Cold Laser: has anyone tried cold laser for pmr pain?
Posted , 7 users are following.
i wonder if this could provide any pain relief or, heaven forbid, do any damage?
0 likes, 28 replies
Posted , 7 users are following.
i wonder if this could provide any pain relief or, heaven forbid, do any damage?
0 likes, 28 replies
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Nefret ricky23486
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It's not something I have come across before in relation to PMR. What does the blurb say?
ricky23486 Nefret
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EileenH ricky23486
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Anhaga on this forum has used low level laser therapy (I assume that is what you mean?) and is confident it makes a difference to her pred dose but does seem to require ongoing therapy. I'll leave her to tell you about her experiences.
It is quite widely available in Canada (where I believe the devices were developed and are made). There are only about 3 for this purpose in the UK - and the charges are high. It isn't available on the NHS - and most people with PMR tend to be retired and so have limited incomes. LLLT is available for dermatological use - but that isn't the same.
ricky23486 EileenH
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pauline36422 ricky23486
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ricky23486 pauline36422
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ricky23486
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Anhaga ricky23486
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I don't know what cold laser is, but the therapy I get is called LILT, Low Intensity Light Therapy. It works for PMR pain by reducing production of cytokines, which has been verified through research. A pad (dotted with numerous LED lights) about the size of a hand is placed on a body part (in my case it's the spine, but this therapy is also used to heal brain injuries and sports type injuries to joints, and the protocol involves a gradually increasing intensity of the light in my case lasting half an hour. I recieve therapy from a physiotherapist, which is partly covered through my health insurance. I used to go twice a week in early days, now it's once a fortnight. I've tried going less often, but each time felt a slight return of pain. Have been thinking with return of warm weather I may try lengthening the interval again and gradually phase it out. Have been receiving this treatment for about sixteen months. Google low intensity light therapy kahn to find out about the development of this treatment.
Anhaga
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ricky23486 Anhaga
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EileenH ricky23486
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I imagine it is the laser part that achieves the depth of therapy that would be required for any effect in muscles.
ricky23486 EileenH
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EileenH ricky23486
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Anhaga EileenH
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That's thie thing exactly - the reason each session lasts the length of time it does is so that the light has time to penetrate to a fairly significant depth. I'm told I'm particularly responsive because I'm thin, one good thing about inability to regain my lost weight!
ricky23486 EileenH
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ricky23486 Anhaga
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Anhaga ricky23486
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My appointments are forty-five minutes, of which half an hour is spent with the lights. I think the length of treatment depends very much on what one is being treated for so if you were getting treatment for a serious medical issue, like the woman shown on a television program about alternative and new methods of treating illness, who was treated for brain damage from an accident, the sessions may be considerably longer.
I started when I was at 8 mg, about to reduce to 7 mg, and went twice a week for a while, then once a week. Last summer I started going about every fortnight, and have with a few hiccups carried on with that to now. I tried going once every three weeks, but at that time it wasn't enough, and a couple of times I felt the PMR a bit more active and went for an extra session in the intervening week. During the eighteen months of treatment I've reduced my dose from 8 mg to 2 mg, and am feeling confident enough to attempt a new (.5) reduction starting about now.
ricky23486 Anhaga
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Anhaga ricky23486
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We talk about how I've been, if I have some other issue, like the shoulder I hurt when pushing snow off my vehicle a few weeks ago, we talk about that. Sometimes she gives me other therapy, various techniques to straighten my back, etc. In fact her standard appointment time is 1/2 hour but for some reason she gives me 45 minutes. I'm not questioning this!
Anhaga ricky23486
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Noting Artfingers comment about laser at the chiropractors. I need to clarify that the treatment I get does not work at all in the way a massage or such would work. There is no immediately obvous effect. It is more subtle. An analogy - say you are anemic and a bit tired all the time. So you take iron. You are not going to feel energetic immediately. Your cheeks are not going to get rosy right away. But over time your colour returns and your energy levels pick up. When I get LILT if I feel anything at all it is more tired and I've learned to always go to a nearby cafe and have a small snack and tea or coffee before commencing my trip home. But more subtly the inflammation-causing substances are reduced. The next time the body releases its load of cytokines, there aren't as many. Over time the tendency towards becoming inflamed is reduced. And I get better and better. It isn't a cure, and has never claimed to be for PMR, but it does claim to reduce cytokine activity and this has been studied and shown to be so in rheumatoid arthritis, for example. I consider myself a bit of a guinea pig, and because I am fortunate in being able to afford this treatment (and the location where I receive it is a very pleasant trip by foot and ferry so a double benefit) I've been able to use it enough that I believe it has enabled me to successfully reduce to a very low level of pred. Certainly I've noted several occasions where I've felt unwell enough to want to increase the pred but instead, after a LILT treatment, within 24 to 48 hours I've no longer felt I needed to do so. This was most apparent in early days when my dose was between 8 (when I started the treatment) and 3. I was at 3 mg after about fourteen months of treatment wc
Anhaga
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sorry, stupd computer - was finishing comment by saying: which by PMR standards is considered fast. And although there have been little hiccups since nothing at all like what people call a flare, and generally speaking although slower now the progress continues. LILT hasn't been the whole answer, but I think it's been a big part of it.
Anhaga
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ricky23486 Anhaga
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ricky23486 Anhaga
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ricky23486 Anhaga
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