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What is Cold Laser Class 3B (Low Level Laser Therapy)?

Cold laser therapy is a noninvasive procedure that uses light to stimulate cell regeneration and increase blood circulation. Cold laser therapy treats the surface of the skin, while hot laser treatments affect deeper tissues.

Laser therapy can treat acute and chronic injuries, sprains and strains, arthritis, swelling due to back disc problems, and muscular-skeletal abnormalities. It also helps to regenerate nerve tissue after surgery.

LLLT (Low Level Laser Therapy) is the application of red and near infra-red light over injuries or lesions to improve wound and soft tissue healing, reduce inflammation and give relief for both acute and chronic pain. First developed in 1967, it is now commonly referred to as LLLT.

LLLT is used to: increase the speed, quality and tensile strength of tissue repair; resolve inflammation and relieve pain (analgesia).The red and near infrared light (600nm-1000nm) commonly used in LLLT can be produced by laser or high intensity LEDs. The intensity of LLLT lasers and LED’s is not high like a surgical laser. There is no heating effect.The effects of LLLT are photochemical (like photosynthesis in plants). When the correct intensity and treatment times are used, red and near infrared light reduces oxidative stress and increases ATP. This improves cell metabolism and reduce inflammation. These effects can be enhanced with pulses however when analgesia is required there is a second mechanism which works best when a strong continuous beam is applied. Lasers are nothing more than a beam of light that travels at a certain frequency that allows the laser to generate heat and penetrate tissue. Some Class IV or cold lasers are programmable to a range of frequencies in order to treat many different types of problems in dogs.

REFERENCES

Darryl L. Millis, MS, DVM, DACVS, DACVSMR, CCRP
Professor of Orthopedic Surgery & Director of Surgical Service

Robin Downing, DVM, MS, DAAPM, DACVSMR, CVPP, CCRP
Diplomate of the American Academy of Pain Management, is a a founder and past-president of the International Veterinary Academy of Pain Management.

Ron Hirschberg, DVM
Director. Brockton Animal Hospital

Ludovica Dragone, DVM, CCRP
Vice President of VEPRA, Veterinary European of Physical Therapy and Rehabilitation Association.

Jeff Smith, DVM, CCRP
Companion Animal Health of Newark, Delaware

Steven M.Fox, MS, DVM, MBA, PhD
President Securos. Inc

dog post pre surgery cold laser lllt care alternative singapore

PRE AND POST SURGERY CARE

Low-level laser (light) therapy (also known as Cold Laser Class 3B) or photobiomodulation has been known for almost 50 years since shortly after the discovery of lasers in 1960. For many years it was thought that there was something special about laser light, but it is now known that many wavelengths of visible light (especially in the red or near-infrared regions) produced from LEDs or other light sources are equally effective. Longer red and near-infrared wavelengths are much better at penetrating tissue than shorter blue/ green wavelengths and are therefore preferred clinically.

Although the mechanism of action of LLLT is still not fully understood, much information is now known concerning the primary photoacceptor molecules, the immediate effectors, the signaling pathways, transcription factor activation and short and long-term effects of LLLT on cells and tissues. The most important photoacceptor is accepted to be cytochrome c oxidase (unit IV in the mitochondrial respiratory chain). Increase in mitochondrial membrane potential, oxygen consumption and ATP production are rapidly observed. Nitric oxide and ROS are transiently produced. Cyclic AMP is involved in signaling pathways. Transcription factors such as NF-kB are activated. Anti-apoptotic proteins, heat shock proteins, anti-oxidant defense pathways and anti-inflammatory cytokines are increased. In the long-term parameters involved in healing such as cell migration, cell adhesion, protein synthesis, and DNA synthesis are stimulated. Many vets in US are using LLLT as a pre and post surgery therapy to aid in healing.

THE SCIENCE BEHIND COLD LASER

For tissue to absorb light and alter its physiology, a photochemical or photobiologic event must occur. Ideally, this event would take place within the target tissue(s), whether it be skin, muscle, fascia, nerves, vessels, bones, and/or joints. A “photoacceptor” molecule, also known as a “chromophore,” responds to light by initiating a series of physiologic responses that engender healing and improved tissue homeostasis. When a chromophore (such as cytochrome c oxidase in the mitochrondria respiratory chain) absorbs a photon from laser-treated tissue, an electron within the chromophore becomes excited and jumps from a low- to a higher-energy orbit. This increased electron energy provides the impetus for the system to perform cellular activities geared toward growth and repair.

Rather than categorizing Cold Laser Therapy as a quack therapy, below are proper research papers on this theraphy.

THE SCIENCE BEHIND COLD LASER

For tissue to absorb light and alter its physiology, a photochemical or photobiologic event must occur. Ideally, this event would take place within the target tissue(s), whether it be skin, muscle, fascia, nerves, vessels, bones, and/or joints. A “photoacceptor” molecule, also known as a “chromophore,” responds to light by initiating a series of physiologic responses that engender healing and improved tissue homeostasis. When a chromophore (such as cytochrome c oxidase in the mitochrondria respiratory chain) absorbs a photon from laser-treated tissue, an electron within the chromophore becomes excited and jumps from a low- to a higher-energy orbit. This increased electron energy provides the impetus for the system to perform cellular activities geared toward growth and repair.

Rather than categorizing Cold Laser Therapy as a quack therapy, below are proper research papers on this theraphy.