Complex Regional Pain Syndrome (leg) - THOR Laser · interferential current in the therapy of complex regional pain syndrome by infrared thermographic camera]. Vojnosanit Pregl 2010

C

M

Y

CM

MY

CY

CMY

K

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

Complex Regional Pain Syndrome (leg)

KeywordsComplex 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

Treatment Plan

Chronic: Twice a week for a minimum of 8 weeks

IntentionStimulate lymph nodes to reduce inflammation

& oedema

Heal injuries and reduce local inflammation

Analgesia

Probe

LED Cluster 810nm 1W laser Cluster

Pulse 2.5Hz 2.5Hz Continuous

Tx Time 1 Min 1 Min 30 seconds

Tx Targets

Inguinal, Popliteal fossa lymph nodes

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

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.

LED Cluster

version 16.1

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

C

M

Y

CM

MY

CY

CMY

K

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