For the last couple of years, our patients have benefited from cold laser therapy. The reason why it’s called a “cold” laser is because this type of laser does not burn tissue such as surgical lasers do. Cold laser therapy works by stimulating more adenosine triphosphate (ADP) to the injured tissue. ADP is a biological building block of energy. Increased ATP to the injured tissue promotes healing. Tendinitis and mild to moderate sprains of the elbow, wrist, hand, ankle, and foot have responded well to cold laser therapy in our office.
As a general rule of thumb, ice (cryotherapy) is most effective during the first 48 to 72 hours after an injury. This is during the acute and/or inflammatory phase of tissue healing. Let’s take a sprained ankle for example. When a ligament is torn or overly stretched, the area around it becomes swollen, red, painful, and warm. As this is necessary for the healing process, ice can be used to somewhat reduce the effects and allow the patient to be more comfortable.
Typically, after a few days, the body continues to heal in what’s called the repair phase. The primary therapeutic benefit of moist heat in this instance is to relax muscles that are rigid or in spasm. Once again this promotes comfort and pain relief to the patient.
Ice and heat can be effective adjuncts to an appropriate treatment plan. However, they are not a substitute for a complete treatment plan including chiropractic care and therapeutic exercise.