Laser Indications by Specialty

Sports Medicine

·        Arthroscopic Surgery- all patients with surgical mechanical correction benefit from post op laser

·        Rotator Cuff Repair-dramatically improves ROM and pain control

·        Patellar Tendonitis- laser helps repairtissue/cortisone degrades it

·        Acute sports injuries-treats bruising, pain and swelling

·        PCL (posterior cruciateligament) /ACL surgery-pre-surgically for decreasing pain and inflammationas much as possible prior to surgery (6 visits)

·        Labral tears and partial thicknessrotator cuff tear-surgical avoidance

·         Fractures: clavicle, high tibial, sub-acuteand chronic stressfractures, patellar, proximalhumeral

·        Turf Toe

General Orthopedics

·        Total Joint Replacements

·        Arthroscopic Surgery

·        Partial Meniscectomy (patients over 50, game changer in recovery)

·        Meniscal tears (degenerative not flipped)

·        Hip and Knee OA- putt off or avoid surgery.AAOS recommended for knee.

·        Acromioclavicular (AC) jointOA or injury

·        Calcific Tendonitis (sub-acute and chronic)

·        Trochanteric Bursitis (sub-acute and chronic)

·        Frozen Shoulder

Foot and Ankle

·        Post Op (bunionectomy, ankle reconstruction, bone spur/neuroma removal,Achilles tendon repair,fracture repair)

·        Fractures- calcaneal, stress fractures, metatarsals

·        Ankle Sprain

·        Hammer Toes (treatsnerves, capsules and joints)

·        Plantar fasciitis

·        Bunion pain

·        MTP OA (great toe)

·        Tendonitis- achilles, peroneal, extensor tendons (top of foot)

·        Mortons Neuroma

Hand, Wrist andElbow

·        Post Op (basaljoint, ulnar nerve transposition, tendonrepair, capitate resurfacing (like a total wrist), fracture repair

·        Fractures- distal radius,wrist, finger, radialhead/neck, olecranon (elbow point), supracondylar

·        Carpal tunnel for surgical avoidance, manage pain and inflammation

·        Tennis elbow/golfers elbow

·        OA- basal joint, wrist

Neuro and Spine

·        Post -Op

·        Surgical avoidance

·        Compression fractures

·        OA- cervical, lumbar,facet joint, lumbosacral, SI joint

·        SI joint pain

·        Spinal stenosis

·        Spondylolisthesis

·        Sciatica- sub acute and chronic

·        General spinal pain and stiffness

Physical Medicine andPain

·        These docs see mostly chronic pain patients. PM& R (or Physiatry) is the careof patients aimed at meeting maximal functional capacitynot necessarily full recovery. Focuseson options for non-surgical care, great spot for laser therapy.

·        Laser will help with chronicpain and inflammation

·        These patients have a disability, disease or are recovering from an accidentor injury. Functional goal is return to work anddaily tasks.

·         OA, post trauma care,sports injuries, chronicback/neck pain, post-accident pain, pain following a medical procedure