PAIN

Pain is the chief reason people visit doctors.   It stands to reason that anyone treating pain (or being treated for it!) would like to know what works best.  And there shouldn’t be any doubt about it, should there?

Yet that is not the case.  There is enormous confusion throughout health care and on the part of the public as to what genuinely works best.  All of us age, experience illness and eventually die.  Don’t we owe it to ourselves give our best to one another while we are still here in these bodies?

Therapies which stimulate healing of the underlying tissue trauma causing pain are few and far between.  Shouldn’t such methods be the first ones given?

Laser and PEMF can reach and heal deep pain at the source and may be ideal therapies because:

  1. They stimulate cellular and tissue healing.
  2. Most sources of pain and the nerves for its perception are well within reach of their tissue healing, anti-inflammatory and analgesic effects.
  3. Efficacy and safety demonstrated in a broad range of conditions over many years. [1]

Laser therapy can penetrate five centimeters to effectively reach the source of almost any pain in soft tissue, vertebrae and joints. Besides its properties to stimulate tissue regeneration, laser therapy can also block neural transmission by C fibers (dull, difficult to locate pain) and A delta fibers (sharp, easy to pinpoint pain).  Laser therapy may provide immediate relief even for many individuals whose pain has seemed unremitting and intractable.

Pulsed electromagnetic fields (PEMF) which pass though tissue as if it were transparent can penetrate the whole body, inducing electrical currents and stimulating healing

anywhere they are applied.  PEMF has been shown to reduce inflammation and stimulate tissue repair in a broad range of conditions with beneficial effects documented at cellular, tissue, system and whole body levels.  An added advantage is that treatment can be unattended so highly cost-effective for patients.  Combined treatment with laser and PEMF may give better results than either method on its own.  Even chronic pain which has not responded to other methods may be rapidly alleviated by laser and PEMF.

 The Nature of Pain

Pain is information.   If you are experiencing it, there is always a reason.  It is wise to honor an inner voice telling us to avoid what is painful.  Much current practice for “managing” pain, if it involves aggressively stretching and manipulating tendons, ligaments and tissues already pushed beyond their limits, goes against what our bodies are telling us.   Dismissing the failure of this approach as the fault of the patient or an inherent problem within the brain or central nervous system may be no more than a poor excuse for inappropriate treatment.

Soft tissue takes time and rest to heal.    Would anyone treat a broken ankle by forcefully bending and twisting it?  Actively resting + appropriate laser and / or PEMF are a sound approach to support the healing of soft tissue injuries, arthritis and pain in general.

Laser Therapy Research

Pulsed Electromagnetic Field Therapy Research

Chronic pain and disability can be prevented.

When acute pain is inadequately or incorrectly treated, it frequently becomes chronic. Chronic pain is the leading cause of disability.  If appropriate laser and pulsed electromagnetic field therapies were to be administered at the outset of injury, much disability, chronic pain and the high medical costs and suffering associated with them can be avoided.

Lasers and PEMF have been shown to improve and even to reverse many chronic inflammatory conditions. Even better, they have demonstrated much greater safety than current methods. We have been spending three out of four of every health care dollars in the US to “manage” chronic inflammatory conditions.   Why “manage” what you can heal? [2] Laser and other forms of photomedicine and PEMF promise better clinical outcomes in pain and many other inflammatory conditions and a healthier, happier, far more cost-effective future.

[1] Pulsed electromagnetic field therapy research is well worth viewing and available HERE.

[2] $2.6 trillion  was spent on health care in the U.S. in 2010 and approximately $1.95 trillion to “manage” chronic inflammatory conditions.

Copyright 2011-2017 by David Rindge.  All rights reserved.

Pain

Pain is the chief reason people visit doctors.   It stands to reason that anyone treating pain (or being treated for it!) would like to know what works best.  And there shouldn’t be any doubt about it, should there?

Yet that is not the case.  There is enormous confusion throughout health care and on the part of the public as to what genuinely works best.  Therapies which stimulate healing of the underlying tissue trauma causing pain deserve to be on the front line and should be the first methods applied, not the last.

Laser and PEMF can reach and heal deep pain at its source.

Laser and pulsed electromagnetic fields (PEMF) are ideal therapies in pain because:

  1. They stimulate cellular and tissue healing.
  2. Most sources of pain as well as the nerves critical for its perception are well within reach of their tissue healing, anti-inflammatory and analgesic effects.
  3. Efficacy, affordability and track record for safety.

Laser therapy can penetrate five centimeters to effectively reach the source of almost any pain in soft tissue, vertebrae and joints. Besides its properties to stimulate tissue regeneration, laser therapy can also block neural transmission by C fibers (dull, difficult to locate pain) and A delta fibers (sharp, easy to pinpoint pain).  Laser therapy may provide immediate relief even for many individuals whose pain has seemed unremitting and intractable.

Pulsed electromagnetic fields (PEMF) which pass though tissue as if it were transparent can penetrate the whole body, inducing electrical currents and stimulating healing anywhere they are applied.  PEMF has been shown to reduce inflammation and stimulate tissue repair in a broad range of conditions with beneficial effects documented at cellular, tissue, system and whole body levels.  An added advantage is that treatment can be unattended so highly cost-effective for patients.  Combined treatment with laser and PEMF may give better results than either method on its own.  Even chronic pain which has not responded to other methods may be rapidly alleviated by laser and PEMF.

