High Power Laser, Low Level Laser and Shockwave Therapy

[@khushimehta1119]

Thanks for solving my confusion

[@joshuaapple1322]

So laser or shockwave therapy. How do you decide for neck/ upper back pain?

[@BrookeU-v9p]

You know, until recently I hadn't realized that Mario updated his favorite way to tackle ED and it's a relief! Although what he previously suggested was pretty good, it was a real pain to follow... I just go'ogled the latest by Mario Volpstein, it's so much easier and potent now!

[@MaryAriakia]

Hi
Thanks for the video.
I would like to know a little bit more about pro inflammatory effect of shockwave therapy vs anti inflammatory aspect of the laser therapy please?
Thanks
Thanks again

[@thanismurugathas2929]

Hey Maryam,
Shockwave is applied to tendinopathies that are chronic - meaning the body has tried many times to heal it but every time it failed and now the tendon is stiff. Shockwave introduces a mechanical force to get the tendon strands (fibrils) moving and dispersed a bit. This causes inflammation (hence why shockwave is pro inflammatory). Although this seems like a bad thing because inflammation can cause pain, it is actually a good thing because it means that the body will once again detect the pain in that area and attempt to heal it, only this time it would have had the help of the shockwave disrupting the strands in that area, meaning more of it is exposed for healing and the stiff calcified spots might have broken away. This is done in hopes that this time the body will be able to heal this tendon better (the difference in healing now is that the body has the help of the disruption caused by the shockwave). Laser therapys work to increase the chemical activity in the area and reduce inflammation. This leads to less pain in the area which is good, however, it does not fully target the underlying cause of the issue which is a damaged tendon. Hope this helps!