Venous Laser Therapy for Post-Surgery Recovery - Neurosurgery

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Venous laser therapy


Hello, I would like to ask about my condition.
I previously had a cerebral vascular arteriovenous malformation, which was surgically removed about five months ago.
Currently, the most noticeable sequela is central facial nerve paralysis, and I am undergoing rehabilitation (electrotherapy and laser therapy).
Since there has been no significant improvement, the rehabilitation physician suggested that I try out-of-pocket intravenous laser therapy.
Do you have any other recommendations?
The neurosurgeon who performed my surgery advised me to avoid foods that promote blood circulation (e.g., ginseng).
It seems that intravenous laser therapy enhances the activation of red blood cells to accelerate recovery in damaged areas.
Would this be considered a blood circulation-promoting effect? I am concerned about whether this could affect the area of my brain where the surgery was performed.
Additionally, does blood pressure tend to increase during intravenous laser therapy? Thank you.

Mr. Chen, 30~39 year old female. Ask Date: 2020/08/25

Dr. Zhang Junwei reply Neurosurgery


Venous laser treatment is not within the scope of neurosurgery.
It is recommended to consult a rehabilitation physician for inquiries.

Reply Date: 2020/08/25

More Info


Venous Laser Therapy, particularly in the context of post-surgical recovery, is an intriguing subject, especially for patients who have undergone significant procedures such as the removal of an arteriovenous malformation (AVM) in the brain. Your concerns regarding the potential effects of this therapy on your recovery and the implications for your central facial nerve paralysis are valid and deserve careful consideration.

Firstly, it's important to understand what Venous Laser Therapy entails. This treatment utilizes laser light to target specific areas of the body, promoting healing by enhancing blood flow and reducing inflammation. The mechanism behind this is that the laser light can stimulate the cells involved in the healing process, including fibroblasts and endothelial cells, which can lead to improved tissue repair and regeneration. In your case, this could potentially aid in the recovery of the facial nerve function.

Regarding your specific concerns about whether this treatment could be considered "blood activating" or "活血," it is indeed true that laser therapy can enhance circulation and promote the healing of tissues. However, the term "活血" often refers to traditional Chinese medicine concepts that may not directly correlate with Western medical practices. While laser therapy does improve blood flow, it does so in a controlled manner that is generally safe for patients who have had brain surgery. The concern about stimulating blood flow in the context of your previous AVM surgery is understandable, but the laser therapy is localized and should not significantly affect the surgical site in a detrimental way.

As for the advice from your neurosurgeon to avoid certain "blood-activating" foods, this is likely a precautionary measure to minimize any risk of bleeding or complications associated with your previous surgery. It is essential to follow your surgeon's recommendations, as they are tailored to your specific medical history and condition.

In terms of blood pressure during Venous Laser Therapy, it is generally not expected to cause significant increases in blood pressure. However, individual responses can vary, and factors such as anxiety or discomfort during the procedure could potentially lead to transient changes in blood pressure. It is advisable to discuss any concerns about blood pressure with the healthcare provider administering the therapy, as they can monitor your vital signs and ensure your safety throughout the treatment.

Lastly, since you are currently undergoing rehabilitation for facial nerve paralysis, it is crucial to maintain open communication with your rehabilitation team. They can provide insights into how Venous Laser Therapy might complement your existing treatment plan, including electrical stimulation and other modalities. If you do decide to pursue this therapy, it would be beneficial to have a coordinated approach involving both your rehabilitation specialists and the provider of the laser therapy.

In conclusion, while Venous Laser Therapy may offer potential benefits for your recovery, it is essential to weigh these against the advice of your neurosurgeon and rehabilitation team. Always prioritize a collaborative approach to your care, ensuring that all your healthcare providers are informed and working together to support your recovery. If you have any further questions or concerns, do not hesitate to reach out to your medical team for personalized advice.

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