 The Nature of Pain

Pain is information.   If you are experiencing it, there is always a reason.  It is wise to honor an inner voice telling us to avoid movement which is painful.  Much current practice for “managing” pain, if it involves aggressively stretching and manipulating tendons, ligaments and tissues already pushed beyond their limits, goes against what our bodies are telling us.   Dismissing the failure of this approach as the fault of the patient or an inherent problem within the brain or central nervous system may be no more than a poor excuse for inappropriate treatment.

Soft tissue takes time and rest to heal.    Would anyone treat a broken ankle by forcefully bending and twisting it?  Actively resting + energy-based methods are a sound approach to support the healing of soft tissue injuries, arthritis and pain in general.

Laser Therapy Research

Pulsed Electromagnetic Field Therapy Research

Chronic pain and disability can be prevented.

When acute pain is inadequately or incorrectly treated, it frequently becomes chronic. Chronic pain is the leading cause of disability.  If appropriate laser and pulsed electromagnetic field therapies were to be administered at the outset of injury, much disability, chronic pain and the high medical costs and suffering associated with them can be avoided.

Lasers and PEMF have been shown to improve and even to reverse many chronic inflammatory conditions. Even better, they have demonstrated much greater safety than current standard practice. We have been spending three out of four of every health care dollars in the US to “manage” chronic inflammatory conditions.   Why “manage” what you can heal? [1] Laser and other forms photomedicine and PEMF promise better clinical outcomes in pain and in many other inflammatory conditions and a healthier, happier, far more cost-effective future.

[1] $2.6 trillion  was spent on health care in the U.S. in 2010 and approximately $1.95 trillion to “manage” chronic inflammatory conditions.

Copyright 2011-2017 by David Rindge.  All rights reserved.

Inspire and Deepen Your Practice!

Gain a solid foundation in the theory and parameters for success with energy-based methods.  Receive hands-on training in laser needle acupuncture with 3B-Laser shown above, a wide range of pulsed electromagnetic field therapy devices including Curatronic’s new, High Intensity, Combined PEMF-LED Probe, new, Extreme Intensity, Flash PEMF and the complete 2000PC system, BioPhotas, new, ground-breaking, flexible Celluma light emitting diode system, Luminex by Medical Laser Systems, and more.  2016/17 has been a breakthrough year for new technology and devices.  There is much new to gain in this course.

Day 1 focuses on theory, biological effects and essentials for treatment success.   You will have the opportunity for hands-on practice with state-of-the-art laser, laser needle acupuncture, pulsed electromagnetic field and light emitting diode therapy systems for the treatment of pain, head to toe.

In Day 2, you will learn how laser, laser needle, light emitting diode and pulsed electromagnetic field therapy devices may be applied successfully in aesthetics / dermatology / facial rejuvenation, cardiovascular disease, digestive, ear and eye disorders, gynecology, for hair regrowth, neuropathy, osteoporosis, respiratory disorders, sports medicine and much more.

David Rindge and Healing Light Seminars have been practicing with and teaching energy-based methods continually since 2002.  We constantly update our methods and equipment as new technology and information become available.  We will only recommend a device if we are continuing to use it clinically, have found it effective, reliable and to deliver genuine value.

You will receive Laser Therapy: A Clinical Manual as part of the course.

Laser Therapy - A Clinical ManualThis popular training manual by Blahnik and Rindge presents the theory and clinical application of laser therapy in clearly understandable terms with treatment protocols for more than 40 conditions.  Laser Therapy: A Clinical Manual is an important important resource in the course and a $79.00 value.  You will also receive treatment protocols for other conditions, updates and much, much more relevant material in this course.

Our goal is to provide you with everything you need to come from knowledge and strength in your practice with laser, laser needle, led and pulsed electromagnetic field therapies.  Learn More and Register Here.

Course Date / Location

November 4-5, 2017.  Wild Manta, 5151 South Babcock St, Palm Bay, FL 32905.  (321) 676-8606.

LEARN MORE AND REGISTER HERE

Or call 321-751-7001.

Healing Light Seminars

Training in Energy-based Therapies since 2002

14 PDAs – NCCAOM 322-5

14 CEUs Florida Acupuncturists

NCCAOM emblem

Pain

by David Rindge

Pain is the chief reason people visit doctors.   It stands to reason that anyone treating pain (or being treated for it!) would like to know what works best.  … And there shouldn’t be any doubt about it, should there?

Yet that is not yet the case.  There is enormous confusion both in the medical community and on the part of the public as to what genuinely works best.  Therapies which stimulate healing of the underlying tissue trauma causing pain deserve to be on the front line and should be the first methods applied, not the last.

Laser and PEMF can reach and heal deep pain at its source.

Laser and pulsed electromagnetic field therapy are ideal Neural Targets of the Head and Necktreatments for pain because:

  1.  They stimulate cellular and tissue healing.
  2.  Most sources of pain as well as the nerves critical for its perception are well within reach of their tissue healing, anti-inflammatory and analgesic effects.
  3.  Efficacy, affordability and track record for safety.

