Low-Level Laser Therapy Along With Intravascular Laser in Deep Pressure Ulcer Resistant to Conventional Therapies

Abstract

Introduction: Pressure ulcer is a common and troublesome complication in patients with spinal cord injury (SPI). The purpose of this case report was to describe the treatment of chronic pressure ulcer in a patient with SPI using low-level laser therapy (LLLT). Case Presentation: The patient was a 45-year-old male with T8 complete paraplegia; he had developed severe pressure ulcer. The authors used LLLT as a complementary treatment. They used 980 nm, continuous 6 J/cm2 for margins and 655 nm, continuous 1.8 J/cm2 for bed of the ulcer, along with intravascular laser therapy. After 24 sessions of LLLT and z-plasty surgery, the ulcer healed completely. Conclusions: LLLT is effective in tissue regeneration and increasing blood flow; this gives faster healing process of the wounds and faster cell proliferation. This treatment may be effective even in deep pressure ulcers.