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Low-Level Laser Therapy for Female Pelvic Floor Conditions: A New and Exciting Online Course

The following is a guest post from Isa Herrera, MSPT, CSCS owner of Renew Physical Therapy in New York, NY. Isa recently launched her new online course "Low Level Laser Therapy For Female Pelvic Pain Conditions" found at www.PelvicPainRelief/laser.

Physical therapists deal with chronic pain that can be problematic to treat and manage on a daily basis. There is an arsenal of tools, exercises and techniques at their disposal, but many times using a modality can help accelerate the pain-relieving process for their patients. Pelvic floor physical therapists in particular treat an extremely difficult type of chronic pain loosely classified under the umbrella term "pelvic pain." Pelvic pain can express itself as vulvodynia, clitorodynia, provoked vestibulodynia, pudendal nerve neuralgiavaginismus and/or dyspareunia. These conditions are common, with 1 in 3 women suffering from pelvic and/or sexual pain in the United States. It is estimated that approximately 30 million suffer from this silent epidemic. As physical therapists we are on the first line of defense and we must be prepared to provide the pain relief that these women so desperately seek.

Secret Weapon for Pelvic Pain Is Finally Here

Chronic pelvic pain is very different from other types of pain because it's intimately connected to our emotional, spiritual and psychological states, and can involve the nervous, endocrine, visceral, gynecological, urological and muscular systems. It can be very difficult to treat, and can require anywhere from six months to one year of physical therapy, depending on patient presentation and history.

This lengthy course of treatment requires a fresh approach to therapy and modalities. When I started treating this population I had many difficulties controlling their pain and I had to think differently. Electrical stimulation and ultrasound were not working as well as I'd hoped, providing insufficient pain relief to these patients. I needed a modality that, when incorporated with my pelvic pain treatment, could help produce immediate and long-lasting pain-relieving effects. I needed a modality that could significantly decrease pain within one session, and that my patients could believe in because of the results.

Low-level laser therapy (LLLT) proved to be my secret weapon when treating women with chronic pelvic pain. (I frequently call it "light therapy," because many patients don't like the term "laser.") I have been successfully using light therapy for nearly ten years. It helped my patients keep their pain at bay, and many request that I use it as part of their therapy. I have had incredible patient outcomes when I use LLLT. Of course, for light therapy to work with this difficult population a foundational knowledge and established protocols are required.

LLLT was approved by the FDA in 2002. At that time, the modality was hailed by the New England Patriots and the U.S. Olympic Committee, among others, for its ability to help top athletes quickly return from injury. Endorsements from these organizations piqued my interest and I decided to research its principles. I now know firsthand about the miraculous effects of LLLT. From my own personal experience and from treating thousands of patients I realized that LLLT could be used on many levels.

LLLT is unique: it is a cellular bio-stimulator and is used to increase vitality of cells as well as processes that occur within the cell. The goal with LLLT is to stimulate health and vitality within the cell to produce pain relief, collagen synthesis, anti-inflammatory effects, and endorphin production. Pain- relieving results can be felt in the first visit.

New Look at Low-Level Laser Therapy

My ten years of experience using LLLT have led me to develop low-level laser protocols for female pelvic floor conditions. These protocols are extremely useful for any practitioners wanting to purchase a laser as a new pain-relieving modality for their clinic.

LLLT has changed the way I treat all pain syndromes. It's had such a positive impact that I've created laser protocols for vulvodynia, scar and bladder pain. I also created a special class for the Herman and Wallace Institute program for physical therapists who treat chronic pelvic pain. I encourage any colleagues specializing in this population to investigate this remarkable modality and to attend the online class. If you are looking for something different and a modality that will change the way you treat, come and learn how to use if effectively. My Low-Level Laser Therapy for Female Pelvic Floor Conditions online course incorporates evidence-based science into the low-level laser protocols that you can bring into your practice immediately. This online continuing educational course is designed to provide a thorough introduction to LLLT and its application to female pelvic pain conditions. It is approved for 13 CEU’s and contains ten modules. All ten modules provide step-by-step treatment protocols, videos and PowerPoints. This online class includes protocols for bladder pain, scar pain, coccyx pain, vulvodynia, clitorodynia, provoked vestibulodynia, pudendal nerve neuralgia, vaginismus and dyspareunia.

This new and exciting online class will put you and your practice on the forefront finally providing pain relief for your patients that lasts and improves your outcome measures.

For more info on the low-level laser online training class for female pelvic floor conditions go to www.PelvicPainRelief/laser.

Basford et al. Laser therapy: a randomized, controlled trial of the effects of low-intensity Nd:YAG laser irradiation on musculoskeletal back pain. Arch Phys Med Rehabil (1999) vol. 80 (6) pp. 647-52.

Bjordal et al. A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Aust J Physiother (2003) vol. 49 (2) pp. 107-16.

Chow et al. The effect of 300 mW, 830 nm laser on chronic neck pain: a double-blind, randomized, placebo-controlled study. Pain (2006) vol. 124 (1-2) pp. 201-10.

Harlow BL, Kunitz CG, Nguyen RHN, et al. Prevalence of symptoms consistent with a diagnosis of vulvodynia: population-based estimates from 2 geographic regions. Am J Obstet Gynecol. 2014; 210:40.

Kostantinovic et al. Low level laser therapy for acute neck pain with radiculopathy: a double-blind placebo-controlled randomized study. Pain Medicine (2010) vol. 11 pp. 1169-1178.

Mathias SD1, Kuppermann M, Liberman RF, et al. Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol. 1996;87(3):321–327.

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