Laser therapy can penetrate five centimeters to effectively reach the source of almost any pain in soft tissue, vertebrae and joints. Besides its properties to stimulate tissue regeneration, laser therapy can also block neural transmission by C fibers (dull, difficult to locate pain) and A delta fibers (sharp, easy to pinpoint pain).  Laser therapy may provide immediate relief even for many individuals whose pain has seemed unremitting and intractable.

Pulsed electromagnetic fields (PEMF) which pass though tissue as if it were transparent can penetrate the whole body, inducing electrical currents and stimulating healing anywhere they are applied.  PEMF has been shown to reduce inflammation and stimulate tissue repair in a broad range of conditions with beneficial effects documented at cellular, tissue, system and whole body levels.  An added advantage is that treatment can be unattended so highly cost-effective for patients.  Combined treatment with laser and PEMF may give better results than either method on its own.  Even chronic pain which has not responded to other methods may be rapidly alleviated by laser and PEMF.

The Nature of Pain

Pain is information.   If you are experiencing it, there is always a reason.  It is wise to honor an inner voice telling us to avoid movement which is painful.  Much current practice for “managing” pain, if it involves aggressively stretching and manipulating tendons, ligaments and tissues already pushed beyond their limits, goes against what our bodies are telling us.   Dismissing the failure of this approach as the fault of the patient or an inherent problem within the brain or central nervous system may be no more than a poor excuse for inappropriate treatment.

Soft tissue takes time and rest to heal.    Would anyone treat a broken ankle by forcefully bending and twisting it?  Actively resting + energy-based methods are a sound approach to support the healing of soft tissue injuries, arthritis and pain in general.

Laser Therapy Research

Pulsed Electromagnetic Field Therapy Research

Chronic pain and disability can be prevented.

Chronic pain is the leading cause of disability.  When acute pain is not correctly treated, it frequently becomes chronic. If appropriate laser and pulsed electromagnetic field therapies were to be administered at the outset of injury, much disability, chronic pain and the high medical costs and suffering associated with them can be avoided.

Lasers and PEMF have been shown to improve and even to reverse many chronic inflammatory conditions. Even better, they have demonstrated much greater safety than current standard practice. We have been spending three out of four of every health care dollars in the US to “manage” chronic inflammatory conditions.   Why “manage” pain when you can heal it? [1] Laser and other forms photomedicine and PEMF promise better clinical outcomes in pain and many other inflammatory conditions and a healthier, happier, far more cost-effective future for all of us.

[1] $2.6 trillion  was spent on health care in the U.S. in 2010 and approximately $1.95 trillion to “manage” chronic inflammatory conditions.

Copyright 2011-2017 by David Rindge.  All rights reserved.

To Be Prepared is Half the Victory!

Lasers, laser needles, pulsed electromagnetic fields and light emitting diodes are the right tools for healing today’s complex patients and for your practice success!

All devices pictured above and more will likely be available for you to train and practice with in this course.

David Rindge and Healing Light Seminars have been teaching and practicing with energy-based therapies since 2002. We continually update our methods and equipment as new technology and information become available.  We will only offer a device if we are continuing to use it clinically, have found it effective and to deliver good value.

Day 1 focuses on theory, biological effects and essentials for treatment success.   You have the opportunity for hands-on practice with state-of-the-art laser, laser needle acupuncture, pulsed electromagnetic field and light emitting diode therapy systems  systems for the treatment of pain, head to toe.

In Day 2, you will learn how laser, laser needle, light emitting diode and pulsed electromagnetic field therapy devices may be applied successfully in aesthetics / dermatology / facial rejuvenation, cardiovascular disease, digestive, ear and eye disorders, gynecology, for hair regrowth, neuropathy, osteoporosis, respiratory disorders, sports medicine and much more.

You will receive Laser Therapy: A Clinical Manual as part of the course.

Laser Therapy - A Clinical Manual This popular training manual by Blahnik and Rindge presents the theory and clinical application of laser therapy in clearly understandable terms with treatment protocols for more than 40 conditions.  Laser Therapy: A Clinical Manual is an important important resource in the course and a $79.00 value.  You will also receive treatment protocols for other conditions, updates and much, much more relevant material in this course.

Gain a solid understanding of the principles, technology and parameters of energy-based therapies and the skills to apply them successfully in your practice!  Our goal is to provide you with everything you need to come from knowledge and strength in your practice with laser, laser needle, pulsed electromagnetic field and light emitting diode therapies.  Learn More and Register Here.

Course Date / Location

November 4-5, 2017.  Wild Manta, 5151 South Babcock St, Palm Bay, FL 32905.  (321) 676-8606.

LEARN MORE AND REGISTER HERE

Or call 321-751-7001.

Healing Light Seminars

Training in Energy-based Therapies since 2002

14 PDAs – NCCAOM 322-5

14 CEUs Florida Acupuncturists

NCCAOM emblem

The Promise of Energy-Based Therapies in Pain

by David Rindge.

Leading Causes of Disability

Acute pain inadequately treated frequently becomes chronic.  Chronic pain is the leading cause of disability.  We spent $2.6 trillion on health care in the U.S. in 2010, 75% of it ($1.95 trillion) to “manage” chronic inflammatory conditions.  The price is too high and consumer satisfaction too low to continue as we have been.

