Photo-Bio-Modulation, Cold Laser OR Low Level Laser Therapy (LLLT)
Low Level Laser Therapy (LLLT), Photobiomodulation or Cold Laser, are names given to treatments that use specific wavelengths of light to interact with tissue to stimulate cellular responses when light interact with photon receptors on our cells.
It can be used as an adjunctive treatment to help patients who suffer from a variety of acute and chronic conditions to help reduce pain, inflammation, swelling and increase functionality.
There are many small studies showing evidence of benefit using photobiomodulation for musculoskeletal conditions such as bursitis and tendonitis (such as shoulder, hip, elbows).
How does Low Level Laser Therapy work?
The principle of LLLT is to use near infrared beam (wavelength approximately 600-1000 nm) at a specific energy to achieve biostimulation or photobiology effect. The goal is not to induce a photo-thermal effect, only photo-chemical, photo-biological or photo-physical effects in our tissues.
The aim of Low Level Laser Therapy is to affect the function of our connective tissue cells, induce gene expression of specific cytokines and growth factors which are known to be responsible for the many phases of wound healing.
This is a non drug, non invasive treatment for many pain conditions. The treatment is performed as an office procedure and the treatment is relatively comfortable with very little or no side effects. There are large number of anecdotal evidence over 30 years which has shown the beneficial effects of Low Level Laser therapy. In fact, low level laser therapy now appears in the American College of Physicians as an adjunctive treatment for tendon injuries.
Pain medications (such as anti-inflammatory medications, paracetamol and opiods) and physical therapies such as physiotherapy are still first line treatments. However many patients suffer side effects from medications (such as heartburn, or reduced kidney functions) and with the rise of opiod dependency, many patients are considering alternative non drug therapies such as TENS (electrical TENS machines) and lasers, before considering more invasive treatments such as cortisone injections or surgery.
Areas which Low Level Laser can treat includes: shoulder bursitis; Knee pains; some back pains such as facet joint inflammation; Fibromyalgia; Muscle sprains and strains; Elbow bursitis; Neuralgia such as Trigeminal Neuralgia.
If this is a treatment you wish to consider, please make an appointment with Dr. Wong. The initial consultation is $75 and each treatment start from $180 per treatment. Dr. Wong may recommend a course of a few treatments every 3-4 weeks apart. Dr Wong uses the Fotona Dynamis laser, a medical grade laser.