A&M AssortedTherapy.LLC

For acute or chronic pain management,chronic inflammation in the body

Blog

Blog

Management and Treatment of Wound Care With Cold Laser Therapy.

Posted on September 1, 2014 at 5:25 PM

INTRODUCTION:

Wound can be defined as a disturbance or commotion of normal anatomical structure of a tissue and its specific function affiliated with loss of body fluid leading to infection. Healing can be defined as the restoration of anatomical continuity and function through a very well- orchestrated dynamic process regulated by certain biological molecules such as cytokines, and growth factors [1]. Systematic progression of cells through four known phases of healing namely haemostasis, inflammation, proliferation and remodelling or maturation are thus becoming very essential for the successful acute healing process[2].

These chronic wounds results in both noteworthy patient morbidity and high cost to both affected individuals and the health care system. In the United States alone there were about 5 million patients suffering from chronic non-healing wounds, costing the health system $20 billion annually; this is projected to grow a further 10% each year [3]. Some of the cost coverage is for diagnostic and surgical procedures of wounds, pharmaceuticals, wound closure devices and hospital and physician charges.

CAUSES:

The wounds can be caused by trauma, disease, and environmental stresses or insults. The ability of the body to heal these wounds is one of the most essential defense mechanisms of the human body. However there are situations where this defense mechanism is impaired and the wounds either heal very slowly or not at all. The chronicity of the wounds is characterized by tissue destruction and impaired blood circulation that deprives the wound site of cells vital for wound healing. Such cells include macrophages, endothelial cells and fibroblasts. Examples of chronic wound include pressure ulcers, ischemic ulcers and venous ulcers [4].

CURRENT STANDARD TREATMENTS:

For several years there had been numerous treatments formulated to combat chronic wounds. Usually, debridement and moist wound healing are still commonly practiced treatments today. The importance of appropriate management of the wound bed is recognized as an essential part of the treatment approach to chronic wounds [5]. Several novel approaches to managing and treating chronic wounds are continually being proposed, encompassing chemical, biological or physical treatments or even combinations of these different methodologies [6].

 

COLD LASER THERAPY:

INTRODUCTION:

A promising novel approach to acute and chronic wound management is through high powered laser therapy. For over 35 years, in the EU, Australia, Asia and Russia low level laser therapy (LLLT) had been an established treatment for pain and tissue repair. Regulatory approval for LLLT in the United States was given in 2002[7].

EFFECT OF LASER ON CELLS:

This relatively new technology has been utilized to enhance acute and chronic wound healing .The Laser and light is absorbed at the cellular level and converted into biochemical energy, thereby enhancing normal cell function and tissue repair [8].

MECHANISM OF ACTION:

The following sequenced events occur to bring about normal or cellular haemostasis. There is reduction of inflammation and increase collagen fibre synthesis, endothelial cell migration, proliferation and NO excretion [9, 10]. Laser light also increases the vascularity of the regenerating tissues that in turn results in more blood flow to the injury site and an increase rate of healing and tissue regeneration. As a result there is reduced scarring and control of suppurative diseases of skin or other opportunistic infections.

TREATMENT OF WOUND AREA WITH LASER:

The cold Laser therapy is accomplished using our standard wound therapy laser treatment protocols. The laser source is capable of delivering uniform power and our standard wavelength distribution covering the entire wound area under treatment. The treatment sessions are done with illumination with single exposure of pre-assigned parameters that  is monitored before and after exposure to ensure proper energy delivery to the wounded site. Before each session it was confirmed that the laser beam was spread out uniformly over the entire wound including the wound boundaries. Histological samples are taken where necessary such as from chronic pressure ulcers, diabetic foot ulcers etc. etc. to monitor the healing process. Additionally the wounds are measure before and after a certain number of therapy sessions to evaluate the progress of wound healing.

