Testimonial: Cindy Perlin, LCSW, BCB

Cindy Perlin, LCSW, BCBI’m getting a lot out of my Thor Laser device. I’m using only 1/3 of the eye drops I was using before for my dry eye. It got infected 25 years ago after a contact lens jammed in my eye. I also had pain walking and when stretching arch of foot but I can now walk comfortably again, and I’ve been using it to stimulate my lymph nodes to get over a cold. Great stuff!”

Cindy Perlin, LCSW, BCB
Delmar, New York
Author of ‘The Truth About Chronic Pain Treatments: The Best and Worst Strategies for Becoming Pain Free

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Testimonial: Dr. Kevin Hole

Dr Kevin HoleHello James and Mark,
Happy New Year!

Thank you for the training course last September. As you know, I had been studying the possibility of this treatment modality for some time but had not encountered Thor Photomedicine.

I was very encouraged when I happened upon your promotional notices and began to examine the biological and clinical foundation of your products. The course fulfilled expectations and the opportunity to have hands on time with the equipment was inspiring. I have always made it a priority to purchase quality equipment for my dental practice and it was immediately apparent that the Thor System was intelligently designed, extremely well constructed and robust for regular clinical use.

I am extremely pleased with the 5 Probe Thor Laser System purchased last September and my initial confidence in the product has been amply rewarded.

The capacity for clinicians to treat their patients at a cellular level will vastly expand the frontier of Preventive Dentistry. It is, of course, early days but my initial clinical results point to the successful application of this technology in the treatment of the following –

  • TMJ Dysfunction, Myo-Facial pain, Neck pain
  • Maintenance of pulp vitality subsequent to dentinal remineralisation procedures
  • Periodontal disease subsequent to non-surgical procedures
  • Facilitation of the healing of extraction sockets
  • Dramatic reduction of dentinal hypersensitivity
  • Recurrence of pain in vital teeth that had previously received restorative treatment for deep fractures. Following the use of both intra-oral probes the teeth rapidly returned to normal.
  • Trigeminal Neuralgia
  • Paresthesia of the lower left lip region (sensory innervation from Mental Nerve); The area had been completely numb for 18 months and after 4 treatments briefly “woke up for a couple of days”. The patient said the feeling was extremely annoying and he almost felt like pulling the lip off. The paresthesia returned and we have done 2 more treatments but illness has prevented him from returning. I feel that he has a good prospect for the resolution of this condition. He had left parotid gland surgery with X-RAY Therapy about 20 years ago and, interestingly, the skin on the side of his face, which was hardened with very dense scars became supple and displayed a normal texture.

As for non-dental applications-
My eldest son’s hand injury has progressed very well after excellent surgery and I have confidence that PBMT will effectively deal with the dense scar tissue that runs through the middle of the the rescued index finger nail bed. I commenced Thor treatment as soon as I had the machine, and we have averaged about twice weekly. I will send photos.

I have been treating my wife’s knee injury (pain approximately 10 years, she did not want to have surgery); she can now sleep without NSAIDs and has resumed aerobic training.

My elbow problem no longer impedes heavy weight training, the joint feels stable and pain is now only occasional and minimal.

I am regularly applying the 69 array probe to adult family members for stem cell stimulation, urticaria, cuts, bruises etc. etc.
It really is a revelation and the sense that one can make a substantial contribution to the health and healing of others is both compelling and serene.

Warm Regards,

Kevin Hole
General Dentist
NSW, Australia

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Literature watch update: End 2014

130 new LLLT papers for you including a systematic review on shoulder tendinopathies, a lovely article review in an orthopaedics journal by Howard Cotler, four systematic reviews on orthodontic tooth movement, a trial showing LEDs improve sperm motility, another systematic review on oral mucositis and much more.

