Medicina Tradicional Chinesa

Postherpetic neuralgia: case study of class 4 laser therapy intervention

Objective:
Postherpetic neuralgia (PHN) is a neuropathic sequelae in 8% to 27% of individuals with prior varicella zoster virus infection and herpes zoster resulting in retrograde demyelination, neurotoxic reactive oxygen species levels, and proinflammatory cytokine activation of microglia.Laser therapy has shown utility in nerve injury-related pain disorders and was considered a potentially eff**acious intervention.

Laser Treatment Protocols:
Class 4 therapeutic laser treatment was applied with a dual wavelength GaAlAs (810 nm), GaAl (980 nm) laser, 2 to 4 W, 50% duty cycle, 10 Hz pulse active phase, 2.5 cm diameter aperture, scanning technique with skin contact, 10-minute treatment, 600 to 1200 J total, energy density of 3.5 to 7.1 J/cm average per session, and power density from 0.41 to 0.82 W/cm for 8 treatments.

Results:
Controlled clinical trials of class 4 laser therapy in the PHN patient population with similar doses would be beneficial to determine if this is an effective treatment option in PHN.

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Clinic research, https://pubmed.ncbi.nlm.nih.gov/24384987/ Ver menos

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