LIGHTFORCE® THERAPY LASER
Thoracic Pain/ Hypomobility Poor posture has the potential to negatively impact scapular mechanics. 49 Pain and stiffness in the thoracic spine and/ or muscles around the scapula can be components of postural dysfunction. Therefore, modalites that help address pain in this area may help improve underlying components of non- traumatic shoulder pain. The Intelect® RPW 2 has Spine Actor attachments that are specially designed to address painful muscles around the spine. For those muscles around the scapula, the Periactors are ideal for treating hard to reach soft tissue interfaces around the edges of the scapula.
Both groups of these attachments can have the frequency and intensity of the treatment adjusted to meet individual patient needs.
High power laser is useful in helping to relieve pain in this area as well. Use of high power lasers has ability to impact pain quickly which may be beneficial when addressing pain in the thoracic spine area. 50 Since most LightForce treatments only require a few minutes, it is an ideal adjunct to most manual therapies.
While not new, TENS and interferential treatments have a proven track record for reducing musculoskeletal pain during and immediately after treatment. 51 Since TENS acts via non-specific therapeutic neuromodulation, it can address pain that is generated from different tissues, making it a useful preparatory treatment before exercise or manual therapies in the mid-back and shoulder. TENS and IFC only provide short term pain relief (20 minutes - 2 hours), whereas Lightforce therapy can provide long-term pain relief. Ucurum and colleagues demonstrated that ultrasound, interferential current, and TENS when used in addition to exercise therapy all similarly improved pain, function, and quality of life for patients with shoulder impingement syndrome. 52
Use the treatment protocols in the Intelect® Mobile 2 Combo to reduce musculoskeletal pain associated with the mid-back and shoulder.
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