In this episode, Dr. Rountree and Kristi discuss a 2020 study on laser therapy for inflammatory arthritis. They delve into the molecular mechanisms of arthritis, the importance of early treatment, and the potential of light therapy as an alternative treatment. They also highlight the significance of using laser therapy correctly and offer resources and protocols for clinicians.
Laser therapy can stimulate cellular mechanisms for repair and reduce inflammatory over-reaction in arthritis.
Photobiomodulation or laser therapy can restore balance between pro-inflammatory and anti-inflammatory cytokines in inflammatory arthritis without known risks or adverse effects.
Deep dives
Different types of inflammatory arthritis in children and adults
Inflammatory arthritis encompasses over 150 forms of chronic arthritis in adults and several dozen subtypes in children. These different types can affect various joints and tissues, leading to joint destruction and systemic effects. Early diagnosis and treatment are crucial to prevent long-term complications and preserve joint function.
Three specific types of juvenile inflammatory arthritis and their diagnosis
The podcast discusses three common types of juvenile inflammatory arthritis: RF-positive polyarticular JIA, RF-negative polyarthritis, and systemic JIA. Each type has specific diagnostic criteria involving the number of inflamed joints, blood work for rheumatoid factor, and additional systemic symptoms. Prompt evaluation and appropriate referral to specialists are essential in managing these conditions.
Complex mechanisms and treatment options for inflammatory arthritis
The pathogenesis of inflammatory arthritis involves complex interactions between the innate and adaptive immune systems, resulting in an imbalance of pro-inflammatory and anti-inflammatory cytokines. The primary treatment options for children and adults include methotrexate and TNF inhibitors. However, these therapies may have limitations or side effects. Photobiomodulation or laser therapy is emerging as a safe and effective modality that can modulate immune responses, promote tissue repair, and restore inflammatory balance without known risks or adverse effects.
The role of photobiomodulation in managing inflammatory arthritis
Photobiomodulation provides a natural treatment by delivering photon energy to living cells. It can improve blood circulation, stimulate collagen synthesis, promote tissue regeneration, increase pain threshold, improve nerve conductivity, and exert anti-inflammatory and antiseptic effects. Correct application of photobiomodulation can positively influence synovial membrane and immune system activity, modulate cellular mechanisms involved in inflammatory arthritis, and restore balance between pro-inflammatory and anti-inflammatory cytokines. Proper education and guidance in utilizing laser therapy are crucial for optimal therapeutic outcomes.
Today Dr. Rountree and Kristi discuss a 2020 study on laser therapy and its mechanisms of “undoing” inflammatory arthritis and juvenile arthritis. Inflammatory arthritis is just one form of arthritis and it stems from an overabundance of cellular inflammatory signals without proper counterbalance of signaling. Cytokine signaling and T-cell function skew toward inflammation and tissue destruction rather than repair and healing. Laser therapy is an excellent tool for arthritis as it provides cells with photons for energy, stimulating the cellular mechanisms for repair and rejuvenation and reducing the inflammatory over-reaction.
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