A growing body of science and clinical experience has shown that energy-based treatments can improve outcomes in chronic pain and also suggests health care costs will be reduced.   Low intensity lasers, leds and pulsed electromagnetic fields have well documented properties to move the body through inflammation and heal injury.  Applied at the outset, these methods hold promise to prevent many, perhaps most, acute conditions from ever becoming chronic. What would be the potential health and financial benefits for all Americans – and the economy – were these treatments to be broadly implemented and reimbursable by insurance?

 

“Arthritis or rheumatism” is the #1 cause of disability = 8.6 million people.
“Back or Spine Problems” is the #2 cause of disability = 7.6 million people
16.2 million people

To see what researchers have reported about the effects of low intensity laser, led and pulsed electromagnetic field therapies to improve the underlying pathology in the #1 and #2 causes of disability, click on:

Chronic Pain is the Leading Cause of Disability

Chronic pain affects more than one out of three U.S. citizens (>100 million). Direct costs have been estimated at $100 billion[1]. Yet though over the counter and prescription pain relievers are expensive, these costs, missed work days and the like are trivial compared to the hidden financial burden, pain and suffering born by individuals and society.

Taking care of the disabled is enormously expensive. How expensive? Nobody seems to know exactly. Besides their enormous cost, current methods may do little to address the underlying causes. How much has the high cost of current health care methods contributed to America’s economic tailspin.

Can we do better?

The best possible treatments for pain would address underlying causes, be safe and affordable. Low intensity laser, led and pulsed electromagnetic field therapies have been documented to heal tissue, promote healthy function and to improve the underlying pathology in the #1 and #2 causes of disability. Therapies documented to heal damaged tissue and improve physiological function are also likely to have an endpoint. As such, they hold great promise to improve the way we care for one another – while also lowering costs. In contrast, “managing” chronic pain endlessly with prescription or over the counter medications is hugely expensive and may do little to address the underlying disease process or to improve health.

In 2010 the Patient Protection and Affordable Health Care Act (aka Obamacare) became law.  Since 2014 Americans have been required to buy insurance.  Does yours include laser, led and pulsed electromagnetic field therapies?

Energy-Based Treatments Promise to Lower Costs and Improve Quality of Care

As we spent $2.6 trillion on health care in 2010, an average of of $8,402 per person, redistributing expensive methods which have created a seemingly impossible financial burden seems unlikely to this writer to achieve the savings necessary to make the Affordable Care Act viable.   By opening to innovation, we can raise the bar in health care, improving quality and making it affordable.

Low level lasers, leds and pulsed electromagnetic fields have properties shown to move the body through inflammation to heal damaged tissue, preventing chronic illness.  Even in long-standing disease, these methods can restore function, reduce pain and improve quality of life.  How much pain, suffering and money will be spared with the implementation of these methods as first line treatments for pain in health care?  What might it mean for the health of all Americans and the economy?

 


[1] Bjordal JM, Couppe C, Chow RT, Tuner J, Ljunggren EA, A Systematic Review of Low Level Laser Therapy with Location-Specific Doses for Pain from Chronic Joint Disorders, J Physiother. 2003;49(2):107-16.


[i] From http://www.allbusiness.com/labor-employment/compensation-benefits-wages-salaries/12503910-1.html, True cost of disability is staggering.Colorado Springs Business Journal. June 5, 2009

Copyright 2013-2016 by David Rindge. All rights reserved.

How Laser Therapy Works

Laser therapy energizes living systems.

Four well documented effects in the scientific literature are:

  1. Biostimulation / Tissue Regeneration
  2. Reduction of Inflammation
  3. Analgesia
  4. Enhanced Immune Function / Antimicrobial

The most important way in which laser therapy adds energy is through photon absorption by mitochondria. These tiny organelles which have been called the “powerhouses” of the cell, are found in most plants and animals.  Mitochondria are able to absorb laser light which then activates a series of reactions to increase and store more cellular energy in the form of adenosine triphosphate (ATP).

By increasing energy available in this readily accessible form, laser light is able to greatly stimulate the biological function of cells, tissue, and systems and even raise overall vital energy throughout the individual. “Bio” stimulation = Life stimulation!

When energy is available, the body can heal itself.

Laser therapy has been shown to stimulate the regeneration of bone, blood, the lining of blood vessels, cartilage, nerve, muscle and much more.  Moreover, it has been documented to enhance the quality of healed tissue.

Laser therapy may be an ideal treatment.   It may not only effectively address many medical conditions but also has been widely reported to improve health and wellbeing as evidenced by a host of biological markers.

Laser and NSAIDs

Lasers Med Sci. 2017 Aug 9. doi: 10.1007/s10103-017-2299-2. [Epub ahead of print]

Effects of photobiomodulation therapy and topical non-steroidal anti-inflammatory drug on skeletal muscle injury induced by contusion in rats-part 2: biochemical aspects.

Tomazoni SS1, Frigo L2, Dos Reis Ferreira TC3,4, Casalechi HL3, Teixeira S5, de Almeida P6, Muscara MN5, Marcos RL6, Serra AJ6, de Carvalho PTC4,6, Leal-Junior ECP3,4.

