Cold Laser Therapy
PAINLESS — COMPLETELY
In fact, laser therapy has completely revolutionized my practice.
The success that my patients are experiencing is extraordinary.
It has worked for hundreds of others and it can work for you too!
Some of the specific conditions that Laser Therapy is effective with
We proudly utilize the Microlight Laser.
Microlight laser brochure.pdf
Stuff - Washington Post, February 17, 2004
By Lois Lindstrom
The New England Patriots won Super Bowl XXXVIII
with some help from a little-known form of laser technology that could change the way athletic injuries and chronic
pain are treated. The treatment, known as "cold" laser therapy or low-level laser therapy (LLLT), has been used
internationally for 18 years to treat soft tissue injuries, cervical neck pain, carpal tunnel syndrome, repetitive
stress injuries, tendinitis, hamstring injuries, arthritis and wound healing, among others.
The lasers -- hand-held, flashlight-like devices that direct a beam of narrow-spectrum (but not hot) light at
injured tissue beneath the skin -- have been integrated into medical practice in Japan, Russia and the United
Kingdom. In the United Kingdom, cold laser therapy has become a preferred treatment for "whiplash" injuries,
neuralgia and shingles. In Japan, the lasers were approved in 1987 and are in widespread use today.
In the United States, the technology received marketing clearance from the Food and Drug Administration (FDA) in
2002 for treating carpal tunnel syndrome, a painful inflammation of the wrists and hands that results from
repetitive motion. But the mainstream medical establishment still considers the cold laser's benefits unproven.
Most U.S. users are athletic trainers, chiropractors and practitioners of alternative medicine.
" The medical community needs more scientific studies done in the United States," said Wayne Good, a general
surgeon in Waterford, Mich., who participated in the clinical trials that led to FDA clearance of the laser device.
Good worked with General Motors Corp., which hosted the double-blind, placebo-controlled trials on serious carpal
tunnel sufferers as a way to seek more cost-effective treatment for the condition, which affects many auto
Good said the treatment proved about 70 percent effective in getting injured workers, most of whom had failed to
respond to other treatments, back on the job. GM offers the treatment to injured workers in its in-plant medical
clinics. But insurance payment for the procedure is also an issue holding doctors back, Good said. Many U.S.
insurers will not pay for cold laser treatment, citing the need for further research proving its benefits. " If the
major insurance companies . . . do not pay for the technology," Good said, "the doctor cannot be reimbursed for
treating his patients."
Sport and Health
While mainstream medicine remains on the sidelines, practitioners of sports medicine, who are highly motivated to
find new ways to heal soft-tissue injuries and bruises, are getting right into the cold laser game. In the week
preceding the Super Bowl, Boston based registered nurse Ellen Spicuzza treated more than 10 Patriot players with
cold laser therapy for tendon and muscle injuries.
"A couple of days prior to the Super Bowl weekend, I treated [Patriot wide receiver] David Givens, who had a
locked-up hamstring," she said. She rotated the $4,000, pen-like laser over the "belly" of his hamstring muscle for
about five minutes, she said. "The laser released it." Spicuzza, an independent nurse/physical therapist in Boston,
usually treats Patriot players' injuries with medical massage. For the big game, she for the first time used low
level laser therapy on the athletes' most troublesome pain spots. Before using the cold laser, Spicuzza was
"I am not into gimmicks," she said. "I didn't think it would help."
But she changed her mind after
seeing how the laser expedited healing of some players' soreness and pain. "I don't think [the improved recoveries
were] a coincidence," Spicuzza said. "It did help. I used it on a flared-up sciatic nerve, and the player had
relief soon after treatment."
The Light and the Tunnel
Spicuzza was trained by Michael Barbour, president of MicroLight Corp., a Houston-based company that in 2001
acquired rights to manufacture the ML830 cold laser device. It was his company's laser that received market
clearance from the FDA in 2002 for the non-surgical treatment of carpal tunnel syndrome.
