly

            Number of Treatments: 8 up to 3 months

           

Prolapsed Disc

            Treatment Interval: Daily for the fist 4 days, then 2-3 times a week for up to 

            6 weeks

            Number of Treatment: Postoperatively : 6-10

            LLLT Alone: Up to 6 weeks

Comments: LLLT of the spinal cord in the lumbar region is hampered by the vertebrae, through which laser energy does not penetrate. 

 

 

Disorders of Bone

 

Spondylitis/Periostis

            Treatment Interval: 2-3 times a week

            Number of Treatments: Up to 6 weeks

 

Spondylosis

            Treatment Interval: 2-3 times a week

Number of Treatments: Recurrence should be expected; however, it is important to increase the interval between each treatment session.

 

Fissures/Fractures

Treatment Interval: Daily for 4 days, then every third day

Number Treatments: 4-10

 

Disorders of Joints

 

Arthritis

            Treatment Interval: 2-3 times a week for up to 6 weeks.

            Number of Treatments:   18 more if necessary

Comment: Inflammatory symptoms may be temporarily exacerbated after the first treatment.

 

Arthrosis

            Treatment Interval: 2-3 times a week

            Number of Treatments: 4-10

 

Strains and Sprains

            Treatment Interval: Daily for 4 days, then every second/third day

            Number of Treatments: 4-8

Comment:  Edema reduction is the market of effect.  Continue treatment schedule 2 sessions beyond disappearance of edema.

 

Dislocations

            Treatment Interval: Daily for 4 days, then 2-3 times a week

            Number of Treatments: 4-10

            Comments: Treat directly over insertion points of the ligaments

 

Tendons

 

Tendonitis/Epicondylitis

            Treatment Interval: 2-3 times a week

            Number of Treatments: 10-12

           

Tendon Strains and Contusions

            Treatment Interval: Daily

            Number of Treatments: 4-10

 

Tendon Ruptures/Following Surgery

            Treatment Interval: Daily

            Number of Treatments: 4-10

 

Disorders of the Vascular System

           

Hematoma/Tissue Infiltration After Injection

Treatment Interval: Daily

            Number of Treatments: 2-4

 

Phlebits/Lymphangitis/Lymphadentis

            Treatment Interval: Daily

            Number of Treatments: 2-8

 

Postoperative LLLT

 

Treatment Interval: Daily

Number of Treatments: 4

 

 

 

 

 

 

 

 

 

 

 

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