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04 - DolorClast® High Power Laser

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DolorClast® High Power Laser

What is high power laser therapy and how does it differ from regular laser therapy?

High power laser therapy,  is a type of medical treatment that uses a laser to deliver high intensity light to the affected area in order to relieve pain, reduce inflammation and speed up the healing process of musculoskeletal disorders. It differs from regular laser therapy, in that it delivers a higher dose of light energy to the target area, making it more effective in treating chronic and acute conditions. The DolorClast® High Power Laser specifically uses a 905nm wavelength, which has been selected for its ability to penetrate through tissue with minimal absorption by water, blood, and melanin. This makes it an effective treatment option for reducing swelling and inflammation in conditions such as acute injuries.

 

 

knee osteoarthritis laser

 

 

High power laser can help with knee osteoarthritis pain

Besides increasing blood perfusion and collagen proliferation along with peripheral nerve stimulation, laser therapy has direct analgesic and anti-inflammatory effects [12-14]. This is because the laser reduces the level of PGE2, which decreases the release of the substance P, a neuropeptide playing a significant role in inflammation and pain. 
In the case of a high-level nerve sensitization, the pain level could already be too high for the patient to accept a dose-efficient shockwave treatment. Given that high power laser therapy before a shock wave treatment increases the pain threshold, it will be possible to deliver more energy during shock wave therapy,  making it more effective.
 

DolorClast® High Power Laser
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Bibliography
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[12] Bjordal JM, Lopes-Martins RA, Iversen VV. A randomised, placebo controlled trial of low level laser therapy for activated Achilles tendinitis with microdialysis measurement of peritendinous prostaglandin E2 concentrations. Br J Sports Med. 2006 Jan;40(1):76-80; discussion 76-80. doi: 10.1136/bjsm.2005.020842. PMID: 16371497; PMCID: PMC2491942.
[13] Mezawa S, Iwata K, Naito K, Kamogawa H. The possible analgesic effect of soft-laser irradiation on heat nociceptors in the cat tongue. Arch Oral Biol. 1988;33(9):693-4. doi: 10.1016/0003-9969(88)90125-2. PMID: 3245796
[14] Sun E, Moshfegh J, Rishel CA, Cook CE, Goode AP, George SZ. Association of Early Physical Therapy With Long-term Opioid Use Among Opioid-Naive Patients With Musculoskeletal Pain. JAMA Netw Open. 2018;1(8):e185909. Published 2018 Dec 7. doi:10.1001/jamanetworkopen.2018.5909

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