There are about as many treatment recommendations out there for proper laser therapy on elbow tendinitis as there are stars! How in the world do you know what works? Well I can tell you what works for me…and to my patient’s that’s all that matters. Just give it a shot…Here we go.
It’s all about the dose and diagnosis. I prefer very high doses with Class 4 laser with a certain number of joules per cm/2. I always do the cervical nerve root first with 600J. Then scalenes and brachial plexus/pec major minor with an additional 1,500J. Next is the supraspinatus with 600J then the actual elbow and forearm with 1,500J. Now you may be saying that’s too much dosage. Wrong! (at least in my clinical opinion) I keep the dose to about 500J per 50cm/2 and expanding higher for deeper tissue. That’s the target range. It’s all about absorption.
Just give this a try next time and see what happens. Of course if you have a Class 3 cold laser this is impossible to do since these dosages can’t be obtained anytime this century. The important thing is to get laser into the area. So anything is better than nothing. I do not recommend any particular brand of laser. Just use one!!
Why do I hit all these areas for tennis elbow? That is for another blog post.
Perry Nickelston
www.painlasercenter.com
Tags: General by Dr. Perry
No Comments »
