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Physiotherapy for dermatitis and dermatosis
Last reviewed: 07.07.2025
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All dermatitis and dermatoses, for the treatment of which there are no indications for hospitalization, have to be treated in outpatient and polyclinic conditions or at home. In this case, the methods of drug therapy of this pathology in the form of external use of appropriate ointments and oral administration of various medications are necessarily supplemented by possible methods of physiotherapy.
One of the universal treatment methods using external physical factors for dermatitis and dermatoses is low-energy laser radiation, since the pathogenetic determinacy of its effect is predetermined by the achievement of anti-inflammatory, anti-edematous, desensitizing, immunocorrective and regenerative effects, as well as improvement of regional blood circulation.
Laser exposure is carried out using devices that generate radiation of the red (wavelength 0.63 μm) or near infrared (wavelength 0.8 - 0.9 μm) part of the optical spectrum, in continuous or pulsed mode of generating this radiation. The exposure method is distant (gap 0.5 cm), stable or labile.
Open affected areas of skin are irradiated. Before the procedure, the affected skin surface is cleaned of moist serous or purulent discharge. Infrared radiation is used in the presence of scales or crusts. When using pulsed infrared emitters, exposure through 2-3 layers of gauze or bandage is permissible.
Irradiation is carried out in fields, covering the entire affected skin surface according to the configuration of the pathological area, from the periphery to the center, and healthy tissues within 1 - 1.5 cm. It is possible to use the laser beam scanning technique with a speed of movement of the emitter (beam) of 1 cm/s.
PPM NLI 1 - 5 mW/cm 2. If frequency modulation of NLI is possible, the following parameters are optimal: if there is an inflammatory reaction of the skin, the first 5 procedures are performed at a frequency of 80 Hz, all subsequent procedures until the completion of the physiotherapy course are performed at a frequency of 10 Hz.
The exposure time on the field is up to 5 minutes. The course of treatment is 10-15 procedures daily, once a day in the morning.
Repeated courses of laser treatment for chronic dermatological diseases can be carried out after 1-3 months. It should be known that for diseases such as neurodermatitis and some forms of eczema, the first course of laser therapy can be highly effective. However, with subsequent repeated courses of this method of physiotherapy for the indicated diseases, its therapeutic effectiveness progressively decreases.
Clinical experience shows that the use of information-wave exposure by the Azor-IK device is quite effective in treating dermatitis and dermatoses. The technique is distant (gap 0.5 cm), labile.
The entire affected skin surface is irradiated according to the configuration of the pathological area, from the periphery to the center with irradiation of healthy tissue within 1 - 1.5 cm, with a speed of movement of the emitter (beam) of 1 cm/s.
If there is an inflammatory reaction of the skin, the first 5 procedures are performed at a frequency of 80 Hz, all subsequent procedures at a frequency of 10 Hz.
The exposure time per procedure is up to 30 minutes. The course of treatment is up to 15 procedures daily, once a day in the morning.
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