You are on page 1of 32

THERAPEUTIC

LASER

Dr. Venkatesh

MPT(Neurology)

OVERVIEW
Laser

is an Acronym for the Light


amplification by the Stimulated emission
of Radiation.

Therapeutic

laser is also known as Soft


laser, Cold laser, Low intensity laser, class
III A B, optic laser

Laser

is a beam of light which is used for


various purposes.

HISTORY

Einstein
1953 Maser
Optical Laser
1955 Dr.Theodre Maiman
1960 Bennet, Javan & Herriott

Electrical stimulating currents


Commercial radio & TV
Short wave diathermy

Microwave
diathermy
LASER{
Infrared rays
Visible light

Uoltraviolet
Ionizing radiation

Infrared
Red
Orange
Yellow
Green
Blue
Violet

Ultraviolet

PROPERTIES
1.
2.
3.

Monochromaticity
Coherence
Collimation

CLASSIFICATION
1.

Hot laser

2.

High intensity laser


Surgical Laser
Causes tissue heating
Power > 60mW

Cold laser

Low intensity laser


Therapeutic Laser
No Tissue heating
Power < 60mW

TYPES
1.Helium Neon Laser : 632.8nm
2.Ruby Laser: 694.3nm
3.Gallium Laser : 750nm
4.Aluminum Laser : 780nm
5.Arsenide : 810nm
6.Diodes Laser :820nm
7.Carbon Dioxide : 10000nm

TYPES

Gas lasers

Chemical lasers

Hydrogen fluoride,

Solid laser

Helium, neon, argon, carbon dioxide

Ruby laser

Diode Laser: like solid but works on electron

CLASSIFICATION
Class I/1: Safe, cd players.
Class II/2: 1 mW: blink reflex of eye will prevent
damage. up to 1 mW power, for example laser
pointers.
Class IIIa/3R: 5 mW and staring into such a
beam for several seconds is likely to cause
(minor) eye damage.
Class IIIb/3B: immediate severe eye damage
upon exposure. Usually lasers up to 500 mW, cd
and dvd burners.
Class IV/4:burn skin, eye and/or skin damage.
industrial and scientific lasers are in this class.

PRODUCTION
1.Principle of production
2.Functional Parts
3.Working
4.Parameters

FUNCTIONAL PARTS
1.Lasing medium
2.Energy Source
3.Mechanical Structure

PODUCTION

Energy

Lasing Medium

LASER

Mechanical Structure

PARAMETERS
1.Security switch
2.Timer
3.Mode
4.Sensor
5.Fiber optic cable
6.Probe
7.Probe switch

EFFECTS OF LASER
1.
2.

Pain relief
Tissue healing

PAIN RELIEF
G.C.T.

Serotonin
Endorphin secretion
Acute & Chronic pain
Pain site, trigger points,
Acupuncture points

TISSUE HEALING
Phagocytosis, Collagen Synthesis, Contracure
CUMMINGS EXPERIMENT
BIOSTIMULATION THEORY (Biochemical,
Physiological,Proliferative Proliferation
offibroblasts,reepithelisation & remodelling)
PHOTOCHEMICAL THEORY
Chromophores Biostimulation

BEFORE & AFTER LASER

BEFORE & AFTER LASER

INDICATIONS
1.Incisions
2.Osteoarthritis
3.Rheumatoid arthritis
4.Ankle sprain
5.Chronic Low back pain

INDICATIONS
6.Tennis Elbow
7.Bicipital tendinitis
8.Trigger Finger
9.Chronic ulcers
10.Wounds
11.Tenosynovitis
12.Carpal Tunnel Syndrome
13.Periarthritis
14.Sports injuries

CONTRAINDICATIONS
1.
2.
3.
4.
5.
6.

Pregnancy
Neoplasms
Exposure to Eye
Hemorrhagic area
Infected wounds
Thrombosis

DOSAGES
2

TO 30 Seconds

Energy density = Power (W) Time (sec)

Treatment Area ( cm)

to 10 weeks
Acute :Continuous
Chronic: Pulsed (10- 20pps)