Author information

1
Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), Rua Cesário Galeno, 448/475, São Paulo, SP, 05508-900, Brazil. shaiane.tomazoni@gmail.com.
2
Biological Sciences and Health Center, Cruzeiro do Sul University (UNICSUL), São Paulo, SP, Brazil.
3
Laboratory of Phototherapy in Sports and Exercise, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
4
Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
5
Department of Pharmacology, Institute of Biomedical Sciences, University of São Paulo, São Paulo, SP, Brazil.
6
Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.

Abstract

Muscle injuries trigger an inflammatory process, releasing important biochemical markers for tissue regeneration. The use of non-steroidal anti-inflammatory drugs (NSAIDs) is the treatment of choice to promote pain relief due to muscle injury. NSAIDs exhibit several adverse effects and their efficacy is questionable. Photobiomodulation therapy (PBMT) has been demonstrated to effectively modulate inflammation induced from musculoskeletal disorders and may be used as an alternative to NSAIDs. Here, we assessed and compared the effects of different doses of PBMT and topical NSAIDs on biochemical parameters during an acute inflammatory process triggered by a controlled model of contusion-induced musculoskeletal injury in rats. Muscle injury was induced by trauma to the anterior tibial muscle of rats. After 1 h, rats were treated with PBMT (830 nm, continuous mode, 100 mW of power, 35.71 W/cm2; 1, 3, and 9 J; 10, 30, and 90 s) or diclofenac sodium (1 g). Our results demonstrated that PBMT, 1 J (35.7 J/cm2), 3 J (107.1 J/cm2), and 9 J (321.4 J/cm2) reduced the expression of tumor necrosis factor alpha (TNF-?) and cyclooxygenase-2 (COX-2) genes at all assessed times as compared to the injury and diclofenac groups (p < 0.05). The diclofenac group showed reduced levels of COX-2 only in relation to the injury group (p < 0.05). COX-2 protein expression remained unchanged with all therapies except with PBMT at a 3-J dose at 12 h (p < 0.05 compared to the injury group). In addition, PBMT (1, 3, and 9 J) effectively reduced levels of cytokines TNF-?, interleukin (IL)-1?, and IL-6 at all assessed times as compared to the injury and diclofenac groups (p < 0.05). Thus, PBMT at a 3-J dose was more effective than other doses of PBMT and topical NSAIDs in the modulation of the inflammatory process caused by muscle contusion injuries.

Med Oral Patol Oral Cir Bucal. 2017 Jul 1;22(4):e467-e472.

Effect of pre-operatory lowlevel laser therapy on pain, swelling, and trismus associated with third-molar surgery.

Petrini M1, Ferrante M, Trentini P, Perfetti G, Spoto G.

Author information

1
Department of Medical, Oral and Biotechnological Sciences, University of Chieti – Italy, Via Vestini 31, 66013 Chieti, Italy materialidentari.uda@gmail.com.

Abstract

BACKGROUND:

The extraction of impacted third molars is commonly associated to pain, edema, trismus, limited jaw opening and movements. The aim of this retrospective study is to verify if pre-surgical lowlevel laser therapy (LLLT) associated with the extraction of impacted lower third molars could add benefits to the postoperative symptoms respect LLLT performed only after surgery.

MATERIAL AND METHODS:

Data from 45 patients subjected to a surgical extraction of lower third molars were pooled and divided into three groups. Patients that received only routine management were inserted in the control group. Group 1, were patients that received LLLT immediately after surgery and at 24 hours. In group 2 were included patients treated with LLLT immediately before the extraction and immediately after the end of the procedure. Data were analyzed using linear regression and descriptive statistics.

RESULTS:

Both laser-treated groups were characterized by minor events of post-surgery complications of pain, edema, trismus. The use of NSAIDs in the first 24 hours was significantly inferior in Group 2.

CONCLUSIONS:

Pre-surgical LLLT treatment seems to increase the analgesic effect of LLLT. However, trismus and edema were reduced in both laser treated groups, independently from the period of irradiation.

Lasers Med Sci. 2016 Winter;7(1):45-50. doi: 10.15171/jlms.2016.10. Epub 2016 Jan 7.

Low Level Laser Therapy Versus Pharmacotherapy in Improving Myofascial Pain Disorder Syndrome.

Khalighi HR1, Mortazavi H1, Mojahedi SM2, Azari-Marhabi S1, Moradi Abbasabadi F3.

Author information

1
Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2
Department of Laser, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran,Iran.
3
Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Qom University of Medical Sciences, Qom, Iran.

Abstract

INTRODUCTION:

Temporomandibular disorders (TMD) lead to masticatory muscle pain, jaw movement disability and limitation in mouth opening. Pain is the chief complaint in 90% of the TMD patients which leads to disability and severe socioeconomic costs. The purpose of this study was to evaluate the therapeutic effects of low level laser therapy (LLLT) compared to pharmacotherapy with NSAIDs (naproxen) in myofascial pain disorder syndrome (MPDS).