Carpal tunnel syndrome occurs when
tendons or ligaments in the wrist become enlarged, often from inflammation. Nearly 500,000 Americans have surgical
treatment for carpal tunnel syndrome each year; surgery costs $8,000 to $10,000 per patient, according to the
American College of Orthopedic Surgeons. Unlike surgery, treatments involving low level laser therapy are
non-invasive and require no healing time. There are no gels or ointments applied prior to the treatment. The most
notable sensation is the pressure of the head of the laser on the skin, though some patients report a small
Cold laser treatments usually cost $25 to $50, with a typical course of treatment involving 10 to 15 sessions over
Barbour said that while the FDA cleared the laser only for carpal tunnel syndrome treatment, "medical clinicians
have the option of using it for adjunctive use for pain therapy if in their medical opinion it is indicated." Such
off-label uses are common in the world of drugs.
Proposed by Albert Einstein in 1917, low level light therapy was not developed until 1960. A Hungarian surgeon, the
late Endre Mester, first reported his experience using laser light to treat non-healing infections and
inflammations in rats. Mester's reported 70 percent success rate in treating these infections led to the
development of a science he labeled "laser biostimulation," or the stimulation of the local immune system.
According to Richard Martin, a Santa Monica, Calif., photobiologist specializing in laser therapy, cells and
tissues subjected to inflammation, edema and injury have been shown to have a significantly higher response to low
level laser irradiation than normal healthy structures. There is no evidence the light damages the cells.
Since 1967, more than 2,000 clinical studies have been published worldwide on cold lasers. Supporters of the
technology cite the fact that most are positive, showing the devices safe and effective in a variety of clinical
Others come to different conclusion, saying most of the studies are small and poorly controlled and lack a
standardized treatment that could let researchers compare results equally. The Cochrane Collaboration, an
international nonprofit group that evaluates research about clinical practices, has published several reports on
low level laser therapy; the most recent were issued this year. The researchers found that data from several
studies showed no benefit in treating osteoarthritis pain -- but two of the studies in particular showed very
positive results. The group concluded there is an "urgent need" for large-scale clinical trials for this use.
Another research summary concluded that low level laser therapy was effective in reducing pain and morning
stiffness for those with rheumatoid arthritis. But there were no differences in the treated subjects in overall
disability, swelling or range of motion. And no data was available for effects beyond 4-10 weeks of treatment.
Other Cochrane reports show some benefits from low level laser therapy for frozen shoulder, but no benefits when
used on rotator cuff tendinitis.
Swedish physicist Lars Hode, president of the Swedish Laser-Medical Society, says the safety and efficacy of low
level laser therapy is better documented than that for ultrasound therapy, which is well accepted medically.
However, he says, there were some negative articles about cold lasers 20 years ago.
" In the '80s, the medical industry had inferior lasers," he said. "With the advent of stronger lasers at
reasonable prices, the situation today has changed considerably."
The U.S. Olympic training centers in Colorado Springs and Chula Vista, Calif., are using cold lasers. The Olympic
training center in Lake Placid, N.Y., plans to offer the therapy within a few months.
According to Edward Ryan III, director of Sports Medicine for the U.S. Olympic Training Center, the cold laser has
given athletes significant relief from pain and increased their range of motion. Because the device is hand-held
and portable, he said, it can even be used in competition venues.
Chadwick Smith, clinical professor of orthopedics and bioengineering at the University of Southern California
Medical School, has mainstream medical credentials and is enthusiastic about cold lasers.
" Cold lasers speed the healing process," said Smith, who uses the device in his clinical practice. "It used to
take at least seven to ten days for a hamstring injury to heal. Cold laser therapy cuts it down to two to three
As for Ellen Spicuzza, she said the Super Bowl experience led her to use the cold laser on her own neck, which she
injured in a skiing accident 10 years ago.
"I used it in my hotel in Houston during Super Bowl weekend," she said happily. "It brought me quick relief of my
Lois Lindstrom is author of "Memoirs of a Swedish War Nurse" (Goose River Press, 2002). She is based in Stockholm
and is co-writing a book about cold laser therapy with a Swedish clinician.