CONCLUSION:

All the previously mentioned sequence of event in wound healing is accomplished through optimal and effective settings of the cold laser through extensive research and patient feedback .It is very essential to utilize the combination of optimal laser treatment parameters for the most effective collagen remodelling that is a major protein responsible for normal skin tensile strength, integrity and structure. Tensile strength regeneration is one of the vital elements for successful wound healing and due to its direct role; periodic and accurate monitoring of collagen in this regard may be of direct relevance

 REFERENCES:

1. J.L. Monaco and W.T. Lawrence. (2003).Clin.Plast.Surg.30, 1-12.

2. A.C.Gloria, F.D.Robert and S. S.Gregory. Wound Healing (Taylor and Francis, Florida, 2005), p.3.

3. Ablaza V & Fisher J. (1998).Telemedicine and wound care management. Home care Provid. 3(4):206-11; quiz.12-3.

4. Vodovnik I. & Karba R.(1992).Treatment of chronic wounds by means of electric and electromagnetic fields. Part 1:Literature review .Med Biol Eng Comput;30(3);257-66.

5. Schultz GS, Sibbald RG, Falanga V et al (2003). Wound bed preparation: a systematic approach to wound management. Wound Repair Regen; 11 Suppl 1:S1-28.

6. Poole-Warren I A &LyM. Wound healing. In: Akay M(Ed). Encyclopedia of BME. Hoboken. N.J: John Wiley& Sons Inc., 2006, p.3862-70.

7. Tuner J, Hode L. The Laser Therapy Handbook, Prima Books; Grandsberg, Sweden, 2002.

8. Tuner J, Hode L. The Laser Therapy Handbook, Prima Books; Grandsberg, Sweden, 2002.

9. Yasukawa A, Hrui H, Koyama Y, Nagai M & Takakuda K. The effects of low reactive-level laser therapy (LLLT) with helium-neon laser on operative wound healing in a rat model.J Vet Med Sci 20 SH07; 69(8); 799-806.

10. Chen CH, Hung HS & Hsu SH. Low-energy laser irradiation increases endothelial cell proliferation, migration and eNOS gene expression possibly via PI3K signal pathway. Lasers Surg Med 2008; 40(1):46-54.

 

Categories: None

Post a Comment

Oops!

Oops, you forgot something.

Oops!

The words you entered did not match the given text. Please try again.

