knee Archives - Profizjoclinic

Osteoarthritis of the knee joint

Karolina — Fri, 21 Jul 2023 08:30:23 +0000

The short-term efficacy of high-intensity laser therapy in relieving pain in patients with knee osteoarthritis was examined in a randomized, controlled, single-blind study. The disease is one of the leading causes of knee pain worldwide and results from repeated microtrauma and mechanical stresses that cause inflammation and damage to the joint cartilage.

High intensity laser therapy (HILT) is one of the physical modalities used to treat musculoskeletal pain.

HILT has the ability to reduce pain, swelling and inflammation and promote tissue healing. The study involved 42 patients with knee osteoarthritis who were randomly assigned to the HILT group or the placebo group. Participants received HILT sessions using a special laser device, and the treatment protocol was based on previous studies.

The study showed that HILT can be an effective method for relieving pain in patients with knee osteoarthritis.

In the control group, participants received artificial laser light applied according to the same protocol as described in the intervention section. During the treatment session, a sound indicating the operation of the MLS machine was triggered to mimic the sound generated by the actual MLS machine. However, the actual laser radiation was not emitted, so participants were not aware of their treatment group assignment. To ensure safety, all participants and physiotherapists wore goggles during the treatment sessions to prevent retinal damage.

Both groups received conservative treatment, including education about knee osteoarthritis, such as weight reduction, exercise and lifestyle modification. Beneficial activities were advised, such as avoiding deep knee bending, low sitting activities and stair climbing. Participants also received a brochure containing basic knowledge about knee osteoarthritis.

All participants received instructions from physiotherapists on how to properly perform the exercises. The exercise program included two types of strengthening quadriceps exercises. To check adherence to the exercise program, participants were given an exercise log and were required to record their daily exercises. Adherence to the exercise program was excellent in both groups. There were also no reported adverse events related to the laser treatment.

The study included 42 participants divided into a HILT group and a control group. The primary outcome was a pain score assessed using a visual assessment scale (VAS), and the secondary outcome was a score on the modified Thai version of the Western Ontario and McMaster Universities Osteoarthritis Index (T-WOMAC). Both groups showed statistically significant reductions in VAS and T-WOMAC scores after treatment, with The HILT group showed a greater reduction in VAS score than the control group.

The study's conclusions indicate that HILT is an effective treatment for knee osteoarthritis pain, even at a lower dose.

The results of the study may have practical applications in clinical practice, especially in patients who are not surgical candidates or have high risks associated with surgery.

For more information on the study, click here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616657/pdf/PRM2022-1319165.pdf

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Osteoarthritis of the knee

Karolina — Fri, 21 Jul 2023 08:30:18 +0000

The results of the study showed that HILT high-energy laser therapy had a beneficial effect on patients with osteoarthrosis of the knee (OAK) compared to conventional physiotherapy treatment (CPT) and therapeutic exercise (ET). Here are the main findings of the study:

1 - Pain: HILT was effective in reducing knee pain.

Patients in the HILT group experienced greater pain reduction compared to the CPT and ET groups. The results were maintained for 12 weeks.

2 Flexion range of motion: HILT improved the knee's flexion range of motion. Patients in the HILT group had greater improvement compared to other groups.

3 Functional tests: HILT combined with exercise had a positive effect on the results of functional tests such as the Timed Up and Go Test (TUG) and the 6-minute walk test (6MWT). Patients in the HILT group achieved the following. better results compared to other groups.

4 Western Ontario and McMaster Universities Osteoarthritis Pain Scale (WOMAC): The WOMAC pain subscale scores in the HILT group were similar to those in the CPT group. Overall, WOMAC scale scores indicated improved function in patients in the HILT group.

To summarize, study confirms HILT's effectiveness in relieving pain, improving range of motion and function in patients with OAK. HILT showed better results compared to CPT and ET.

HILT's mechanisms of action include analgesic, anti-inflammatory, improved microcirculation and tissue healing.

For more information on the study, click here: https://link.springer.com/article/10.1007/s10103-018-2624-4

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Arthritis of the knee

Karolina — Fri, 21 Jul 2023 08:30:10 +0000

HILT high-intensity laser therapy is. An effective form of rehabilitation for patients with arthritis of the knee.

The study showed that HILT provides rapid pain relief and improved functionality.

