neck pain

Low Level Laser Therapy In The Management Of Chronic Myofascial Pain In The Neck
A Gur, AJ Sarac, R Cevik, O Altindag, and S Sarac
Lasers Surg Med, January 1, 2004; 35(3): 229.

Physical Medicine and Rehabilitation, School of Medicine, Dicle University, Diyarbakir, Turkey.

BACKGROUND AND OBJECTIVES: A prospective, double-blind, randomized, and controlled trial was conducted in patients with chronic myofascial pain syndrome (MPS) in the neck to evaluate the effects of infrared low level 904 nm Gallium-Arsenide (Ga-As) laser therapy (LLLT) on clinical and quality of life (QoL).

STUDY DESIGN/PATIENTS AND METHODS: The study group consisted of 60 MPS patients. Patients were randomly assigned to two treatment groups: Group I (actual laser; 30 patients) and Group II (placebo laser; 30 patients). LLLT continued daily for 2 weeks except weekends. Follow-up measures were evaluated at baseline, 2, 3, and 12 weeks. All patients were evaluated with respect to pain at rest, pain at movement, number of trigger points (TP), the Neck Pain and Disability Visual Analog Scale (NPAD), Beck depression Inventory (BDI), and the Nottingham Health Profile (NHP). RESULTS: In active laser group, statistically significant improvements were detected in all outcome measures compared with baseline (P <>

CONCLUSION: This study revealed that short-period application of LLLT is effective in pain relief and in the improvement of functional ability and QoL in patients with MPS. Lasers Surg. Med. 35:229-235, 2004.

Copyright 2004 Wiley-Liss, Inc.

Low-Intensity Laser Irradiation Stimulates Bone Nodule Formation Via Insulin-Like Growth Factor-I Expression in Rat Calvarial Cells

Low-Intensity Laser Irradiation Stimulates Bone Nodule Formation Via Insulin-Like Growth Factor-I Expression in Rat Calvarial Cells

Noriyoshi Shimizu, Kotoe Mayahara, Takeshi Kiyosaki,

Akikuni Yamaguchi, Yasuhiro Ozawa, Yoshimitsu Abiko

Background and Objective: We previously reported that low-intensity laser irradiation stimulated bone nodule formation through enhanced cellular proliferation and differentiation. However, the mechanisms of irradiation are unclear. Thus, we attempted to determine the responsibility of insulin-like growth factor (IGF)-I for the action observed.

Study Design/Materials and Methods: Osteoblast-like cells were isolated from fetal rat calvariae and cultured with rat recombinant (r) IGF-I, IGF-I antibody (Ab), and/or the cells were irradiated once (3.75 J/cm2) with a low-intensity Ga-Al-As laser (830 nm). The number and area of bone nodules formed in the culture were analyzed, and IGF-I expression was also examined.

Results: Treatment with rIGF-I significantly stimulated the number and area of bone nodules. This stimulatory effect was quite similar to those by laser irradiation, and this stimulation was abrogated dose-dependently by treatment with IGF-I-Ab. Moreover, laser irradiation significantly increased IGF-I protein and gene expression.

Conclusion: The stimulatory effect of bone nodule formation by low-intensity laser irradiation will be at least partly mediated by IGF-I expression. Lasers Surg. Med. 39:551-559, 2007. © 2007 Wiley-Liss, Inc.

Key words: low-intensity laserl bone formation; IGF-I; bone nodule; calvarial cell; osteoblast

dysphagia- aftter stroke

Next week will be : Mr A

Dysphagia- Chapter

Mr S. 78 y. o

Chief complaint: difficulty of swallow




Anamnesis: liguid, semisolid , easy to swallow
could'not swallow medicine by water


Picture above: thick, not clean (Stroke?)


CT scan, MRI : non stroke

Feeding habit: every meal served after blend= semisolid





Physical examination:
- oral : gag refleks good
- oromotor : good
- all reflects : good


Solution: I asked him to chew a bite of fruit as exercise, at least an apple a day.


Picture below: a week after --> excellent!

So, use it , or lose it !!!!

Low level laser for vertigo and snoring

I had a patient, came due to her vertigo. I gave 10 times low level laser. It was amazing ! Her balance improved, as well as her hearing loss. Diabetic is her underlying disease .

A man 54 y.o came due to hearing loss. his regiment didn't finish yet, but the good point: his wife told us: He is not snoring again !

Visit again , I'l report those two cases and update Henny (dysphoni).