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BMJ snubs LLLT for neck pain again, but gives drugs with no evidence a pass

As reported here in 2013 there are no licensed drugs for non-specific neck pain because “there isn’t much specific research that shows drugs help neck pain”. For LLLT/PBM however, there are at least 16 (mostly positive) RCTs and a positive systematic review  published in The Lancet. Despite this unequivocal evidence, the 2014 revised patient advice leaflet from the BMJ fails to mention LLLT/PBM but states “your doctor may recommend one or more of the following” and goes on to list pain killers, NSAIDs, antidepressants and muscle relaxants”.

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Pubmed to adopt “Photobiomodulation Therapy” as a MeSH term

The US National Library of Medicine (NLM) plans to adopt “Photobiomodulation Therapy” (PBMT) as an official MeSH term in November 2015.

Why this is important?

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THOR LLLT presentation at United Nations – Global Health Impact Forum

This 15 minute video starts with an overview of Photobiomodulation and low level light therapy. Later in the presentation James introduces the Lumithera treatment for Dry Age related Macular Degeneration (AMD).

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Transcranial LLLT for Chronic mild Traumatic Brain Injury

The VA, Boston University and Harvard Medical School published the results of a Transcranial LLLT (LED) pilot study on mild Traumatic Brain Injury (TBI). Incredibly; TBI is a leading cause of death and disability among children and young adults in the United States. Each year an estimated 1.5 million Americans sustain a TBI, 50,000 people die as a consequence, 230,000 are hospitalized and an estimated 5.3 million currently live with a permanent TBI-related disability (because there is no cure). This study showed significant improvement in Executive Function, Verbal Learning, Long Delay Free Recall and fewer post-traumatic stress disorder (PTSD) symptoms. Participants and family reported better ability to perform social, interpersonal, and occupational functions. This was a small pilot study on just eleven patients with chronic mTBI, there was no placebo control group so further studies are necessary to truly establish the effect size.

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More Class IV laser therapy misinformation

More Class IV laser therapy misinformationThe paper “High-intensity versus low-level laser therapy in the treatment of patients with knee osteoarthritis: a randomized controlled trial” Kheshie et al 2014 pitches the 3B BTL laser against the HIRO class IV “High intensity” laser. The results appear to show that the HIRO class IV “High intensity laser” was more effective than the “Low Level Laser”. HOWEVER, the HIRO class IV “High intensity” laser was delivered over a large area (not adequately defined but approx 100cm2 by my estimation) so the intensity was actually very low (about 13mW/cm2 which is less than most LED systems), and the 3B BTL “Low Level Laser” was actually very high (4 x 200mW small, high intensity beams) and were held stationary on the patella for over half an hour, YES, HALF AN HOUR IN ONE SPOT! This is insane.

This paper leads people to think that the class IV Hiro laser was more effective because it was higher intensity when in fact the beam distribution meant the average intensity distribution was low (13mW/cm2). The 3B laser was not so effective because it was held stationary such that it would cause an overdose. If the 3B laser treatment had been delivered in using same scanning technique as the class IV then they would likely have achieved the same result. (I am not a fan of scanning because you can never be sure how much energy you have delivered to an area, better to use a low intensity device and hold it still in my view).

This paper misdirects the reader towards favouring class IV lasers rather than 3b or LED by misinforming the reader.

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Low Level Laser (LLLT) “regenerates teeth”

Low level laser regenerates teeth TV, radio and newspapers all over the world got very excited last week reporting that “laser regenerates teeth” following a Harvard study. The study showed that LLLT stimulates the stem cells resident in the tooth pulp to form dentin (for details click below). This is the highest profile announcement for any LLLT paper ever and will add significant awareness and credibility for everyone in the field. Congratulations and huge thanks to the author Dr Praveen Arany B.D.S., M.D.S., M.M.Sc., Ph.D. who is now a Clinical Investigator at NIH.

