Complex Regional Pain Syndrome (leg) - THOR Laser

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Complex Regional Pain Syndrome (leg)

version 16.1

Keywords

Treatment Plan Intention

Complex Regional Pain Syndrome (leg), CRPS, Reflex Sympathetic Dystrophy, RSD, Sudek's atrophy, algodystrophy., causalgia, reflex neurovascular dystrophy, RND, Sympathetically Maintained Pain, regional posttraumatic neuropathic pain, neurodystrophy

Chronic:Twice a week for a minimum of 8 weeks

Stimulate lymph nodes to reduce inflammation

& oedema

LED Cluster

Heal injuries and reduce local inflammation

LED Cluster

Analgesia 810nm 1W laser Cluster

Probe

Pulse Tx Time

Tx Targets

2.5Hz

1 Min

Inguinal, Popliteal fossa lymph nodes

2.5Hz

1 Min

Over erythematous / oedematous area of lower extremity if present (as far as is practicable to cover, depending on amount of erythema /oedema)

Continuous

30 seconds

L2-S2: over spinous processes and ipsilateral nerve root exit and brachial plexus

The colours represent which probe to use and where to place it - illustrated for right leg - treat affected areas of pain / affected function / trophic changes - the whole leg does not have to be treated if symptoms are more localised.

THOR logo 450 WIDE.pdf 26/9/07 22:55:23

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Specific Evidence:

Kocic M, Lazovic M, Dimitrijevic I, Mancic D, Stankovic A [Evaluation of low level laser and interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera].Vojnosanit Pregl 2010 Sep 67(9) 755-60

Muneshige H,Toda K, Ma D, Kimura H,Asou T, Ikuta Y Antinociceptive effect of linear polarized 0.6 to 1.6 microm irradiation of lumbar sympathetic ganglia in chronic constriction injury rats. J Rehabil Res Dev 2006 Jul-Aug 43(4) 565-72

Basford JR, Sandroni P, Low PA, Hines SM, Gehrking JA, Gehrking TL Effects of linearly polarized 0.6-1.6 microM irradiation on stellate ganglion function in normal subjects and people with complex regional pain (CRPS I). Lasers Surg Med 2003 32(5) 417-23

Otsuka H, Okubo K, Imai M, Kaseno S, Kemmotsu O [Polarized light irradiation near the stellate ganglion in a patient with Raynaud's sign] Masui 1992 Nov 41(11) 1814-7

Ohtsuka H, Kemmotsu O, Dozaki S, Imai M [Low reactive-level laser therapy near the stellate ganglion for postherpetic facial neuralgia] Masui 1992 Nov 41(11) 1809-13

General evidence across disease category: Pain, inflammation, nerve

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