METHODS:

In this randomized controlled clinical trial, 40 MPDS patients were divided into two groups. One group received naproxen 500 mg bid for 3 weeks as treatment modality and also had placebo laser sessions. The other group received active laser (diode 810 nm CW) as treatment and placebo drug. Pain intensity was measured by visual analogue scale (VAS) and maximum painless mouth opening was also measured as a functional index every session and at 2 months follow up. Data was collected and analyzed with SPSS software. Independent t test was used to analyze the data. A P < 0.05 was considered significant.

RESULTS:

Low level laser caused significant reduction in pain intensity (P < 0.05) and a significant increase in mouth opening. In naproxen group neither pain intensity nor maximum mouth opening had significant improvement. Pain relief, in subjective VAS was observed in third session in LLLT group, but did not occur in naproxen group. Maximum mouth opening increased significantly in laser group compared to the naproxen group from the eighth session.

CONCLUSION:

Treatment with LLLT caused a significant improvement in mouth opening and pain intensity in patients with MPDS. Similar improvement was not observed in naproxen group.

Lasers Med Sci. 2017 Jan;32(1):101-108. doi: 10.1007/s10103-016-2091-8. Epub 2016 Oct 10.

Effects of photobiomodulation therapy, pharmacological therapy, and physical exercise as single and/or combined treatment on the inflammatory response induced by experimental osteoarthritis.

Tomazoni SS1, Leal-Junior EC2, Pallotta RC3, Teixeira S3, de Almeida P3, Lopes-Martins RÁ4.

Author information

1
Laboratory of Pharmacology and Experimental Therapeutics, Department of Pharmacology, Institute of Biomedical Sciences, University of São Paulo (USP), Av. Prof. Lineu Prestes, 1524, Butantan, São Paulo, SP, 05508-900, Brazil. shaiane.tomazoni@gmail.com.
2
Postgraduate Program in Biophotonics Applied to Health Sciences and Post Graduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil.
3
Laboratory of Pharmacology and Experimental Therapeutics, Department of Pharmacology, Institute of Biomedical Sciences, University of São Paulo (USP), Av. Prof. Lineu Prestes, 1524, Butantan, São Paulo, SP, 05508-900, Brazil.
4
Biomedical Engineering Research and Post-Graduate Center, Mogi das Cruzes University (UMC), Mogi das Cruzes, SP, Brazil.

Abstract

Osteoarthritis (OA) triggers increased levels of inflammatory markers, including prostaglandin (PG) E2 and proinflammatory cytokines. The elevation of cytokine levels is closely associated with increased articular tissue degeneration. Thus, the use of combination therapies may presumably be able to enhance the effects on the modulation of inflammatory markers. The present study aimed to evaluate and compare the effects of photobiomodulation therapy (PBMT), physical exercise, and topical nonsteroidal anti-inflammatory drug (NSAID) use on the inflammatory process after they were applied either alone or in different combinations. OA was induced by intra-articular papain injection in the knee of rats. After 21 days, the animals began treatment with a topical NSAID and/or with physical exercise and/or PBMT. Treatments were performed three times a week for eight consecutive weeks, totaling 24 therapy sessions. Analysis of real-time polymerase chain reaction (RT-PCR) gene expression; interleukin (IL)-1?, IL-6, and tumor necrosis factor alpha (TNF-?) protein expression; and PGE2 levels by enzyme-linked immunosorbent assay (ELISA) was conducted. Our results showed that PBMT alone and Exerc + PBMT significantly reduced IL-1? gene expression (p?<?0.05) while no treatment changed both IL-6 and TNF-? gene expression. Treatment with NSAID alone, PBMT alone, Exerc + PBMT, and NSAID + PBMT reduced IL-1? protein expression (p<0.05). All therapies significantly reduced IL-6 and TNF-? protein expression (p<0.05) compared with the OA group. Similarly, all therapies, except Exerc, reduced the levels of PGE2 (p?<0.05) compared with the OA group. The results from the present study indicate that treatment with PBMT is more effective in modulating the inflammatory process underlying OA when compared with the other therapies tested.

Lasers Med Sci. 2014 Mar;29(2):653-8. doi: 10.1007/s10103-013-1377-3. Epub 2013 Jun 30.

What is the best treatment to decrease pro-inflammatory cytokine release in acute skeletal muscle injury induced by trauma in rats: low-level laser therapy, diclofenac, or cryotherapy?

de Almeida P1, Tomazoni SS, Frigo L, de Carvalho Pde T, Vanin AA, Santos LA, Albuquerque-Pontes GM, De Marchi T, Tairova O, Marcos RL, Lopes-Martins RÁ, Leal-Junior EC.

Author information

1
Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brazil.

