|
|
 |
LLLT General Precautions |
|
Laser
beam are extremely dangerous to human eyes.
Never look at
laser beam directly and/or through optical lens.
Because
some Aculas lasers emit invisible infrared light, the usage of laser
shower or laser
probe in the area of the face and around the eyes
must proceed with appropriate care and caution. Invisible infrared
laser light penetrating the eye may cause serious harm after
extended exposure. Therefore, the use of
the optional laser
safety goggles for the patient
and clinician is advised.
|
|
LLLT Contraindications |
 |
Thyroid
Gland |
|
While
research results have been at odds, the current consensus is to
avoid LLLT irradiation over the area of the thyroid gland.
The LLLT is effective for the patients with hypothyroidism induced
by chronic autoimmune thyroiditis (CAT) in the recently published
report. (PMID:
22718472) |
|
Pregnancy |
|
Prudent
medical care dictates that LLLT not be performed over the uterus
of a known pregnant woman. |
|
Cancer |
|
Although
the research is again at odds in this case, the recommendation
is to not irradiate over or near a known primary or secondary
carcinoma lesion or tumor. As physiotherapists, it is a general
contraindication to use laser energy over cancerous sites due
to unknown long-term effects. However, current research is
investigating the physiological mechanisms by which photodynamic
therapy can be utilized in combination with current cancer
treatments.
Not to treat cancer is mainly because of legal reasons. |
|
Radiation
Therapy Patient |
|
Because
LLLT has been documented to have an effect on the human immune
system, in patients taking immunosuppressant medications, LLLT
is not recommended at this time. Several studies have demonstrated
positive effects of LLLT in counteracting radiation therapy nausea;
however, more research is needed. |
|
Treatment
of over Sympathetic Ganglia |
|
The
vagus nerves and cardiac regions of patients with known heart
disease are not recommended for LLLT. |
|
Pacemaker |
|
While
some have suggested caution in using LLLT in the presence of pacemakers,
no evidence has been presented. Because LLLT uses light, no influence
on the pacemaker results from its use. |
|
Epilepsy |
|
Pulsed
visible light can have an effect on certain individuals susceptible
to this condition, however, invisible, non-pulsed laser light has
had no reported detrimental effect on seizure-susceptible patients. |
|
|
| Disease
Name |
ICD-9-CM
(International Classification of
Diseases,
Ninth Revision, Clinical Modification) |
| Respiratory Tract and Ear,
Nose, Throat |
 |
| Meniere's disease |
386.00 |
| Tinnitus |
388.30 |
| Hearing impairment |
389.9 |
| Acute sinusitis |
461.9 |
| Chronic rhinitis |
472.0 |
| Chronic sinusitis |
473.9 |
| Allergic rhinitis |
477.9 |
| Musculoskeletal and Connective
Tissue |
|
| Gouty arthritis |
274.0 |
| Rheumatoid arthritis |
714.0 |
| Juvenile rheumatoid arthritis (polyarticular) |
714.30 |
| Osteoarthritis |
715.90 |
| Osteoarthritis of knee |
715.96 |
| Arthritis, post-traumatic |
716.10 |
| Arthritis |
716.90 |
| Joint swelling |
719.00 |
| Joint pain |
719.40 |
| Joint stiffness |
719.50 |
| Ankylosing spondylitis |
720.0 |
| Lumbar spondylosis |
721.3 |
| Intervertebral disc disorder |
722.90 |
| Lumbago |
724.2 |
| Back pain |
724.5 |
| Frozen shoulder |
726.0 |
| Tennis elbow |
726.32 |
| Bursitis of wrist |
726.4 |
| Bursitis of hip |
726.5 |
| Bursitis of shoulder |
726.10 |
| Achilles tendinitis |
726.71 |
| Tendinitis |
727.00 |
| Plantar facilities |
728.71 |
| Fibrositis / rheumatism |
729.0 |
| Myalgia and myositis |
729.1 |
| Myofascial pain syndrome |
729.1 |
| Fasciitis |
729.4 |
| Sprains or strain |
848.9 |
| Diseases of Nervous System |
|
| Lymphadenitis |
289.3 |
| Alzheimer's disease |
331.0 |
| Migraine |
346.9 |
| Trigeminal neuralgia |
350.1 |
| Facial palsy |
351.0 |
| Carpal tunnel syndrome |
354.0 |
| Herniation of lumbar intervertebal
disc |
722.10 |
| Low back pain(Lumbago) |
724.2 |
| Sciatica |
724.3 |
| Headache |
784.0 |
| Diseases of Uninary System |
|
| Impotence, organic |
607.84 |
| Endocrine, Metabolic Disease |
|
| Diabetes mellitus(no complication) |
250.00 |
| Obesity |
278.0 |
| Disorders of Female Fenital Tract |
|
| Dysmenorrhea |
625.3 |
| Disease of the Skin |
|
| Verruca |
078.1 |
| Tinea pedis |
110.4 |
| Cellulite |
682.9 |
| Seborrheic dermatitis |
690 |
| Atopic dermatitis |
691.8 |
| Contact dermatitis |
692.9 |
| Psoriasis |
696.1 |
| Alopecia and hair loss |
704.00 |
| Alopecia areata |
704.01 |
| Folliculitis |
704.8 |
| Acne vulgaris |
706.1 |
| Pressure sore |
707.0 |
| Vitiligo(Leukoderma) |
709.0 |
| Swelling mass or lump, superficial,
localized |
782.2 |
| Other Symptoms and Prophylaxis |
|
| Hemorrhoid |
455.6 |
| Gingival and periodontal disease |
523.9 |
| Oral ulcer |
528.9 |
| Edema |
782.3 |
| Infectious Disease |
|
| Herpes zoster |
053.9 |
| Herpetic gingivostomatitis |
054.2 |
| Herpes simplex |
054.9 |
| Hand, foot and mouth disease |
074.3 |
| Mental Disease |
|
| Depression |
311 |
| Surgery |
|
| Fracture(close) |
829.0 |
| Fracture (open) |
829.1 |
| Superficial injury |
919.0 |
| Burn |
949.0 |
|
|
