Arthrosis is the most common cause of disability, according to the Centers for Disease Control and Prevention, and affects nearly 19 million adults. The use of a laser using other means of treatment can provide significant relief of the course of degenerative pathology. Therapy of such an ailment is not easy, in the first place it should be based on an integrated approach and proper diagnosis. 
Laser therapy for arthrosis has been used since the middle of the last century. During this period, this technique has gained a good reputation in the treatment of joint diseases. The benefits and effects of laser therapy for arthrosis

Effectiveness studies

Laser therapy is an effective adjuvant in the treatment of joint arthrosis. The following studies confirm this:

  1. Laser stimulation of human embryonic fibroblast cells. The maximum increase in collagen production and biostimulation occurred after 4 treatment sessions with an interval of 24 hours.
  2. The use of laser treatment in patients with arthrosis of the joints has led to a reduction in the dosage of non-steroidal anti-inflammatory drugs.
  3. The doctor Molina conducted a study in two groups of patients. The first took “Aspirin”, the second – “Aspirin” and the use of laser treatment. The effectiveness of treatment was better achieved in the second group of patients.
  4. Dr. Soriano conducted a study in which patients with an acute and chronic course of the disease participated. The results surprised scientists. In acute joint arthrosis, improvement was observed in 38% of patients; in the chronic course of the disease, 84% of patients experienced a decrease or complete disappearance of symptoms.

According to studies, it follows that laser therapy for arthrosis is a very effective method of therapy. Most patients get rid of degenerative pathology using a high-intensity laser treatment.



Biochemical response to low-level therapy

This is a very effective treatment technique.

This method of therapy for orthopedic diseases was first used in 1964. Studies related to laser treatment for arthrosis have demonstrated a number of interesting biochemical reactions that have a positive clinical effect. Since then, therapy has become widespread. These effects include:

  • cell membrane stabilization;
  • enhanced synthesis of ATP;
  • acceleration of white blood cell activity;
  • increased synthesis of prostaglandins;
  • decreased levels of interleukin-1;
  • increased angiogenesis;
  • strengthening superoxide dismutase (SOD) – is one of the key components of the system for protecting cells and tissues from oxidative degradation.

Also, studies in the field of laser therapy have documented that infrared radiation reduces the manifestations of pain. This response of the body to treatment with this method is due to:

  • an increase in b-endorphins;
  • lower levels of bradykinin;
  • normalization of the ion channel.

The correct clinical approach when using laser treatment should cause all of these effects.

Mechanism of action

Such treatment has a beneficial effect on areas affected by arthrosis. Laser therapy for arthrosis of the knee reduces the risk of surgical procedures. Thanks to light energy with special characteristics, a specific effect on the musculoskeletal system is achieved. Laser treatment of arthrosis gives the following results:

  • blood circulation improves;
  • restoration processes in cartilage tissue occur faster;
  • blocking the development of arthrosis;
  • the immune system is strengthened;
  • the feeling of fatigue passes;
  • the process of protein synthesis improves;
  • mobility of joints affected by degenerative pathology is restored;
  • swelling is reduced.

Laser therapy for arthrosis accelerates healing. The regeneration of tissues around a diseased joint occurs much faster. The function of cellular activity becomes wider. Also, under the influence of a laser, the likelihood of blood clots is reduced, the spasm is removed from muscles and blood vessels, the functioning of the musculoskeletal system is improved, and salt deposits are absorbed. Laser therapy for arthrosis of the knee increases effective drug treatment and reduces the negative effects of drugs on the body.


Stages of the procedure

Treatment is carried out in two stages: the first is preparatory, the second is the procedure itself. Depending on the severity of the pathology, several types of exposure are prescribed. Laser treatment is especially effective in the initial stage of the development of the disease. The preparatory stage of therapy includes:

  • determination of the skin type of the patient;
  • test irradiation;
  • the doctor finds out whether the patient is sunbathing 3 weeks before the laser treatment;
  • of great importance is the use of patients with drugs that increase the photosensitivity of the skin.

The second stage is the execution of the procedure itself. Laser therapy for arthrosis is implemented through three methods:

  • contact;
  • with compression;
  • remote.

The duration of one course of treatment is 5-15 sessions. The number of procedures depends on the severity of arthrosis. The duration of one session is 10-15 minutes. During laser treatment, the patient does not feel pain, only feels the heat at the site of exposure. Therapy is carried out in 2-4 courses per year for several years. Only in this way can significant success be achieved and the disease be defeated.

Scheme of the procedure

Laser treatment of arthrosis increases the chances and eliminates the repeated degradation of the knee, hip, and other joints for which this therapy was used. The impact of the laser always depends on the symptoms of the disease, it can be pulsed or constant. Almost any degenerative joint disease is treated with a wavelength of 0.8–0.9 microns. After the first session, an increase in the level of pain, the appearance of dizziness and headaches can be observed. This clinical picture appears in 20% of patients but quickly passes. The first noticeable signs of improvement become noticeable after 8 procedures.

Laser treatment flow chart:

  • therapy is carried out in the morning when the sympathetic nervous system is in good shape;
  • the doctor prescribes a dose of laser exposure that cannot be increased;
  • in the mild stage of the disease, the frequency is 50 Hz, moderate – 80 Hz, severe – 600 Hz;
  • the beam is used locally, it is possible to irradiate acupuncture points;
  • impact on one site should not exceed 5 minutes.

Laser rays act directly on diseased joints, the areas around them do not hurt. First, the therapy is carried out daily, then every other day. Along with laser treatment, it is allowed to use other techniques, for example, photophoresis, electrophoresis, ultrasound, and massage. Therapy can be carried out using a special massager.


Contraindications

The success of treatment depends on strict adherence to the recommendations and the regularity of the procedures. However, not all patients are indicated for laser therapy. This treatment technique is not recommended for patients with a diagnosis of arthrosis of the joints, having the following contraindications:

  • malignant and benign neoplasms in the joint affected by the disease;
  • decompensated diabetes mellitus;
  • infectious pathologies;
  • malfunction of the pulmonary system;
  • diseases of the circulatory system;
  • cardiovascular, pulmonary, renal failure;
  • pathological conditions of the liver;
  • integrated pacemaker;
  • acute respiratory infections;
  • diseases of the thyroid gland and nervous system.

Many specialists allow irradiation with tumors, but with the use of a low-intensity frequency. In this case, the beam cannot be directed to the place of neoplasm. In this case, an oncologist should take part in the treatment of the disease. Laser treatment for arthrosis cannot be carried out with a hypertensive crisis, syphilis, brucellosis. It is also impossible to carry out similar therapy for heart attacks, strokes, and critical health conditions. After passing the problem and recovering, treatment can be resumed if the attending doctor allows.

The benefits and effectiveness of physiotherapy for arthrosis of the knee

 

Arthrosis – causes, symptoms, diagnosis, treatment

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