MedX_logo___240x84_pixels_000.jpgCold Laser Therapy or Low Level Laser Therapy (LLLT)

A therapeutic modality using photons from the visible and infrared spectrum (600nm-1000nm) for tissue healing and pain reduction. Cold lasers deliver light or photon energy with the unique property of being able to penetrate up to two inches below the skin surface causing an increase in cellular metabolism with no tissue damage whatsoever.  In the body, light sensitive chromophores and other elements within the cell absorb energy, initiating a series of important photochemical changes such as increased production of nitric oxide, singlet oxygen and ATP, as well as an increase in the cell membrane’s permeability.

Dr. Koenig is one of a limited number of doctors in the country using this laser under an approved protocol. You may have a condition that he feels falls within the criteria of being an acceptable candidate for this therapy.  

Download --  Laser FAQ

View an online presentation on LLLT at MedX Health

Research abstracts on LLLT may be found at www.laser.nu


What is Low Level Laser Therapy (LLLT)?

Though there are a lot of terms that are being used, low level laser therapy is the most common term. Right now, this kind of laser therapy is being widely used in the whole world to cure a number of conditions. It is defined as the non-invasive cure using photons. These photons come from the visible and infrared spectrum. These are important for healing the body tissues as well as reducing or easing pain. Usually, low level laser therapy operates using 600 to 1000 nanometers wavelength.

Here are the characteristic of the compressed light that is being used for low level laser therapy:

• It is very much different with the natural light. It is the compressed light that comes from the cold, red part of the spectrum of radiation. It is just one color, the color of red.
• Its light travels in a straight coherent line.
• It is monochromatic. This means that it is a single wavelength.
• It is polarized. The light focus its beam in a certain spot or area.

With these characteristics, the light that is being used for low level laser therapy will be able to penetrate the skin without any heating effect. This will not also damage the skin and also will not cause any side effects.

Low level laser therapy is now being used to treat different conditions such as pain, skin conditions and other chemical substance addictions. This therapy aims to biostimulate. The laser will be the one who will promote healing in a wound or injury. This will be beneficial in repairing damage cells. In this manner, the therapy also speed up while enhancing the body’s immune system as well as aids in easing pain.

Usually, the effect of this therapy is photochemical. This is somehow comparable with the photosynthesis, which is known with plants. The laser that is being used in low level laser therapy promotes the production of ATP or adenosine triphosphate. Also, it helps in increasing the protein synthesis within the cells. This adenosine triphosphate then will give more energy to the cells. And it is by energizing these cells that the body cells will be able to optimize their function in playing an important role in the healing process of the body.

Advantages of LLLT

  • This therapy is guaranteed to be non-invasive. And there are few or most often none side effects. It will not leave the patient feeling pain or any discomfort.
  • It is an effective treatment for most of sports related injuries or occupational injuries such as back pain, arthritis or carpal tunnel syndrome.
  • It can give best result for healing of wounds especially for diabetics.
  • It is very effective option when other treatment solutions have failed to cure the ailment.

With the development in today’s world, developments in technology have increased the usage of low level therapy. Even acupuncture now use soft laser for those who are afraid of needles. 

Conditions Treated by LLLT

While low level laser therapy is gaining its popularity in the medical world, some people may ask what conditions can it be used? You will be amazed to know that nearly all common body conditions can be treated with low level laser therapy.

As long as the right wavelength and dosage is being applied to capture the best area so that the tissues will be energized, your body cells will be rejuvenate to do their function once again.

There are a lot of conditions that can be treated with low level laser therapy. These include:

  • Post Operative
  • Caesarean section
  • Surgical Scarring 
  • Managing Pain
    • Sports injuries
    • Sprains
    • Acute neck and back pain
    • Arthritis
    • Capsulitis
    • Carpal tunnel syndrome
    • Tendonitis
    • Knee pain
    • Tennis Elbow
    • Migraines
    • Vertigo
  • Chronic Pain
    • Plantar fasciitis
    • Trigeminal neuralgia
  • Fractures
    • Rib pain
    • Small bone
  • Neurogenic Pain
    • Herniated Disc

    • Radiculitis
    • Post traumatic injury
    • Sciatica
    • Fibromyalgia  

Usually, applying the cold laser on the site of the pain or injury carries out the treatment. Pain relief can be obtained after one or two sessions. But most of the time, the therapy needs to be carried out several times to get the best possible therapeutic effect.

Physiological Effects of Low Level Laser Therapy

  • Increases the cell growth. Low level laser therapy will promote rapid production of cells, thus, there would be faster healing of wounds.
  • Speed up the healing process. Cold laser will promote the protein synthesis on damaged tissues. Actually, collagen is the protein, which is essential in the repair of these tissues. It is elastic and it is the one that holds the cells intact.
  • Energize the cells. Low level laser can cause the output of some enzymes to increase. There would be more supply of food and oxygen for the cells, thus higher production of ATP or adenosine triphosphate. This is the major carrier of energy towards the cells of the body. And since cells are energize, faster healing is expected.
  • Prevent scarring. As mentioned, collagen is being produced. Collagen will prevent scar tissues to be formed at the damaged area. Scar tissues are actually less elastic as compared to collagen, which is very elastic.
  • Higher lymphatic system activities. Low level laser therapy was proven to speed up the activities of the lymph vessels. And that is the reason it can prevent swelling or edema. The liquid and the protein, which causes edema, can easily be transported at a quick pacing and that is the reason even the pain will subside with the therapy.

History of Laser

Everything has their origin. And that does not exempt even low level laser therapy. Before it became popular, there were a lot of researches, studies and experimentation that were conducted. There were also many people involved why we are now able to enjoy the wonderful therapeutic results of low level laser therapy. They have done their significant share in discovering this kind of treatment to the different conditions of the body.

