Deep Oscillation Helping to Reduce Keloid Scarring
by Sue Hansard, Lymphoedema Nurse Specialist, Mentor, Educator and Writer at FIRST LYMPH CARE
Female, 31 years of age, generally fit and well, no health issues is a Mother to two under five-year-olds. There were no contraindications to Deep Oscillation or low level laser therapy noted on completing her medical consultation.
My client had undergone private surgery to repair an umbilical hernia, with muscle repair, abdominoplasty and vaser liposuction to the abdomen after the first lockdown. Unfortunately, a wound infection had led to visible keloid scarring (see image) and deeper tethering/cording mid-abdomen, this was uncomfortable and unsightly. The length of the scar was 4 cm. I recommended the lady also use Pro-Sil™ gel daily on the scar line to help smooth/softens and diminish appearance of scars.
Deep Oscillation Electrostatic Massage deliver via gloved hands application: 10 mins at higher range 120 Hz - 180 Hz, 10 mins at lower range 14 Hz -30 Hz
Low level laser therapy (LLLT) - 10 mins over scar line
During Deep Oscillation treatment the scar and cording softened and was more mobile as fascial release occurred.
As a Lymphoedema Specialist Nurse, there is no greater 'buzz' than when during a treatment, the skin and tissues beneath my hands begins to change texture, tonicity. I don't tell the patient that it is happening, but ask them to feel the area themselves and give me feedback. Their facial expression says it all. This happened with this lady.
Amazing. I love this piece of kit! And my patients do too!
Client has consented to sharing case history.
WHAT IS DEEP OSCILLATION?
DEEP OSCILLATION® is an internationally patented, proven technology based on the effects of creating an electrostatic field in the tissue of the patient. Easy application is from therapist to patient/client via hygienic, vinyl gloved hands; utilizing all normal massage movements or via circular movements over the tissue with a handheld applicator. The handheld applicator also enables self-treatment. Visit the DEEP OSCILLATION® product range
The special structure of DEEP OSCILLATION® allows the creation of biologically effective oscillations in the treated tissue using electrostatic attraction and friction. In contrast to other therapies, these pleasant oscillations have a gentle and deep-acting effect on all tissue components to an 8 cm depth (through skin, connective tissue, subcutaneous fat, muscles, blood and lymph vessels).
Because of the non-invasive, non-traumatic, gentle nature of this therapy, very early possibilities of application are possible following injury and from Day One post operatively. Chronic conditions can also be worked upon with effective results.
The following physiological effects of DEEP OSCILLATION® are clinically proven:
- Highly effective in reducing pain
- Effective in reabsorbing oedema (swelling)
- Encouraging wounds to heal
- Fibrosis Reduction
- Improving trophicity
- Rubor reduction (haematoma/bruising)
- Improving quality of tissue
What is Low level laser therapy (LLLT)?
"Low level laser therapy (LLLT) is the use of low energy laser light in injuries and wounds in order to improve wound healing, reduce inflammation and alleviate pain. The laser light is monochromatic, coherent and in the red or near infrared spectrum (600 nm – 1000 nm). It is applied at low power density (1 mW to 500 mW/cm2) (“low energy laser”).
In contrast to other medical laser applications LLLT is not a thermal method (i.e. surgical lasers), but produces photochemical effects in the tissue in a similar way to photosynthesis in plants. LLLT is simple to use, effective and cost-efficient and free of side effects. Treatment takes a few minutes and depending on the indication is repeated at longer or shorter intervals and in accordance with healing success. The success of LLLT is based on the following general action principles: tissue regeneration, inhibition of inflammation, alleviation of pain, improvement in circulation, reduction in swelling" Low-Level-Laser-Therapy (LLLT) in Chronic Wounds - Ludwig-Maximilian University Munich, Germany
Mosca, R. C., et al. (2019). "Photobiomodulation Therapy for Wound Care: A Potent, Noninvasive, Photoceutical Approach." Adv Skin Wound Care 32(4): 157-167.
Kuffler, D. P. (2016). "Photobiomodulation in promoting wound healing: a review." Regen Med 11(1): 107-122.