Abstract

Currently, treatment of muscle injuries represents a challenge in clinical practice. In acute phase, the most employed therapies are cryotherapy and nonsteroidal anti-inflammatory drugs. In the last years, low-level laser therapy (LLLT) has becoming a promising therapeutic agent; however, its effects are not fully known. The aim of this study was to analyze the effects of sodium diclofenac (topical application), cryotherapy, and LLLT on pro-inflammatory cytokine levels after a controlled model of muscle injury. For such, we performed a single trauma in tibialis anterior muscle of rats. After 1 h, animals were treated with sodium diclofenac (11.6 mg/g of solution), cryotherapy (20 min), or LLLT (904 nm; superpulsed; 700 Hz; 60 mW mean output power; 1.67 W/cm(2); 1, 3, 6 or 9 J; 17, 50, 100 or 150 s). Assessment of interleukin-1? and interleukin-6 (IL-1? and IL-6) and tumor necrosis factor-alpha (TNF-?) levels was performed at 6 h after trauma employing enzyme-linked immunosorbent assay method. LLLT with 1 J dose significantly decreased (p?<?0.05) IL-1?, IL-6, and TNF-? levels compared to non-treated injured group as well as diclofenac and cryotherapy groups. On the other hand, treatment with diclofenac and cryotherapy does not decrease pro-inflammatory cytokine levels compared to the non-treated injured group. Therefore, we can conclude that 904 nm LLLT with 1 J dose has better effects than topical application of diclofenac or cryotherapy in acute inflammatory phase after muscle trauma.

Angle Orthod. 2010 Sep;80(5):925-32. doi: 10.2319/010410-10.1.

Interventions for pain during fixed orthodontic appliance therapy. A systematic review.

Xiaoting L1, Yin T, Yangxi C.

Author information

1
State Key Laboratory of Oral Disease and Department of Orthodontics, West China School of Dentistry, Sichuan University, Chengdu, China.

Abstract

OBJECTIVE:

To compare the different methods of pain control intervention during fixed orthodontic appliance therapy.

MATERIALS AND METHODS:

A computerized literature search was performed in MEDLINE (1966-2009), The Cochrane Library (Issue 4, 2009), EMBASE (1984-2009), and CNKI (1994-2009) to collect randomized controlled trials (RCTs) for pain reduction during orthodontic treatment. Data were independently extracted by two reviewers and a quality assessment was carried out. The Cochrane Collaboration’s RevMan5 software was used for data analysis. The Cochrane Oral Health Group’s statistical guidelines were followed.

RESULTS:

Twenty-six RCTs were identified and six trials including 388 subjects were included. Meta-analysis showed that ibuprofen had a pain control effect at 6 hours and at 24 hours after archwire placement compared with the placebo group. The standard mean difference was -0.47 and -0.48, respectively. There was no difference in pain control between ibuprofen, acetaminophen, and aspirin. Other analgesics such as tenoxicam and valdecoxib had relatively lower visual analog scale (VAS) scores in pain perception. Lowlevel laser therapy (LLLT) was also an effective approach for pain relief with VAS scores of 3.30 in the LLLT group and 7.25 in the control group.

CONCLUSIONS:

Analgesics are still the main treatment modality to reduce orthodontic pain despite their side effects. Some long-acting nonsteroidal anti-inflammatory drugs (NSAIDs) and cyclo-oxygenase enzyme (COX-2) inhibitors are recommended for their comparatively lesser side effects. Their preemptive use is promising. Other approaches such as LLLT have aroused researchers’ attention.

Photomed Laser Surg. 2010 Aug;28(4):553-60. doi: 10.1089/pho.2009.2576.

Acute low back pain with radiculopathy: a double-blind, randomized, placebo-controlled study.

Konstantinovic LM1, Kanjuh ZM, Milovanovic AN, Cutovic MR, Djurovic AG, Savic VG, Dragin AS, Milovanovic ND.

Author information

Abstract

OBJECTIVE:

The aim of this study was to investigate the clinical effects of lowlevel laser therapy (LLLT) in patients with acute low back pain (LBP) with radiculopathy.

BACKGROUND DATA:

Acute LBP with radiculopathy is associated with pain and disability and the important pathogenic role of inflammation. LLLT has shown significant anti-inflammatory effects in many studies.

MATERIALS AND METHODS:

A randomized, double-blind, placebo-controlled trial was performed on 546 patients. Group A (182 patients) was treated with nimesulide 200 mg/day and additionally with active LLLT; group B (182 patients) was treated only with nimesulide; and group C (182 patients) was treated with nimesulide and placebo LLLT. LLLT was applied behind the involved spine segment using a stationary skin-contact method. Patients were treated 5 times weekly, for a total of 15 treatments, with the following parameters: wavelength 904 nm; frequency 5000 Hz; 100-mW average diode power; power density of 20 mW/cm(2) and dose of 3 J/cm(2); treatment time 150 sec at whole doses of 12 J/cm(2). The outcomes were pain intensity measured with a visual analog scale (VAS); lumbar movement, with a modified Schober test; pain disability, with Oswestry disability score; and quality of life, with a 12-item short-form health survey questionnaire (SF-12). Subjects were evaluated before and after treatment. Statistical analyses were done with SPSS 11.5.

RESULTS:

Statistically significant differences were found in all outcomes measured (p < 0.001), but were larger in group A than in B (p < 0.0005) and C (p < 0.0005). The results in group C were better than in group B (p < 0.0005).

CONCLUSIONS:

The results of this study show better improvement in acute LBP treated with LLLT used as additional therapy.

J Oral Rehabil. 2008 Dec;35(12):925-33. doi: 10.1111/j.1365-2842.2008.01891.x.

Lowlevel laser therapy improves bone repair in rats treated with anti-inflammatory drugs.

Ribeiro DA1, Matsumoto MA.

