Laser for Shoulder Pain

TREATMENT FOR SHOULDER PAIN

Hot & Cold Packs for Shoulder Pain

Laser for Shoulder Pain

Manual Therapy for Shoulder Pain

Medication NSAIDS for Shoulder Pain

Electrical Stimulation for Shoulder Pain

Acupuncture for Shoulder Pain

Injections for Shoulder Pain

Ultrasound for Shoulder Pain

Surgery for Shoulder Pain

 

Treatment Ratings

R E S C U R

RISK: 5/5

Medium_Five_Heart_Rating

LLLT has been shown to be safe at designated doses and appears to have side effects similar to placebo (“sugar pill”) treatments. [i], [ii]

[i] Tuby H1, Hertzberg E, Maltz L, Oron U. Long-term safety of low-level laser therapy at different power densities and single or multiple applications to the bone marrow in mice. Photomed Laser Surg. 2013 Jun;31(6):269-73. doi: 10.1089/pho.2012.3395. Epub 2013 May 15.

[ii] Jimenez JJ1, Wikramanayake TC, Bergfeld W, Hordinsky M, Hickman JG, Hamblin MR, Schachner LA., Efficacy and safety of a low-level laser device in the treatment of male and female pattern hair loss: a multicenter, randomized, sham device-controlled, double-blind study. Am J Clin Dermatol. 2014 Apr;15(2):115-27. doi: 10.1007/s40257-013-0060-6.

E

EFFECTIVENESS: 3/5

3_Hearts_Treatment_Rating

Evidence about the effectiveness of LLLT for shoulder pain-sprain/strain is rather limited at this time. Several studies have shown benefit for shoulder pain-sprain/strain treated with LLLT but there is still no generally accepted consensus about its effectiveness for shoulder pain-sprain/strain in the scientific community. [i], [ii], [iii]. Despite the lack of substantial evidence, the research is promising and given the low risk, safety and cost, we recommend using LLLT before considering more invasive and costly medical procedures.

[i] Tomaz de Magalhães M, Núñez SC, Kato IT, Ribeiro MS. Light therapy modulates serotonin levels and blood flow in women with shoulder pain-sprain/strain. A preliminary study. Experimental Biology and Medicine. 2016;241(1):40-45. doi:10.1177/1535370215596383.

[ii] Gottschling S, Meyer S, Gribova I, et al. : Laser acupuncture in children with shoulder pain-sprain/strain: a double-blind, randomized, bicenter, placebo-controlled trial. Pain. 2008;137(2):405–12. 10.1016/j.pain.2007.10.004 [PubMed] [Cross Ref] F1000

[iii] White PF, Elvir Lazo OL, Galeas L, Cao X. Use of electroanalgesia and laser therapies as alternatives to opioids for acute and chronic pain management. F1000Research. 2017;6:2161. doi:10.12688/f1000research.12324.1.

S

SELF CARE: 0/5

Medium_No_Heart_Rating

While it might be possible to perform laser therapy ton yourself, this is unlikely. In most jurisdictions laser units are only sold to licensed professionals, and tend to be cost prohibitive, ranging in price from hundreds to tens of thousands of dollars.

C

COST: 4/5

Medium_Four_Heart_Rating

Laser therapy is relatively inexpensive, ranging from $20-$50 per session in most clinics. Typically, laser therapy treatment plans run from one or two sessions to 10-12 sessions. In general, a reasonable course of laser therapy might include 6-12 sessions varying from daily to 3 times per week.   It is widely available in chiropractic, physical therapy and some orthopedic offices, among others.

U

USEFULNESS: 4/5

Medium_Four_Heart_Rating

Low Level Laser Therapy is believed to enhance healing, reduce pain and edema, reduce inflammation and increases circulation. LLLT does not produce its effects through heat.

LLLT is used on a variety of conditions, from shoulder and elbow injuries, to neck and back pain, plantar fasciitis, knee pain and other musculoskeletal conditions. While research is ongoing, there is evidence of effectiveness for some conditions (such as certain shoulder conditions and tennis elbow) and less evidence for other conditions.

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