the effect of low-level laser on postoperative pain after tibial fracture surgery: a double-blind controlled randomized clinical trial

Authors

sholeh nesioonpour department of anesthesiology, pain research center, ahvaz jundishapur university of medical sciences, ahvaz, iran

soheila mokmeli canadian optic and laser center, col center, victoria, canada

salman vojdani department of anesthesiology, pain research center, ahvaz jundishapur university of medical sciences, ahvaz, iran; department of anesthesiology, pain research center, ahvaz jundishapur university of medical sciences, ahvaz, iran. tel: +98-6112220168, fax: +98-6112220168

ahmadreza mohtadi department of anesthesiology, pain research center, ahvaz jundishapur university of medical sciences, ahvaz, iran

abstract

background postoperative pain is a common complication that can lead to serious morbidities and delayed recovery. objectives the aim of this study was to investigate the effect of low-level laser therapy on acute pain after tibial fracture surgery. patients and methods in this randomized clinical trial, 54 patients who were candidate for tibial fracture surgery were allocated randomly to two groups, namely, control and laser therapy. both groups had the same type of surgery and technique of spinal anesthesia. patients in laser group were treated with the combination of two lasers (gaalas, 808 nm; and gaalinp, 650 nm) at the end of the surgery while control group received laser in turn-off mode with the same duration as laser group. patients were evaluated for pain intensity according to the visual analogue scale (vas) and the amount of analgesic use during 24 hours after surgery. results laser group experienced less pain intensity in comparison with control group at second, fourth, eighth, 12th, and 24th hours after surgery (p value < 0.05). in addition, the amount of consumed opioid in laser group was significantly less than the control group (51.62 ± 29.52 and 89.28 ± 35.54 mg, respectively; p value, 0.008). conclusions low level laser therapy is a proper method to reduce postoperative pain because it is painless, safe, and noninvasive and is easily accepted by patients.

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Journal title:
anesthesiology and pain medicine

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