Effect of High-Intensity Laser Treatments on Chronic Pain Related to Osteoarthritis in Former Professional Athletes: A Case Series

White, Paul F.; Cao, Xun; Lazo, Loani Elvir; Hernández, Héctor Hernández y

doi:10.4172/2155-9929.1000343

Cited by 9 publications

(4 citation statements)

References 16 publications

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“…More importantly, laser with 1275 nm wavelength has been approved by the Food and Drug Administration (FDA) to be applied for physical therapy. It produces long-lasting beneficial effects for the treatment of chronic pain and fibromyalgia [ 22 , 23 ]. As a laser with wavelength very close to NIR-IIa window, it may serve as a promising candidate for deep-tissue PTT.…”

Section: Introductionmentioning

confidence: 99%

Deep-Tissue Photothermal Therapy Using Laser Illumination at NIR-IIa Window

Suo

Shi

et al. 2020

Nano-Micro Lett.

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Section: Introductionmentioning

confidence: 99%

Deep-Tissue Photothermal Therapy Using Laser Illumination at NIR-IIa Window

Suo

Shi

et al. 2020

Nano-Micro Lett.

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“…Recently, HILT has been used in the treatment of pain in neurological and musculoskeletal disorders. For e.g., the study of Paul et al comprising former athletes with osteoarthritis showed HILT to be effective in reducing chronic pain 33 . In addition, HILT has been shown to be effective in reducing low back pain 34,35,36 , chronic ankle pain 37, neck pain 38 , and carpal tunnel syndrome 39…”

Section: Vas Scalementioning

confidence: 99%

Application of high-intensity laser in pain treatment of patients with knee osteoarthritis

et al. 2021

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Osteoarthritis is a rheumatic disease characterized by degeneration and decay of cartilage in the joints. As the disease worsens, the joint space narrows causing numbness and pain, which often impairs movement. In addition to pharmacological therapy, low-intensity laser (LILT), high-intensity laser (HILT) and exercise are used to treat osteoarthritis (OA) of the knee. HILT is a new modality in our country and the experience from its application is small, especially in the treatment of OA of the knee. Aim of the paper was to compare the effect of HILT with LILT in the treatment of OA of the knee. Material and methods: This was a randomized comparative unilateral blind study involving 72 patients divided into two groups. The first group was treated with HILT, the second group treated with LILT. Outcome measure was the visual analogue scale (VAS) for pain, which was made on the first and tenth day of treatment. Statistical significance was defined as p <0.05. Results: We found a significant difference between the two groups in terms of VAS score after 10 therapies in favor to a significantly lower score, that is, less pain in the HILT group (p = 0.0035). The comparison of the VAS score between the two times in the two groups separately showed that in both, the HILT and the LILT groups, the VAS score after 10 days of therapy was significantly lower compared to thatat 0 time, for consequently p = 0.00001vsp = 0.00001. Conclusion: Treatment with HILT and LILT significantly reduces pain and stiffness in patients with OA. Patients treated with HILT had better results, i.e., had a significant reduction in pain than patients treated with LILT. HILT was more effective than LILT.

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“…Therefore, the laser beam produced by these devices can penetrate more deeply into the soft tissue because of their enhanced power and the reduced absorption of the laser beam by melanin and hemoglobin ( Figure 1 ) 3 . Profound and long-lasting analgesic effects have recently been reported with this HILT device in patients with chronic post-surgical pain requiring the use of opioid analgesics 141 , professional athletes with degenerative joint disease requiring non-opioid analgesics 142 , and a woman with long-standing drug-resistant fibromyalgia 137 . The fibromyalgia case report suggests that the use of HILT at 42–75 W of power can produce more profound and longer-lasting beneficial effects than standard treatment protocols utilizing LLLT 79 and less powerful HILT devices 140 .…”

Section: Laser Therapymentioning

confidence: 99%

Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management

White

Elvir-Lazo

Galeas³

et al. 2017

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The use of opioid analgesics for postoperative pain management has contributed to the global opioid epidemic. It was recently reported that prescription opioid analgesic use often continued after major joint replacement surgery even though patients were no longer experiencing joint pain. The use of epidural local analgesia for perioperative pain management was not found to be protective against persistent opioid use in a large cohort of opioid-naïve patients undergoing abdominal surgery. In a retrospective study involving over 390,000 outpatients more than 66 years of age who underwent minor ambulatory surgery procedures, patients receiving a prescription opioid analgesic within 7 days of discharge were 44% more likely to continue using opioids 1 year after surgery. In a review of 11 million patients undergoing elective surgery from 2002 to 2011, both opioid overdoses and opioid dependence were found to be increasing over time. Opioid-dependent surgical patients were more likely to experience postoperative pulmonary complications, require longer hospital stays, and increase costs to the health-care system. The Centers for Disease Control and Prevention emphasized the importance of finding alternatives to opioid medication for treating pain. In the new clinical practice guidelines for back pain, the authors endorsed the use of non-pharmacologic therapies. However, one of the more widely used non-pharmacologic treatments for chronic pain (namely radiofrequency ablation therapy) was recently reported to have no clinical benefit. Therefore, this clinical commentary will review evidence in the peer-reviewed literature supporting the use of electroanalgesia and laser therapies for treating acute pain, cervical (neck) pain, low back pain, persistent post-surgical pain after spine surgery (“failed back syndrome”), major joint replacements, and abdominal surgery as well as other common chronic pain syndromes (for example, myofascial pain, peripheral neuropathic pain, fibromyalgia, degenerative joint disease/osteoarthritis, and migraine headaches).

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Effect of High-Intensity Laser Treatments on Chronic Pain Related to Osteoarthritis in Former Professional Athletes: A Case Series

Abstract: Background: We evaluated the use of a new higher intensity 42 Watt cold laser for treating chronic pain related to osteoarthritis (OA) in former NFL football players.

Cited by 9 publications

References 16 publications

Deep-Tissue Photothermal Therapy Using Laser Illumination at NIR-IIa Window

Deep-Tissue Photothermal Therapy Using Laser Illumination at NIR-IIa Window

Application of high-intensity laser in pain treatment of patients with knee osteoarthritis

Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management

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