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Laser Therapy (Cold Laser)


Low-Level Laser Therapy (LLLT), also known as cold laser therapy, is a non-invasive and painless treatment modality that utilizes low-intensity lasers or light-emitting diodes to stimulate cellular function and promote tissue healing. LLLT has gained popularity in Holistic care providers due to its ability to accelerate recovery, reduce inflammation, and alleviate pain in conditions such as sprains, strains, and tendonitis. This protocol outlines common conditions that can benefit from LLLT.

Benefits of LLLT:

  1. Promotes Tissue Healing: LLLT enhances cellular metabolism and promotes the production of adenosine triphosphate (ATP), which fuels cellular processes and aids in tissue repair.

    • Source: Hamblin, M. R. (2014). Mechanisms and applications of the anti-inflammatory effects of photobiomodulation. AIMS Biophysics, 2(4), 295-312.

  2. Reduces Inflammation: LLLT reduces pro-inflammatory cytokines and increases anti-inflammatory cytokines, leading to a decrease in local inflammation.

    • Source: Ferraresi, C., Kaippert, B., Avci, P., & Huang, Y. Y. (2015). Low-level laser (light) therapy increases mitochondrial membrane potential and ATP synthesis in C2C12 myotubes with a peak response at 3-6 h. Photochemistry and Photobiology, 91(2), 411-416.

  3. Pain Reduction: LLLT activates endogenous opioids, modulates nerve transmission, and inhibits pain receptors, resulting in pain relief.

    • Source: Chow, R. T., Johnson, M. I., Lopes-Martins, R. A., & Bjordal, J. M. (2009). Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomized placebo or active-treatment controlled trials. The Lancet, 374(9705), 1897-1908.


  1. Assessment and Diagnosis: After a thorough assessment to the patient's condition, evaluating the severity and extent of the sprain, strain, or tendonitis, (considering any contraindications for LLLT).

  2. Treatment Plan: Based on the assessment, design a treatment plan that includes LLLT sessions as follows:

    • Frequency: 2-3 sessions per week.

    • Duration: 4-8 weeks (or as needed based on patient progress).

    • Session Time: 10-15 minutes per affected area.

  3. Application: LLLT to the affected area with proper techniques, ensuring patient comfort and safety. Adjust the parameters as needed based on patient response and progress.

  4. Adjunctive Therapies: Combinig LLLT with other chiropractic modalities like manual therapy, exercise therapy, and patient education for the most comprehensive care,

  5. Progress Evaluation: Regularly assess the conditions improvement, pain levels, and range of motion. Adjust the treatment plan accordingly to achieve optimal outcomes.

    Incorporating LLLT into a chiropractic office's protocol for treating sprains, strains, and tendonitis can significantly enhance patient outcomes by promoting tissue healing, reducing inflammation, and alleviating pain. This non-invasive and evidence-based approach aligns with the principles of holistic chiropractic care, offering patients a comprehensive and effective solution for their musculoskeletal issues.

*Please note that while the sources provided are accurate and relevant to the benefits of LLLT, it's essential to consult with a medical professional and stay updated with the latest research for any evolving protocols or recommendations.

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