At Choice One, we utilize modern yet conservative
therapeutic techniques for pain relief.

Cold Laser

Low level laser therapy (LLLT) is a painless, drug-free treatment which is used to treat a variety of pain syndromes, injuries, wounds, fractures, neurological conditions and pathologies. Low level laser therapy can be used any time a patient requests or needs a drug-less procedure for the control of pain, when conventional therapies have been ineffective, or when the acceleration of healing from injuries is desired.

Low level lasers supply energy to the body in the form of non-thermal photons of light. Light is transmitted through the skin’s layers (the dermis, epidermis and the subcutaneous tissue or tissue fat under the skin) at all wavelengths in the visible range. However, light waves in the near infrared ranges penetrate the deepest of all light waves in the visible spectrum. When low level laser light waves penetrate deeply into the skin, they optimize the immune responses of our blood. This has both anti-inflammatory and immunostimulate effects. It is a scientific fact that light transmitted to the blood in this way has positive effects throughout the whole body, supplying vital oxygen and energy to every cell.

For most people, laser therapy is quite passive. There are no pulsating shocks felt, as in forms of electronic stimulation, nor heat used as with ultrasounds. The most noticeable sensation is the touch of the probe head of the laser, as it comes in contact with the skin.

Some patients (3-5% of those undergoing light therapy) have reported a slight tingling or tapping in a nerve or along a nerve pathway. Some have noted that they are able to sense a slight feeling of warmth. But for the most part, the treatment, which may last from 2-20 minutes, is not noticed at all.

Following (and even during) a laser therapy session, approximately 75-80% of patients being treated can notice an immediate improvement in their condition. This will depend primarily on the type of condition and the length of time the condition has been present. Generally, the more chronic or severe the condition, the longer it takes to respond.

The majority of conditions treated will take anywhere from 4-5 or 10-18 treatments. Once again, the number of treatments depends upon the severity of the condition and its duration. If your condition does not change immediately, it may take 3-4 sessions before a dramatic or marked change is perceived.

Some manufacturers produce devices with super luminous diodes (SLD) or light emitting diodes (LED). Monochromatic non-coherent light can be helpful for superficial wound healing; however, numerous studies have shown that lasers are far more effective due to their unique properties and penetration depth. Many super luminous & light emitting diode products are usually very low powered (typically 5mW-15mW), and much of this energy is scattered, therefore requiring longer treatment times.

See the chart below to see how typical light penetrates the skin. LED’s will normally penetrate less then 1cm. SLD’s are more powerful and can penetrate about 2.5 cm. But lasers at 830nm can penetrate 5 cm, far more effective than SLD’s or LED’s.

Laser therapy is suggested to reduce pain related to inflammation by lowering, in a dose-dependent manner, levels of prostaglandin E2, prostaglandin-endoperoxide synthase 2, interleukin 1-beta, tumor necrosis factor-alpha, the cellular influx of neutrophil granulocytes, oxidative stress, edema, and bleeding. The appropriate dose appears to be between 0.3 and 19 joules per square centimeter.

Another mechanism may be related to stimulation of mitochondrion to increase the production of adenosine triphosphate resulting in an increase in reactive oxygen species, which influences redox signaling, affecting intracellular homeostasis or the proliferation of cells. The final enzyme in the production of ATP by the mitochondria, cytochrome c oxidase, does appear to accept energy from laser-level lights, making it a possible candidate for mediating the properties of laser therapy. The effects of laser therapy appear to be limited to a specified set of wavelengths of laser. The typical wavelength is in the range 600-1000 nm (red to near infrared), but some research has been done and products outside of this range are also available.

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1810 Mulkey Road, Ste. 101
Austell , GA 30106

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After you make an appointment at our clinic, our billing specialist will contact your insurance company and prepare an Eligibility Verification Form. This form summarizes benefits quoted us by your insurance company. You will receive a copy of this information at your first Sound Physical Therapy appointment.

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