Hello Lanod, For the RT, the first treatment definitively slowed it a lot in the treated hand. I am heading for the second series in Hamburg soon so I look forward to it. RT is the best option but for me it has its limits. Travelng several hours overseas, and I understand that there is a lifetime limit on the RT one can receive. Also this disease seems systemic : after RT the hand, there is inclreased activity in the feet. An annual ultra sound of the breast to monitor a few cysts showed that the cysts were stable BUT surprise, surprise... there a many nodules in the breast ! In pictures, DIP joint finger arthrosis looks a lot like DIP knuckle pads and I still have doubts: it is reasonable to think that one can grow nodules from arthrosis in 6 weeks when there was none 2 months before ? The power of internet though, makes it possible to dream for a solution and that different specialists will collaborate more and benefit from the data and experience of the many persons exchanging on this site.
The world of medicine is constantly improving. The continuous research and development has paved way for many alternative treatments that can be a stand alone cure or can act as supplementary treatment to existing therapies. One of the more recent developments involves cold laser therapy, also known as photobiomodulation.
What is photobiomodulation?
Although the word sounds prohibitive and hard to understand, any body can comprehend this therapy as long as the right explanation is offered. Cold laser treatment involves being exposed to low level laser light in hopes of eliminating or decreasing various symptoms that individuals suffer from when they are ill.
Photobiomodulation puts to use laser light or light emitting diodes on certain areas of your body and this affects cellular functions. If you are wondering what laser light is or what LED is, these are the same technologies being used in traditional lighting, or automobile lighting, and even in devices such as computer screens. The difference lies in the application of laser light - healing with laser only calls for low levels of exposure.
If you remember, you should have learned about the properties of light in your physics courses. The two most important things to know are that light has different wavelengths and intensity. The wavelengths depending on their length and frequency, produce visible light colors (red, violet, etc.) while intensity is the energy given out by light.
In essence, cold laser therapy involves the release of these properties of light in very low levels to the body of an afflicted person. This practice started becoming main stream when a doctor experimented with the newly-developed laser light in skin cancer in mice. The experiment proved that laser light increases the capability of skin cells to allow the re-growth of hair in shaven mice.
There is still ongoing research on the efficacy of cold laser on numerous diseases. This is because there is much more to be learned about controlling laser light levels in order to maximize its healing potential. Of course, the studies involve the perfect way of combining wavelength, intensity, the duration of exposure per treatment, and the length of days or months that treatment is not done. The goal of these researches is to know exactly what combination of the four elements would be most helpful in specific illnesses.
However, cold laser has already been approved as an alternative therapy by the FDA. This means that information about the therapy's effects in clinical use is already available. It has been deemed very safe to use these low levels of laser and it has been seen that laser therapy does affect either the stimulation of or inhibition of certain cellular functions.
Cold laser treatment is already being used for skin wounds, muscle and tissue injuries and pain control. More clearly, this therapy is already available for the treatment of chronic pains such as arthritis and carpal tunnel syndrome, among others.
Vikingorigins:It seems clear that cold laser has an effect on the skin and hair (not to mention dangerous to eyes). The big question for Dupuytren is: might this effect slow it ? or accelerate it ?
Yes – I have also looked at cold laser (LLLT - low level laser) treatment for Dupuytrens. Such laser equipment is readily available now at low cost. I would strongly advise people NOT to experiment with such devices as this treatment may well aggravate the condition – as Vikingorigins has just pointed out. Here is a summary of my own investigations in such cold laser for Dupuytrens.
1) There are no published studies at all for the use of such laser treatment for Dupuytrens.
2) We know the Dupuytrens condition develops by the proliferation of the myofibroblast cells. We also know that cold laser therapy ‘heals’ by the stimulation of fibroblast cells, resulting in increased proliferation, maturation and transformation into myofibroblasts cells. So, such laser treatment may well accelerate the proliferation of the Dupuytrens condition.
3) The treatment dose for such lasers has two distinct phases for biostimulation (Arndt-Schulz law), where: 1) a low dose (that might be used for wound healing e.g. < 5 J/cm2) may excite physiological activity, and 2) a high dose ( e.g. >10 J/cm2 that might be used for pain management)) may inhibit biostimulation.
In summary, I would guess that the use of LLLT (at high dosage) in the treatment of Dupuytrens may well have a future and proper clinical trials would be needed to evaluate this possibility. However, some dose regimes may well make the condition worse by actually stimulating the Dupuytrens condition. So please do NOT experiment at home on you own hand. Your hand is far too valuable for this!