Post on 03-Mar-2020
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THOR logo 450 WIDE.pdf 26/9/07 22:55:23
Gout (affecting MTP or TMT joint of hallux)
Keywords Gout, pseudo-gout, crystalline arthropathy, crystal deposition disorder, urate crystals, tophi, calcium pyrophosphate dihydrate (CPPD) depositon, calcium hydroxyapatite (HA) deposition disorders…
Treatment Plan
Acute: start as soon as possible after diagnosis. Daily if possible or twice a week for minimum of two weeks. Then weekly for three weeks or in response to symptoms. Chronic: Twice a week for a minimum of 6 weeks, or daily until symptoms subside, and then twice a week for three weeks
Intention
Stimulate lymph nodes to reduce inflammation
& oedema
Heal injuries and local inflammation
Heal injuries and local inflammation
Analgesia
Probe
LED Cluster LED Cluster 810nm 1W laser Cluster
810nm 1W laser Cluster
Pulse 2.5Hz 2.5Hz 2.5Hz Continuous
Tx Time 1 Min 1 Min 30 seconds 30 seconds
Tx Targets
Inguinal, popliteal fossa Tarso-metatarseal and / or metatarso-phalangeal joint: superior, inferior, lateral and medial aspects of joint
IF NOT RESPONDING to LED cluster: Tarso-metatarseal and / or metatarso-phalangeal joint: superior, inferior, lateral and medial aspects of joint
Spinous processes and ipsilateral nerve root exits of L3 - S2
The colours represent which probe to use and where to place it - illustrated for right foot
version 15.1
Specific Evidence:Soriano et al (2006) Photobiomodulation of pain and inflammation in microcrystalline arthropathies: experimental and clinical results. Photomed Laser Surg 2006 Apr 24(2) 140-50 click here
Campana et al (2004) Laser therapy on arthritis induced by urate crystals Photomed Laser Surg 2004 Dec 22(6) 499-503 click here
General evidence across disease category: Arthropathy
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THOR logo 450 WIDE.pdf 26/9/07 22:55:23