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 Patient:
74 year old female
Presenting Complaint:
Right chest and breast skin irritation from 30 radiation therapy treatments which just concluded.
Medical History:
B.U. was diagnosed with breast cancer 09/2006. Additional medical history included non-insulin dependant diabetes and high cholesterol. Medication included Celexa. An aggressive treatment program was initiated including lumpectomy, chemotherapy and concluding with radiation therapy. The outcome was deemed successful. Residual cutaneous inflammation, erythema, and ulceration resulted. Her pain levels were estimated at 8/9 on a 10 point scale.
Medical Treatment:
B.U. had a positive class IV therapeutic laser experience in 2006 with resolution of a chronic Achilles tendonitis. She asked to receive therapeutic laser for her most recent condition. Digital pictures were performed on 5/11/2007 to document tissue damage. Treatment was initiated using the K-Laser 6D model at the following settings:
Superficial Cutaneous Protocol, Modifications: 2 W, Technique: scanning at 1 cm distance moving at approximately 5 seconds per cm over erythemic and ulcerated tissue. Direct contact for 10 seconds per cm2 was then performed along the periphery of the upper chest ulcer. Total treatment time was 4 minutes. A total of 4 treatments were performed over a 3 week period. Serial pictures were performed in office and by the patient at home. By the third treatment pain levels had dropped to a level of 1 on a 10 point scale. Nearly complete resolution of visual cutaneous tissue trauma was achieved and the patient was released from active care.
Document is property of Daniel Knapp, D.C. and may only be distributed with permission.
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