Laser Research: background information: Dosage, frequencies in alternative medicine.

The recommended dosage (WALT) for anti inflammatory effect

Laser classes 3 or 3 B, 780 -860nm GaAlAs Lasers. Continuous or pulse output less than 0.5 Watt Energy dose delivered to the skin over the target tendon or synovia

Tendinopathies Points or cm2 Joules 780 -820nm Notes

Tendinopathies Points or cm2 Joules 780 -820nm Notes
Carpal-tunnel 2-3 12 Minimum 6 Joules per point
Lateral epicondylitis 1-2 4 Maximum 100mW/cm2
Biceps humeri c.l. 1-2 8
Supraspinatus 2-3 10 Minimum 5 Joules per point
Infraspinatus 2-3 10 Minimum 5 Joules per point
Trochanter major 2-4 10
Patellartendon 2-3 6
Tract. Iliotibialis 2-3 3 Maximum 100mW/cm2
Achilles tendon 2-3 8 Maximum 100mW/cm2
Plantar fasciitis 2-3 12 Minimum 6 Joules per point
Arthritis Points or cm2 Joules
Finger PIP or MCP 1-2 6
Wrist 2-4 10
Humeroradial joint 1-2 4
Elbow 2.4 10
Glenohumeral joint 2-4 15 Minimum 6 Joules per point
Acromioclavicular 1-2 4
Temporomandibular 1-2 6
Cervical spine 2-4 15 Minimum 6 Joules per point
Lumbar spine 2-4 40 Minimum 8 Joules per point
Hip 2-4 40 Minimum 8 Joules per point
Knee medial 3-6 20 Minimum 5 Joules per point
Ankle 2-4 15
Laser classes 3 or 3B, 904 nm GaAs Lasers (Peak pulse output more than 1 Watt) Energy dose delivered to the skin over the target tendon or synovia

Tendinopathies Points or cm2 Joules 904nm Notes
Carpal-tunnel 2-3 4 Minimum 2 Joules per point
Lateral epicondylitis 1-2 1 Maximum 100mW/cm2
Biceps humeri cap.long. 1-2 2
Supraspinatus 2-3 3 Minimum 2 Joules per point
Infraspinatus 2-3 3 Minimum 2 Joules per point
Trochanter major 2-3 2
Patellartendon 2-3 2
Tract. Iliotibialis 2-3 2 Maximum 100mW/cm2
Achilles tendon 2-3 2 Maximum 100mW/cm2
Plantar fasciitis 2-3 3 Minimum 2 Joules per point
Arthritis Points or cm2 Joules 904nm
Finger PIP or MCP 1-2 2
Wrist 2-3 3
Humeroradial joint 1-2 2
Elbow 2-3 3
Glenohumeral joint 2-3 6 Minimum 2 Joules per point
Acromioclavicular 1-2 2
Temporomandibular 1-2 2
Cervical spine 2-3 6 Minimum 2 Joules per point
Lumbar spine 2-3 10 Minimum 4 Joules per point
Hip 2-3 10 Minimum 4 Joules per point
Knee anteromedial 2-4 6 Minmum 2 Joules per point
Ankle 2-4 6

Daily treatment for 2 weeks or treatment every other day for 3-4 weeks is recommended Irradiation should cover most of the pathological tissue in the tendon/synovia.

Tendons
Start with energy dose in table, then reduce by 30% when inflammation is under control (Does not apply for carpal tunnel tendo synovitis)

Therapeutic windows range from typically +/-50% of given values Recommended doses are based on ultrasonographic measurements of depths from skin surface and typical volume of pathological tissue and estimated optical penetration for the different laser types in caucasians.

Disclaimer: The list may be subject to change at any time when more research trials are being published. World Association of Laser Therapy is not responsible for the application of laser therapy in patients, which should be performed at the therapist/doctor`s discretion and responsibility

Revised August 2005


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