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Kadhim-Saleh laser neck pain review conclusion incorrect. LLLT is clinically effective

Last October a systematic review on LLLT for neck pain was written by Kadhim-Saleh et al and published in the British Journal of Sports Medicine. They report that the evidence for LLLT in neck pain is inconclusive. The paper criticises the 2009 Lancet review by Roberta Chow & Bjordal et al on LLLT for non-specific neck pain claiming their review was more stringent. Well you have to read the rebuttal Bjordal shot back to the journal editor revealing the weakness, errors and fundamental flaws in the work of Kadhim-Saleh et al

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Class IV laser dose concern. An update from Prof. Jan Bjordal. World Association for Laser Therapy (WALT)

The title of last months PMLS editorial was Low Level Laser Therapy (LLLT) and World Association for Laser Therapy (WALT) Dosage Recommendations. Written by the Scientific Secretary Prof. Jan Bjordal. He describes how far we have come and the importance of the WALT dosage recommendations. No abstract is available for editorials so I have prepared one for you below. Continue reading

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Class IV laser treatments take longer than 3B lasers

A paper titled ”The Effectiveness of Therapeutic Class IV (10 W) Laser Treatment for Epicondylitis” [ref] showed that 10 Watt Class IV laser (mixed 8W 970nm, 2W 810) was successful in reducing pain and improving function in an RCT with 15 patients, and that there was good statistical significance at 6 months following a course of 6 treatments.

The claim by class IV laser manufacturers is that class IV lasers are better (faster, deeper and more effective) than Class 3b and LED systems. Conversely the 3B laser and LED manufacturers argue that less power density is more effective because delivering energy too quickly can overdose tissues and class IV lasers might burn the skin.

Throughout this paper there are marketing messages claiming the advantages  of shorter treatment times than low power LLLT systems and of course the title shouts “10 Watt Class IV laser” just in case the reader is in any doubt that more power is what you need.

Regular readers of this column know my obsession with irradiation parameters, particularly dose rate effects (W/cm2) and will not be surprised to learn that I deconstruced the irradiation parameters used in this trial . Surprise, surprise they were the same low irradiance levels typically used by 3B lasers and LED systems, if not less and the treatment time was longer too.

Yes, it was a 10 Watt laser and yes, 3,000 joules was delivered, however it had a  large beam area and treatment was delivered over (45cm2) in a “painting fashion”. The fluence (dose) was 6.6 Joules/cm2 and the power density was a tiny 22mW/cm2, consequently  treatment time was a hefty 5 mins.

The average irradiance was not disclosed in the paper and the reader is directed to think that more power is quicker.

P.S.  research trials with 3B lasers are typically 30 seconds to 3 mins and our recommended treatment is 1 min with a large LED cluster to the lateral epicondyle and 30 seconds for any related trigger points.

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New video interview. Very good I think. Ron is articulate and a straight down the middle guy.

It would be nice if human hospitals could give the LLLT attention Ron gives his animal patients.

For more on THOR pet treatments click here

For more on LLLT training click here

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THOR at Harvard MIT

David Sengeh has been developing powered limbs at MIT for amputees (like the bionic man). Where the powered limb attaches to the body (the stump of the original leg) it gets very sore. David has been using our standard THOR products to heal the stump and reduce pain. It works very well, though it takes a lot of time to treat the whole area. I am in Boston now to help David start clinical trials with a new device we designed that will treat the whole stump. The amputee puts the the leg stump into the LED treatment cylinder and gets a complete treatment in just one minute :-)

MIT

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The THOR LLLT Treatment Library

Available only to people who have attended a THOR training course in the last 3 years. All treatments are based on our four step method which includes treatment of the injury, trigger points, lymphatics and nerve roots.

Take a look to see how it works and let us know what you think.

Access Treatment Protocol Library

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New Book: The Truth About Chronic Pain Treatments

The Best and Worst Strategies for Becoming Pain Free

The Truth About Chronic Pain Treatments: The Best and Worst Strategies for Becoming Pain Free
A well researched and unbiased book/resource by Cindy Perlin for people in chronic pain that are not getting adequate relief from their treatment. The book is evidence-based and examines 14 different categories of treatment (including Photobiomodulation – LLLT).