3074 Comments

Reply kawhi leonard shoes
12:03 AM on April 21, 2021 
Thank you so much for providing individuals with a very splendid possiblity to discover important secrets from this blog. It really is very fantastic and also full of fun for me personally and my office peers to search your site nearly thrice in one week to learn the newest stuff you have got. And of course, I am also usually motivated with your breathtaking opinions you serve. Some 3 points in this post are in reality the best we have ever had.
kawhi leonard shoes http://www.kawhileonardshoes.us
Reply curry shoes
12:03 AM on April 21, 2021 
I wish to convey my passion for your kind-heartedness for those people that must have assistance with this area of interest. Your special commitment to passing the solution across had been really interesting and have continually made somebody just like me to get to their pursuits. Your warm and friendly tips and hints means a great deal to me and additionally to my peers. With thanks; from all of us.
curry shoes http://www.stephcurry.us
Reply yeezy 500 blush
12:03 AM on April 21, 2021 
My wife and i have been really thrilled that Ervin managed to deal with his basic research from your precious recommendations he acquired while using the web site. It's not at all simplistic to simply find yourself making a gift of guides which usually men and women have been trying to sell. We really remember we now have you to give thanks to for that. The main explanations you made, the easy site menu, the relationships you can help promote - it is most spectacular, and it's helping our son and the family recognize that the situation is satisfying, which is wonderfully important. Many thanks for all the pieces!
yeezy 500 blush http://www.yeezy-500.us.com
Reply yeezy shoes
12:03 AM on April 21, 2021 
Thanks for all your effort on this web page. Kate take interest in participating in investigation and it is simple to grasp why. Almost all hear all relating to the dynamic form you create worthwhile tactics through this blog and therefore increase participation from others on the idea then our daughter is discovering a lot. Take advantage of the rest of the new year. You're doing a terrific job.
yeezy shoes http://www.shoesyeezy.us
Reply curry
12:03 AM on April 21, 2021 
I wanted to create you one little bit of observation to help thank you very much once again with your striking secrets you've contributed in this case. It has been really extremely open-handed with you to allow freely just what a number of us would've distributed for an electronic book to end up making some money for themselves, primarily considering the fact that you might have tried it in the event you wanted. These guidelines likewise served as a fantastic way to recognize that other individuals have similar eagerness the same as my very own to know significantly more in regard to this problem. I believe there are lots of more enjoyable sessions up front for folks who examine your blog post.
curry http://www.curryshoes.us.com
Reply supreme clothing
12:02 AM on April 21, 2021 
I must show some thanks to you for rescuing me from this instance. After surfing around throughout the internet and seeing thoughts that were not beneficial, I believed my entire life was gone. Living minus the approaches to the difficulties you've resolved all through your main article content is a serious case, and the ones that could have badly affected my entire career if I hadn't come across the blog. The understanding and kindness in dealing with every part was important. I don't know what I would have done if I had not come upon such a step like this. It's possible to at this moment look forward to my future. Thanks a lot very much for the high quality and effective help. I will not think twice to suggest your web sites to any person who ought to have care on this issue.
supreme clothing http://www.supremeclothings.us.com
Reply bape
5:32 AM on April 20, 2021 
I'm also commenting to let you know of the terrific experience our daughter undergone checking your web site. She picked up lots of pieces, most notably what it's like to have a marvelous teaching character to get most people smoothly understand some tortuous subject matter. You actually exceeded her desires. Many thanks for producing these necessary, trustworthy, educational and even easy guidance on the topic to Evelyn.
bape http://www.bapes.us.org
Reply supreme clothing
5:32 AM on April 20, 2021 
I would like to get across my love for your kind-heartedness in support of folks who need help on that topic. Your very own commitment to passing the message up and down had been astonishingly informative and has constantly permitted men and women much like me to achieve their dreams. Your entire warm and friendly report implies a whole lot a person like me and further more to my mates. Best wishes; from everyone of us.
supreme clothing http://www.supremes.us.org
Reply kyrie shoes
5:32 AM on April 20, 2021 
Needed to write you this little word just to say thanks a lot as before with your exceptional ideas you have featured on this site. It's quite extremely generous with you to make extensively all most of us would have distributed as an e-book to make some profit for themselves, especially since you might have done it if you ever considered necessary. Those solutions likewise served to become easy way to comprehend other people have similar eagerness really like my own to learn a good deal more on the topic of this matter. I am sure there are lots of more fun moments up front for those who browse through your site.
kyrie shoes http://www.kyrie4shoes.us
Reply kyrie 6
5:29 AM on April 20, 2021 
A lot of thanks for all your valuable hard work on this website. Betty delights in making time for research and it's really simple to grasp why. We all notice all relating to the compelling medium you convey efficient things on this blog and in addition attract response from other people on the subject matter and our girl is undoubtedly understanding a lot of things. Take pleasure in the rest of the new year. You have been doing a superb job.
kyrie 6 http://www.kyrie-6.com
Reply kyrie 6
5:28 AM on April 20, 2021 