Albert Einstein (1879 to 1955) presented the first theory about laser. This paves the way for the other researches and the development of other studies for laser.

Laser stands for light amplification by the stimulated emission of radiation. In 1960, the first laser was demonstrated. It was Theodore Maiman, a physicist has discovered a way on how a ruby crystal can emit a short-lived, intense and powerful beam of red light. This visible light is so strong that it was able to break a hole through many stacks of razor blades.

And on 1969, a Hungarian scientist named Endre Mester, presents publications of the findings of using residual or low intensity laser in medicine. They found out that this beam has a good effect in relieving pain, speeding up the healing process and producing less scar tissue.

The Science Behind Low Level Laser Therapy

Researchers conducted a study to expose tissue cultures to low level lasers. It shows that on these studies, the enzymes of the cells can easily absorb the energy that is being emitted by the low level laser light. The cell membrane absorbed the infrared light while the mitochondria absorb the red light. This absorption promotes the production of ATP or adenosine triphosphate. And since there are higher ATP, this promotes healthy cells.

Also, photons are present in all light. These photons are the waves in the light and they vary in frequency and wavelength. The body is absorbing the photon energy, which accelerate the process of healing.

Low level lasers are actually coherent and monochromatic. They are narrow and bright beams that have the tendency to hold their intensity until the body is able to absorb them. Light travels at a specific speed and oscillates forward while moving up and down. Light is measured in wavelengths. This wavelength stands for the different colors of the spectrum. The movement of the light from up and down while moving forward is the frequency of the wavelength. Longer waves have lesser frequency compared to shorter waves.

There have been more than 2500 studies made about laser therapy, to date. Every study differs from the other but it is important to note that more than 90 percent of these studies return a positive result for the use of laser therapy.

How Does It Work?

Low level laser therapy aims to photo-biostimulate the cells. This therapy actually excited the cells. Low level laser device transmits photons. The skin then is absorbing these photons. At most these laser devices can penetrate down into the body’s tissue at roughly 3 inches depth. Take note that this does not cause heat to damage the tissues.

Once this photons reaches the cells of the body, these beams can promotes a lot of cellular activities. It can ignite the production of enzymes, collagen substances so that the cells will function well. Also since there is a higher production of cells, this will help in speeding up the healing process while it ease the pain felt by the body.

Also, since the low level laser helps in producing collagen, this prevents the formation of scar tissues. Scar tissues are actually less elastic but since collagen production increases, possibility is that tissues will be produced with an elastic characteristic from the collagen.

This whole process works like the photosynthesis for plants. The plant is absorbing the sun and this energy is being used so that the plant will grow. The plant represents the body while the light from the sun represents the low level laser light. Once absorbed, it initiates very important cellular activities that speed up cell repair and cell production.

However, please remember that damaged cells can be repaired even without low level laser light. But then it is important to note that low level laser therapy will help speed up the process.

How much does LLLT cost?

Low level laser therapy is sometimes covered by health insurance. Depending on the area or condition of the body, the charge varies depending on how long it takes to administer. A typical charge is between $25 and $30. Just make sure to discuss this matter with Dr. Koenig during your consultation.

How many treatments will I need?

Of course, this depends upon the severity of the condition, your age, your general health and the period of when you had the problem. The more serious the condition is, the more treatment will be required. Usually, the patient needs to go for the treatment twice or three times a week. This will be required so that the tissues around the treated area will quickly heal. Also, the average number of treatments can be at twelve to twenty five sessions. But this is not a definite figure since it all boils down to how severe the condition is.

There are some that will see the effect after the seventh session. But ideally, 3 months program of therapy will give you the best therapeutic results.

How long does each treatment take?

This also depends upon the history and severity of the condition. Treatments can take as short as 5 minutes. It may also take as long as 15 to 20 minutes. Usually, the treatment is being administered in small or short quantities over time.

How does low level laser therapy feel?

During treatment, patients always say that they do not feel anything. Low level laser therapy is in reality very safe and painless. Low power lasers do not have the effect of warming the skin but there are few who might perceive a very slight heat during the treatment. Few patients also experience a very slight tingling feeling while having the therapy. These patients usually have severe condition. But you will be surprised to know that this tingling effect is comparable to the sensation created with a mosquito bite.  Protective goggles will be worn to protect the eyes.

Are these results permanent and when will you feel the results?

Results can typically be seen after a few sessions. And you will feel the results for days. Also, as you visit for this treatment as scheduled, you will be able to feel the effect as it builds up. Everytime you visit, a whole new relief will be noticed.

Also, the results are permanent for acute conditions wherein there is lesser damage to tissues or body organs. However, for some serious conditions, there is a possibility that some symptoms may occur in the future. But it is suggested that a booster treatment be given to some sever conditions twice a year.

What are the risks and are there side effects?

Generally, there are no side effects for low level laser therapy. And the risks for this therapy are minimal. The known physical risk can be a damage of the eye. Goggles will be worn at all times by the therapist and the patient.

Low Level Laser Therapy Studies

Successful Management of Carpal Tunnel Syndrome with Low Level Laser Therapy

Clinical Study of Low Level Laser Therapy for Musculoskeletal and Neuromuscular Disorders 

Randomized Controlled Study of Low Level Laser Therapy for Whiplash Injury 

Low Level Laser Therapy for Rheumatoid Arthritis 

Analgesic Therapy of Non-Invasive Low Level Laser Therapy of Plantar Fasciitis

Biological Effects of Low Level Laser Therapy on Connective Tissue Repair

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