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Gout (affecting MTP or TMT joint of hallux)

Keywords Gout, pseudo-gout, crystalline arthropathy, crystal deposition disorder, urate crystals, tophi, calcium pyrophosphate dihydrate (CPPD) depositon, calcium hydroxyapatite (HA) deposition disorders…

Treatment Plan

Acute: start as soon as possible after diagnosis. Daily if possible or twice a week for minimum of two weeks. Then weekly for three weeks or in response to symptoms. Chronic: Twice a week for a minimum of 6 weeks, or daily until symptoms subside, and then twice a week for three weeks

Intention

Stimulate lymph nodes to reduce inflammation

& oedema

Heal injuries and local inflammation

Heal injuries and local inflammation

Analgesia

Probe

LED Cluster LED Cluster 810nm 1W laser Cluster

810nm 1W laser Cluster

Pulse 2.5Hz 2.5Hz 2.5Hz Continuous

Tx Time 1 Min 1 Min 30 seconds 30 seconds

Tx Targets

Inguinal, popliteal fossa Tarso-metatarseal and / or metatarso-phalangeal joint: superior, inferior, lateral and medial aspects of joint

IF NOT RESPONDING to LED cluster: Tarso-metatarseal and / or metatarso-phalangeal joint: superior, inferior, lateral and medial aspects of joint

Spinous processes and ipsilateral nerve root exits of L3 - S2

The colours represent which probe to use and where to place it - illustrated for right foot

version 15.1

Specific Evidence:Soriano et al (2006) Photobiomodulation of pain and inflammation in microcrystalline arthropathies: experimental and clinical results. Photomed Laser Surg 2006 Apr 24(2) 140-50 click here

Campana et al (2004) Laser therapy on arthritis induced by urate crystals Photomed Laser Surg 2004 Dec 22(6) 499-503 click here

General evidence across disease category: Arthropathy

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