THOR logo 450 WIDE.pdf 26/9/07 22:55:23

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Sesamoiditis affecting metatarsophalangeal joints

Keywords Sesamoiditis of metatarso-phalangeal joint, Turf toe

Treatment Twice a week for a minimum of 4 weeks, then treat weekly for four weeks, then treatment every two Plan weeks, then monthly / as needed to minimise symptoms

Stimulate lymph nodes Heal injuries and local De-activate trigger Analgesia Intention to reduce inflammation inflammation points & oedema

LED Cluster 810nm 1W laser 810nm 200mW laser 810nm 1W laser Cluster Cluster

Probe

Pulse 2.5Hz 2.5Hz Continuous Continuous Tx Time 1 Min 1 Min 30 seconds 30 seconds Inguinal, popliteal fossa Posterior first MCP Local associated Spinous processes and lymph nodes joint and tendon myofascial trigger / ipsilateral nerve root tender points Any exit of L4 - S2 myofascial trigger Tx Targets point in the calf / shin / plantar flexors/ extensor or peroneal muscles. Ones shown are examples

The colours represent which probe to use and where to place it THOR logo 450 WIDE.pdf 26/9/07 22:55:23

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Specific Evidence:

A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Bjordal JM, Couppe C, Chow RT, Tuner J, Ljunggren EA Aust J Physiother 2003 49(2) 107-16 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi? cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12775206

General evidence across disease category: Inflammation - tendons, fascia, soft tissue injuries

Kiritsi O, Tsitas K, Malliaropoulos N, Mikroulis G. (2010) Ultrasonographic evaluation of plantar fasciitis after low-level laser therapy: results of a double-blind, randomized, placebo-controlled trial. Lasers Med Sci. Mar; 25(2): 275-81. http://www.ncbi.nlm.nih.gov/pubmed/19841862

Jastifer JR, Catena F, Doty JF, Stevens F, Coughlin MJ Low-Level Laser Therapy for the Treatment of Chronic Plantar Fasciitis: A Prospective Study. Foot Ankle Int 2014 Feb 7

Ng GY, Chung PY Effects of a Therapeutic Laser and Passive Stretching Program for Treating Tendon Overuse. Photomed Laser Surg 2012 Jan 11

Stergioulas A, Stergioula M, Aarskog R, Lopes-Martins RA, Bjordal JM. (2008) Effects of low-level laser therapy and eccentric exercises in the treatment of recreational athletes with chronic achilles tendinopathy. Am J Sports Med. May; 36(5): 881-7. http://www.ncbi.nlm.nih.gov/pubmed/18272794

Marcos RL, Arnold G, Magnenet V, Rahouadj R, Magdalou J, Lopes-Martins RA Biomechanical and biochemical protective effect of low-level laser therapy for Achilles tendinitis. J Mech Behav Biomed Mater 2013 Sep 9 29C 272-285

Casalechi HL, de Farias Marques AC, da Silva EA, Aimbire F, Marcos RL, Lopes-Martins RA, de Carvalho PD, Albertini R Analysis of the effect of phototherapy in model with traumatic Achilles tendon injury in rats. Lasers Med Sci 2013 Nov 2

Morimoto Y, Saito A, Tokuhashi Y (2013) Low level laser therapy for sports injuries. Laser Ther 2013 22(1) 17-20 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=24155545

Guerra FD, Vieira CP, Almeida MS, Oliveira LP, de Aro AA, Pimentel ER LLLT improves tendon healing through increase of MMP activity and collagen synthesis. Lasers Med Sci 2012 Nov 21

Laraia EM, Silva IS, Pereira DM, Dos Reis FA, Albertini R, de Almeida P, Leal Junior EC, de Carvalho PD Effect of Low-Level Laser Therapy (660 nm) on Acute Inflammation Induced by Tenotomy of Achilles Tendon in Rats. Photochem Photobiol 2012 May 21