Author information

1
Department of Biosciences, Federal University of Sao Paulo, UNIFESP, Santos, SP, Brazil. daribeiro@unifesp.br

Abstract

Nowadays, selective cyclooxygenase-2 non-steroidal anti-inflammatory drugs have been largely used in surgical practice for reducing oedema and pain. However, the association between these drugs and laser therapy is not known up to now. Herein, the aim of this study was to evaluate the action of anti-COX-2 selective drug (celecoxib) on bone repair associated with laser therapy. A total of 64 rats underwent surgical bone defects in their tibias, being randomly distributed into four groups: Group 1) negative control; Group 2) animals treated with celecoxib; Group 3) animals treated with lowlevel power laser and Group 4) animals treated with celecoxib and lowlevel power laser. The animals were killed after 48 h, 7, 14 and 21 days. The tibias were removed for morphological, morphometric and immunohistochemistry analysis for COX-2. Statistical significant differences (P < 0.05) were observed in the quality of bone repair and quantity of formed bone between groups at 14 days after surgery for Groups 3 and 4. COX-2 immunoreactivity was more intense in bone cells for intermediate periods evaluated in the laser-exposed groups. Taken together, such results suggest that lowlevel laser therapy is able to improve bone repair in the tibia of rats as a result of an up-regulation for cyclooxygenase-2 expression in bone cells.

Clin Orthop Relat Res. 2008 Jul;466(7):1539-54. doi: 10.1007/s11999-008-0260-1. Epub 2008 Apr 30.

Treatment of tendinopathy: what works, what does not, and what is on the horizon.

Andres BM1, Murrell GA.

Author information

1
Orthopaedic Research Institute, St George Hospital, University of New South Wales, Level 2 Research and Education Building, 4-10 South Street, Kogarah, Sydney, NSW, 2217, Australia. bandres@yahoo.com

Abstract

Tendinopathy is a broad term encompassing painful conditions occurring in and around tendons in response to overuse. Recent basic science research suggests little or no inflammation is present in these conditions. Thus, traditional treatment modalities aimed at controlling inflammation such as corticosteroid injections and nonsteroidal antiinflammatory medications (NSAIDS) may not be the most effective options. We performed a systematic review of the literature to determine the best treatment options for tendinopathy. We evaluated the effectiveness of NSAIDS, corticosteroid injections, exercise-based physical therapy, physical therapy modalities, shock wave therapy, sclerotherapy, nitric oxide patches, surgery, growth factors, and stem cell treatment. NSAIDS and corticosteroids appear to provide pain relief in the short term, but their effectiveness in the long term has not been demonstrated. We identified inconsistent results with shock wave therapy and physical therapy modalities such as ultrasound, iontophoresis and lowlevel laser therapy. Current data support the use of eccentric strengthening protocols, sclerotherapy, and nitric oxide patches, but larger, multicenter trials are needed to confirm the early results with these treatments. Preliminary work with growth factors and stem cells is promising, but further study is required in these fields. Surgery remains the last option due to the morbidity and inconsistent outcomes. The ideal treatment for tendinopathy remains unclear.

Inspire and deepen your practice!

Laser, laser needle acupuncture,light emitting diode and pulsed electromagnetic field therapies are the right tools for healing today’s complex patients and for your practice success.

4-24-17 PrePNG - Images for HLS WHITE

All devices pictured above (and more) will likely be available for you to train and practice with in this course.  Learn more about them in the links below.

Healing Light Seminars and David Rindge have been practicing, teaching and continually updating our treatment methods and equipment since 2002. Our goal, first and foremost, is to provide you with a foundation for success with energy-based therapies.  We will only offer devices we have found to be effective, well made and which we are continuing to use clinically.  Yet our goal is to ensure that you learn the parameters and methods for success whether or not you buy from us.  .

Day 1 focuses on theory, biological effects and essentials for clinical success.   You have the opportunity for hands-on practice with state-of-the-art laser, laser needle, led and pemf systems for the treatment of pain, head to toe.

In Day 2, you will learn how to apply laser, laser needles, led and pulsed electromagnetic field therapies for aesthetics / dermatology / facial rejuvenation, cardiovascular disease, digestive, ear and eye disorders, gynecology, for hair regrowth, neuropathy, osteoporosis, respiratory disorders, sports medicine and more.

You will receive Laser Therapy: A Clinical Manual as part of the course.

Laser Therapy - A Clinical Manual This popular training manual by Blahnik and Rindge presents the theory and clinical application of laser therapy in clearly understandable terms with treatment protocols for more than 40 conditions.  Laser Therapy: A Clinical Manual is an important important resource in the course and a $79.00 value.  You will also receive treatment protocols for other conditions, updates and much, much more relevant material in this course.

Gain a solid understanding of energy-based therapies.    NCCAOM 322-5, seven hours each day, Saturday and Sunday.    Learn More.

Course Dates / Location

November 4-5, 2017.  Palm Bay, FLWild Manta, 5151 South Babcock St, Palm Bay, FL 32905.  (321) 676-8606.

 

LEARN MORE AND REGISTER HERE

Or call 321-751-7001.

Healing Light Seminars

Training in Energy-based Therapies since 2002

14 PDAs – NCCAOM 322-5

14 CEUs Florida Acupuncturists