The Truth About Chronic Pain Treatments reviews the evidence for the safety and effectiveness of a wide variety of treatments, and reveals how organized medicine may be keeping you from getting the care you need and deserve.

This comprehensive guide will help you avoid the treatments that don’t work or are likely to cause harm and select the therapies that are most likely to promote healing.

Now available from Amazon as a paperback or a Kindle download

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Testimonial: Clinton Quinn

Clinton Quinn“I found the recent Thor laser seminar very informative. It was good to talk to other people with a Thor laser, there is much to learn all the time when using it for all types of injuries. I use Thor Laser with remedial therapies and good nutritional advice with my patients. The 3 treatments all complement each other with client success rate increasing every month.”

Please see some of the treatments I have administered since I purchased the Thor Laser

  • Osteoarthritis of the joints of the hand: I have had much success using this treatment as followed in the protocols. I have treated 6 people for this very painful condition, most commented after the first treatment of less pain, and after treatment number 2 a significant decrease in swelling and pain. All follow up treatments achieved significant improvement, to the point of the patient having full use of the hands with no pain and the ability to lead a normal life. This is very encouraging when some of them have been suffering for 10 years or more.
  •  Sciatica: Some of the 5 patients I have treated for Sciatica have limped in and walked out, on one occasion a patient limped in and when after the treatment he said he had left his wallet in the car, he then ran out of my clinic and appeared back within minutes. I advised him that he should not be running and that he should take it easy, he said that he felt no pain and ran without thinking.
    I have found a good result is at the end of a Sciatica treatment I trace the sciatic nerve slowly from the heel to the sacrum lumbar region with the 1W laser Cluster 2.5Hz, taking approximately 4 minutes. Using remedial therapies in combination with the laser seems to enable the patient to achieve more range of movement and a faster healing time.
  • Frozen Shoulder: Best results are when the treatments commence within the first few months of the patient being diagnosed, if left too long adhesive capsules can form and restrict a progressive return to full range of movement.
    I use remedial therapies combined with the laser to achieve a progressive result.
  • Back and Neck pain: These two common conditions are the most prevalent treatment that I perform every day. I have found that by releasing the muscles associated with the affected area, then using the laser protocols seems to have encouraging results. With some of my patients, that have suffered for many years are now pain free.
    At the end of a treatment I have the patient go through a range of motion test to indicate where continuing pain is present. If pain is still present I use the 1W laser cluster at 2.5Hz in areas still affected by pain.

The protocols are very comprehensive and are easy to follow. I am very impressed.

Clinton Quinn
Naturopath Remedial Massage Therapist
Queensland, Australia

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Course Testimonial: Penny Dyer

Penny DyerPhotobiomodulation Training Course Testimonial:
Penny Dyer
Physiotherapist
Berks, United Kingdom

“Always a great course. Love to hear the latest research. I’m hugely frustrated that physios don’t use laser more. I use it every day and it’s like having a magic wand. It’s only ever a part of what I do, unless it’s something like chronic sinusitis, which it sorts out brilliantly all on its own. So glad to be able to come on your courses. Don’t give up – one day they’ll all listen!”

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Course Testimonial: Bonnie S. Block, BA, MS

Bonnie S. Block, BA, MSPhotobiomodulation Training Course Testimonial:
Bonnie S. Block
B.A. (University of Texas at Arlington)
M.S. (University of Pennsylvania)

“The training course exceeded my expectations. I am very pleased that I attended because James Carroll and Mark Granic answered all of my questions and taught me as much as I could possibly absorb in one day. I was so impressed with the knowledge and integrity of both of them that I ordered a Thor Laser. Thank you.”

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Course Testimonial: Gregory H Wolf, MD

Gregory H Wolf, MDPhotobiomodulation Training Course Testimonial:
Gregory H Wolf, MD
Primary Care Doctor, Family Practitioner
Orange CA, USA

“Excellent and interesting course. James was a great presenter, both very knowledgeable and very witty, which made for a delightful day in Marina Del Rey!”

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