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.

43 Comments

Reply Danielpeale
2:34 AM on June 26, 2020 
online custom essays write my essay online
professional grad school essay writers write my essay generator
academic custom essays https://formeessaywriting.com/
Reply Bobbynon
8:57 AM on June 25, 2020 
order cialis soft 10 pills buy cialis pills
how to buy cialis soft with out a perscription buy generic cialis
2004 cialis open western https://cialisya.com/
Reply Bobbynon
1:15 AM on June 25, 2020 
cialis france tadalafil without a doctor's prescription
cialis 20 pills discount cialis
contre indication viagra cialis https://withoutadoctorsprescriptions.com/order-cialis-daily-onlin
e-en.html
Reply Bobbynon
2:14 AM on June 24, 2020 
cialis soft drug prescription generic cialis online
acquisto online cialis cheap cialis
best generic drugs cialis https://babecolate.com/
Reply Bobbynon
7:39 PM on June 22, 2020 
line cialis soft cialis 20
blanda cialis viagra cialis without doctor prescription
free cialis https://babecolate.com/
Reply Bobbynon
8:30 PM on June 21, 2020 
cialis for paralysis patients cialis buy online
cheap cialis with overnight shipping tadalafil 20 mg
discouny cialis https://cialisya.com/
Reply Bobbynon
5:26 AM on June 21, 2020 
cialis tadalafil under tongue dissolve buy cialis
cialis naproxin cialis 5mg
cialis india thailand https://babecolate.com/buy-cialis-online-without.html
Reply Bobbynon
1:58 PM on June 20, 2020 
cialis on-line buy online cialis
cialis free trial cialis
generic cialis softtabs mail order https://babecolate.com/
Reply Bobbynon
11:44 PM on June 16, 2020 
cheap viagra cialis india cialis pills
does cialis affect the teenneys tadalafil generic
cialis soft expiration dates https://cialisya.com/
Reply Bobbynon
7:45 AM on June 16, 2020 
cialis superior in diabetes cialis without doctor prescription
generic cialis pharmaceutical manufacturer tadalafil
cialis does not work https://canadianpharmacyonl.com/categories/Bestsellers/Cialis
Reply Danielpeale
4:59 AM on June 16, 2020 
order custom essay online custom writing essays
online custom essays online essay writers wanted
custom essays https://essayformewriter.com/
Reply Bobbynon
11:42 PM on June 15, 2020 
cialis hoe te gebruiken tadalafil generic
cialis informaci n cialis generique
generic cialis site https://cialisya.com/
Reply Danielpeale
5:57 AM on June 15, 2020 
essay writer reddit application essay
professional college essay writers personal essay
custom essay writing company https://essayformewriting.com/
Reply Danielpeale
11:43 PM on June 14, 2020 
cheap custom essays online college essays
custom essays toronto great essay writers
essay writers needed https://formeessaywriting.com/
Reply Bobbynon
6:27 AM on June 14, 2020 
cialis low dose tadalafil
cialis nederland cialis online
essai viagra cialis levitra https://babecolate.com/
Reply Bobbynon
7:06 AM on June 13, 2020 
where to puchase cialis online usa cialis
cialis generika hersteller tadalafil without a doctor's prescription
cialis soft 20 https://withoutadoctorsprescriptions.com/order-cialis-daily-onlin
e-en.html
Reply Danielpeale
3:14 AM on June 13, 2020 
best essay writer essay writers wanted
best custom essay sites write my essay org
essay writer online https://formeessaywriting.com/
Reply Bobbynon
7:35 AM on June 12, 2020 
viagra vs levitra vs cialis better cialis tadalafil
levitra cialis viagra price generic cialis tadalafil
viagra cialis levitra href https://babecolate.com/buy-cialis-online-without.html
Reply Bobbynon
11:29 PM on June 11, 2020 
cialis bijverschijnselen cialis pills for sale
vergleich viagra cialis and levitra generic cialis at walmart
cialis 10 mg reviews https://babecolate.com/
Reply Bobbynon
7:08 AM on June 11, 2020 
generic cialis 24100 2f 20mg cialis generic
which has less side effects viagra cialis or levitra generic cialis
combining viagra and cialis https://withoutadoctorsprescriptions.com/order-cialis-daily-onlin
e-en.html