Page 578 - WSAVA2018
P. 578

 25-28 September, 2018 | Singapore
h. stimulates the production of endorphins 2. Gross Effects:
a. Analgesia
b. Antiinflammatory
c. Antiedema
d. Circulation improvement
e. Enhanced wound healing
f. Enhanced healing of tendons and ligaments with superior tensile strength
g. Nerve cell damage repair
h. Increased collagen synthesis
i. Slow or reversed tissue degeneration
Clinical Applications
Laser therapy has been found to offer superior healing and pain relieving effects compared to other electrotherapeutic modalities, especially in the early stages of acute injuries, and for chronic problems. Laser therapy can be used to treat muscle, tendon, ligament, connective tissue, bone and skin tissue, however, excellent results are also achieved when it is used
to complement other treatment modalities, such as acupuncture, electrotherapy, therapeutic ultrasounds, and physical exercises. The current research on laser therapy in veterinary medicine is limited. A recent controlled trial showed improved ambulation times following intervertebral disc disease when laser therapy was used after surgery. Most studies, however, employ varying treatment doses and laser wavelengths. Additional clinical trials with dose standardization are needed in veterinary medicine. Laser has been shown to be effective in, but not limited to, the treatment of the following indications:
780-830nm Infra-Red Wavelengths - Deep Tissue Penetration
· Sprains & strains
· Wounds and abrasions
· Hematomas
· Ligament & tendon injuries, bowed tendon
· Inflammation (joints, ears, muscles)
· Joint injuries
· Myofascial trigger points, pain points and deep-tissue acupuncture points
· Non-union & small-bone fractures
· Lick granulomas
630-700nm Visible Red Wavelengths - Shallow Tissue
Penetration
· Wounds & abrasions
· Superficial acupuncture points
· Mucous membranes
· Post-surgical wounds
· Inflammation (skin, wounds)
· Chronic & acute pain 576
Laser therapy effects are cumulative: Response should improve with each treatment and/
or duration of response should increase with each treatment until a plateau is reached or condition is resolved. Chronic injuries should be treated every other day initially. A good starting protocol could be 3 times week one, then twice the following week, then once a week later. Acute injuries can be treated 2-3 days in a row then follow to every other day and so on. As response is noted, lengthen the time between treatments gradually until condition is resolved or acceptable patient comfort is maintained. This is often achieved in 6-10 treatments on average. In severe or chronic conditions treat at least weekly (twice weekly would be preferred) until resolved. Once to twice monthly intervals may be adequate for maintenance. Most patients
will show at least a mild positive response
in 1-2 treatments. If positive response is not noticed in 3-4 treatments with standard protocol, re-evaluate condition, treatment protocol or diagnosis.
Safety and Contraindications
Laser therapy has a WIDE margin of safety. The North American Association for Laser Therapy (NAALT) has compiled the following list of contraindications: pregnancy (over the pregnant uterus), cancers (over the tumor
site), hemorrhagic areas, endocrine glands, pediatric joint epiphysis, transplant patients,
or other immuno-suppressed patients, and photosensitive patients. Laser can damage optic tissue. Protective eyewear should always be worn by the clinician and the patient during treatment.
  43RD WORLD SMALL ANIMAL VETERINARY ASSOCIATION CONGRESS AND 9TH FASAVA CONGRESS


























































   576   577   578   579   580