1
Low Intensity Laser Therapy in the
Treatment of Periphero-Arterial Occlusive Disease
Fred Kahn, M.D., FRCS(C) Ailin Oishi-Stamatiou, B.Sc, DC
This study consists of two patients who had previously been subjected to amputation of a lower
extremity and were facing a similar situation at time of presentation in March 2004. Both had
suffered from a longstanding history of arterial insufficiency, accompanied by multiple dermal
ulcers.
In each instance, the forefoot was deeply cyanotic and edematous, the mid foot demonstrated
violent erythema and both feet were cold to the touch. There was a history of unrelenting pain and
inability to sleep. Symptoms were being managed by the utilization of multiple pharmaceuticals
including analgesics, medications for sleep and depression, along with aggressive oral and
intravenous antibiotic therapy, and various ointments applied locally.
Case No. 1: WLF
Case No. 2: DM
Diagnosis: Buergers Disease Diabetes Mellitus with
(Thromboangiitis Obliterans) advanced atherosclerosis.
Surgical Procedures: Amputation left leg April 2003. Amputation right leg May 1999.
Amputation left 5
th
toe Sept 1999.
Bilateral femoro-popliteal bypass grafts 1998.
Penile implant 1984.
Therapy/Medications: Analgesics, vasodilators, Antibiotics: Ceftazidime IV, Clindamycin orally.
antidepressants, sleeping Other: Altace, insulin injections twice daily,
medications, localized wound care debridement by home care daily, dressings and
consisting of anti-inflammatory, utilization of copious amounts of
antibiotic ointments. antibiotic, anti-inflammatory ointments.
Age: 58 Age: 61
Medical/
Social History Property Manager Semi-retired, manager of a delivery business
Confined to a wheelchair Has right prosthesis
Has left prosthesis Walking minimal due to intermittent
Unemployed one year claudication and pain in foot.
Depressed/Suicidal. Depression, anger, fear, uncooperative.