HILT's mechanisms of action include analgesic, anti-inflammatory effects and improved microcirculation. Laser therapy has shown efficacy over other forms of rehabilitation, such as low-intensity laser therapy LLLT or thermotherapy. The optimal laser parameters and therapy dose are still under investigation. Conclusions based on the current review should be treated with caution due to methodological limitations and the variability of the parameters studied. Nevertheless, HILT is considered a safe treatment option without significant side effects.

For more information on the study, click here: https://www.liebertpub.com/doi/full/10.1089/pho.2017.4425

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Why runners love laser therapy

Karolina — Mon, 13 Mar 2023 12:32:09 +0000

For many people, running is more than exercise - running is freedom. It's transcending one's physical limitations, giving great emotional satisfaction. It is an emotional and physical triumph for the human body. For some, it is the whole world. There is nothing else but it. Humans were born to run: we have large glutes that provide strength to our hips and a wonderfully built foot that can balance ground reaction forces.

Encountering difficulties

Unfortunately, running comes with risks. Injuries occur: hip, ankle, lower back and knee. Why? Just because we're made for running doesn't mean we do it well. We also sit more than we run, and the lack of movement throughout the day cannot be made up for by running for an hour.

There are also many impacts that transfer to the foot and send forces upward through the knee and hip. With each impact of the foot against the ground, even the 7 times body weight. Even with proper running mechanics, ground reaction forces cause micro-injuries and strain on some parts of the body, leading to injury.

It is an undeniable fact that if you run, sooner or later something will start to hurt. So what can you do to minimize the pain and heal quickly? In such a situation, deep tissue laser therapy proves beneficial.

Laser therapy - a simple solution

What is laser therapy? It is the use of Infrared light to stimulate the body's cells. The process of such stimulation is called photobiomodulation.

It leads to the healing of micro-injuries, minimizes pain and reduces inflammation.

Physical activity causes inflammation. This in turn, if prolonged, causes pain. To prevent and heal from pain when it does occur, inflammation must be reduced.

Runners who have tried laser therapy have come to love it. The reasons are explained below.

Achilles tendon and calf injuries:

Tension and tendonitis often occur in these areas. Stretching these parts of the body doesn't help for long when inflammation is at the root. The laser stimulates deep circulation and reduces inflammation, restoring mobility faster. Greater mobility means you can work harder, faster, stronger and longer. Using an applicator with a massage ball also helps reach the deep structures that control foot alignment.

TFL/IT compressionBS

Eighty percent of the gluteus maximus muscle (gluteus maximus) attaches to the broad fascia (tensor fascia latae). Fascial tensions in this area can lead to overuse of the patellofemoral band, resulting in knee sprain. Inflammation and restriction of slippage there affects the system of transferring forces from the ground to the hip and throughout the body. Carla Stecco says 40% force transmission through the muscles is mediated by the fascia. Applying the laser along the hip and thigh increases mobility. Treatment with it should be performed on both sides regardless of which side hurts. Both legs must work while running.

Runner's knee

The knee is a dependent joint - it only makes the movements that the foot will allow and that the hip can control. By working on the ankle, foot and hip, we are already having a positive effect on the knee. Applying the laser to the medial adductor tendon attachments and in the back of the knee will greatly facilitate recovery. The posterior part of the knee is where the gluteal muscle and the main lymphatic drainage point for the lower limb is located. If you want to recover faster, your body must be able to remove metabolic waste through the lymphatic system.

Maximize productivity, minimize downtime

Laser therapy is a necessity in the process of regeneration and treatment of injuries, but should also be used before and after running to improve performance, minimize muscle fatigue and reduce the risk of injury.

Deep tissue laser therapy allows treatment of multiple areas in a short period of time, so it can be performed as often as needed. Laser treatment applied before a run to the calves, quadriceps, glutes, hamstrings and lower back helps prepare the tissues for optimal contraction and control, and the blood vessels dilated by it speed up the warm-up.

The treatment, performed after a run, aids recovery and prolongs metabolic processes. It will also give you a reduction in delayed muscle soreness. The faster and more effectively your body recovers, the sooner you can get back to training. The more you train by moving properly, the better you will become at running. Just make sure you apply laser treatments to the same areas before and after the race. Being proactive in taking care of fitness Physical exercise can significantly reduce the risk of injury.

Bibliography

Perry Nickelston, Why Runners Love Laser Therapy, https://lightforcemedical.com/why-runners-love-laser-therapy/

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