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Photobiomodulation Therapy is Able to Modulate PGE2 Levels in Patients With Chronic Non-Specific Low Back Pain: A
Shaiane S Tomazoni1,2,3, Leonardo O P Costa1, Jon Joensen2
1Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Cesário Galeno, São Paulo, 03071-000, Brazil.
Lasers in Surgery and Medicine
|April 25, 2020
Summary
Photobiomodulation therapy (PBMT) effectively reduced prostaglandin E2 levels in patients with chronic low back pain (LBP). This suggests PBMT may be a viable treatment option for LBP by modulating inflammatory mediators.
Area of Science:
- Biomedical Engineering
- Pain Management
- Rehabilitation Medicine
Background:
- Non-specific low back pain (LBP) is associated with elevated inflammatory biomarkers.
- Photobiomodulation therapy (PBMT) is a potential therapeutic approach for LBP.
- PBMT may reduce pain by modulating inflammatory mediators.
Purpose of the Study:
- To evaluate the effects of PBMT versus placebo on inflammatory mediators and pain in chronic non-specific LBP patients.
- To assess changes in prostaglandin E2, tumor necrosis factor-α, and interleukin-6 levels.
- To measure pain intensity changes post-treatment.
Main Methods:
- Randomized, triple-blinded, placebo-controlled trial.
- Eighteen patients with chronic non-specific LBP were enrolled.
- A single session of active or placebo PBMT was administered, with outcomes measured pre- and post-treatment.
Main Results:
- PBMT significantly decreased prostaglandin E2 levels compared to placebo (mean difference: -1470 pg/ml).
- No significant differences were observed in tumor necrosis factor-α, interleukin-6, or pain intensity between groups.
- No adverse events were reported by patients.
Conclusions:
- PBMT demonstrated the ability to modulate prostaglandin E2 levels in LBP patients.
- This modulation of prostaglandin E2 may contribute to the analgesic effects of PBMT.
- PBMT shows promise as a treatment for chronic non-specific LBP.
Keywords:
inflammatory mediatorslow back painlow-level laser therapymusculoskeletal disordersphysical therapyrehabilitation