I have to show my thanks to this writer just for rescuing me from this particular issue. After scouting through the search engines and getting advice which were not productive, I thought my entire life was done. Being alive devoid of the solutions to the problems you've fixed by means of your entire short article is a critical case, and ones that would have negatively damaged my career if I hadn't noticed your web page. Your ability and kindness in dealing with all the stuff was helpful. I'm not sure what I would have done if I had not encountered such a solution like this. I can also at this time look forward to my future. Thanks for your time very much for this expert and effective guide. I won't think twice to recommend your blog post to any individual who should have support about this topic.
kyrie 6 http://www.kyrie6.org
Reply off white
5:25 AM on April 20, 2021 
Thank you for all of the efforts on this website. My mom enjoys conducting investigation and it is obvious why. All of us know all relating to the lively way you convey good strategies by means of this web blog and as well as encourage response from some other people about this area of interest then our own daughter has always been learning so much. Enjoy the remaining portion of the year. You are conducting a wonderful job.
off white http://www.offwhiteoutlet.us.org
Reply kyrie 7
5:25 AM on April 20, 2021 
I and my buddies ended up examining the best solutions from your web page and then unexpectedly came up with a terrible suspicion I had not expressed respect to the site owner for those techniques. Most of the guys were for this reason glad to learn all of them and have unquestionably been loving these things. I appreciate you for truly being simply helpful and for opting for this form of brilliant subject areas millions of individuals are really desirous to understand about. Our honest apologies for not expressing gratitude to earlier.
kyrie 7 http://www.kyrie-7.com
Reply supreme clothing
5:25 AM on April 20, 2021 
I and also my pals were actually viewing the excellent thoughts found on your website then at once developed a terrible suspicion I had not expressed respect to the site owner for them. All of the guys are already for this reason joyful to learn them and already have seriously been having fun with these things. Appreciation for truly being well accommodating and then for having varieties of good things most people are really needing to understand about. Our sincere apologies for not saying thanks to you earlier.
supreme clothing http://www.supremes-clothing.com
Reply golden goose
5:24 AM on April 20, 2021 
Thank you so much for giving everyone an exceptionally breathtaking chance to read in detail from this website. It's always very pleasurable and as well , full of a good time for me and my office peers to visit your blog not less than thrice in a week to see the latest secrets you have. And of course, I'm also certainly astounded concerning the mind-boggling creative concepts you give. Some two points in this post are truly the most beneficial we have all had.
golden goose http://www.goldengooses.us
Reply hermes
5:24 AM on April 20, 2021 
I intended to write you that tiny observation in order to thank you very much as before for your lovely knowledge you have featured on this page. This has been incredibly open-handed of people like you to offer freely what a few individuals would have marketed as an electronic book to generate some cash for themselves, mostly now that you could have done it if you desired. The inspiring ideas likewise acted to become a fantastic way to realize that many people have a similar interest just as my own to learn a lot more in regard to this problem. I'm certain there are some more enjoyable instances in the future for those who read carefully your site.
hermes http://www.hermesonlineshop.com
Reply cheap jordans
5:23 AM on April 20, 2021 
I have to convey my admiration for your kind-heartedness in support of women who really need assistance with this one subject. Your real dedication to getting the solution all-around was pretty functional and has without exception empowered individuals much like me to arrive at their aims. Your new informative facts indicates so much to me and especially to my mates. With thanks; from everyone of us.
cheap jordans http://www.cheapjordan.us
Reply supreme clothing
5:23 AM on April 20, 2021 
My husband and i ended up being really fortunate that John could round up his investigations using the ideas he was given out of your web page. It is now and again perplexing to just always be giving out things which often many people might have been selling. We really acknowledge we've got the blog owner to appreciate because of that. The entire illustrations you've made, the straightforward blog navigation, the relationships you can make it easier to promote - it's got many astonishing, and it is assisting our son in addition to us believe that this topic is interesting, and that's especially serious. Thanks for the whole lot!
supreme clothing http://www.supremes-clothing.com
Reply kyrie irving shoes
5:23 AM on April 20, 2021 
I in addition to my buddies ended up reading the great tips and tricks from your website then all of the sudden came up with a horrible suspicion I never expressed respect to the blog owner for those strategies. All of the young men became totally joyful to read them and already have in truth been making the most of these things. I appreciate you for turning out to be very considerate and also for opting for such ideal things millions of individuals are really needing to know about. My sincere regret for not saying thanks to sooner.
kyrie irving shoes http://www.kyrieirvingshoes.us.com
Reply off white hoodie
5:22 AM on April 20, 2021 
Thanks so much for providing individuals with a very splendid possiblity to read critical reviews from this website. It is often so fantastic and also packed with a lot of fun for me and my office mates to search your web site the equivalent of 3 times in one week to find out the latest stuff you have. And indeed, I am certainly motivated with all the staggering tricks you serve. Some 2 facts in this article are in reality the simplest we've ever had.
off white hoodie http://www.offwhitehoodies.us