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Sciatica

Keywords Sciatic pain, Sciatic Neuralgia, radiculopathy, sciatic neuropathy, sciatic neuritis, lumbar radiculopathy

Treatment Plan

Acute: start as soon as possible after diagnosis. Daily for 3 days. Then twice a week for three weeks. Then weekly for three weeks or in response to symptoms.Chronic: twice a week for 4 weeks - treat the cause of the sciatica where possible

Intention

Heal injuries and local inflammation

De-activate trigger points

Analgesia

Probe

810nm 1W laser Cluster

810nm 200mW laser 810nm 1W laser Cluster

Pulse 2.5Hz Continuous Continuous

Tx Time 1 Min 30 seconds 30 seconds

Tx Targets

Treat along sciatic nerve as far as distribution of pain, being as thorough as time permits - points spaced 2 - 4 cm apart if possible

treat any myofascial trigger points - ones shown are examples

L3-S2 spinous processes

The colours represent which probe to use and where to place it - illustrated for right leg

version 15.1

Specific Evidence:

Rochkind S Phototherapy in peripheral nerve regeneration: From basic science to clinical study. Neurosurg Focus 2009 26(2) E8

Rochkind S, Geuna S, Shainberg A Chapter 25: Phototherapy in peripheral nerve injury: effects on muscle preservation and nerve regeneration. Int Rev Neurobiol 2009 87 445-64

Paula AA, Nicolau RA, Lima MD, Salgado MA, Cogo JC "Low-intensity laser therapy effect on the recovery of traumatic spinal cord injury" Lasers Med Sci 2014 May 24

Masoumipoor M, Jameie SB, Janzadeh A, Nasirinezhad F, Soleimani M, Kerdary M Effects of 660- and 980-nm low-level laser therapy on neuropathic pain relief following chronic constriction injury in rat sciatic nerve. Lasers Med Sci 2014 Mar 16

Marcolino AM, Barbosa RI, das Neves LM, Mazzer N, de Jesus Guirro RR, de Cassia Registro Fonseca M Assessment of functional recovery of sciatic nerve in rats submitted to low-level laser therapy with different fluences. An experimental study: laser in functional recovery in rats. J Hand Microsurg 2013 Dec 5(2) 49-53

Akgul T, Gulsoy M, Gulcur HO Effects of early and delayed laser application on nerve regeneration. Lasers Med Sci 2013 May 29

Alcantara CC, Gigo-Benato D, Salvini TF, Oliveira AL, Anders JJ, Russo TL Effect of Low-Level Laser Therapy (LLLT) on Acute Neural Recovery and Inflammation-Related Gene Expression After Crush Injury in Rat Sciatic Nerve. Lasers Surg Med 2013 Apr 45(4) 246-52

Shen CC, Yang YC, Huang TB, Chan SC, Liu BS Neural regeneration in a novel nerve conduit across a large gap of the transected sciatic nerve in rats with low-level laser phototherapy. J Biomed Mater Res A 2013 Feb 20

Hsieh RL, Lee WC Short-term therapeutic effects of 890-nanometer light therapy for chronic low back pain: a double-blind randomized placebo-controlled study. Lasers Med Sci 2013 Jul 3

Jovicic M, Konstantinovic L, Lazovic M, Jovicic V Clinical and functional evaluation of patients with acute low back pain and radiculopathy treated with different energy doses of low level laser therapy. Vojnosanit Pregl 2012 Aug 69(8) 656-62

Yang CC, Wang J, Chen SC, Hsieh YL Synergistic effects of low-level laser and mesenchymal stem cells on functional recovery in rats with crushed sciatic nerves. J Tissue Eng Regen Med 2013 Mar 7

General evidence across disease category: Pain

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