“I attended the course for the second time, and it was very useful. Excellent presentation and clarification of many clinically important matters, review of latest research and applications, practical suggestions and more. I highly recommend attending the course at least once if you are going to use LLL therapy in your practice.”
“Having first trained with James in 2009, my third with him was – as anticipated – even more informative and inspiring than those previously attended. I know from speaking with others at the training, how they share my appreciation of his ‘down to earth’ explanation of what otherwise could be a very complex subject, I came away even more enthused than before – as if that were possible – about being involved with laser work, particularly after James telling of it’s future potential. Many thanks to him and Mark.”
Springwood Wellness Centre
Zhang et al showed that whole body 810nm laser 100mW/cm2, 30J/cm2 cures acute thrombocytopenia in mice.
Thrombocytopenia is a common hematologic disorder that is managed primarily by platelet transfusions. They showed that noninvasive whole-body illumination cures acute thrombocytopenia triggered by g-irradiation within 2 weeks in mice, as opposed to a 5-week recovery time required in controls.
The low-level laser (LLL) also greatly accelerated platelet regeneration in the presence of anti-CD41 antibody that binds and depletes platelets, and prevented a severe drop in platelet count caused by a common chemo-therapeutic drug.
They conclude: this safe, drug-free, donor-independent modality represents a paradigm shift in the prophylaxis and treatment of thrombocytopenia.
Meagan is a National Level Weightlifter who competes frequently. See her story and experience below after sessions on the NovoTHOR whole-body light pod. PR stands for Personal Record.
Muscle Snatch Triple off a riser: PR working weight at 42 kg… Up 5 kilos from last week where I could only hit 37kg for working weight.
My 3/6 front squat/back squat combo I added 3 kilos from the previous Thursday- which is the most working I’ve ever done for this exercise at 91kg.
THEN I went on to do several reps of cleans and hit a 95kg Clean PR (9 kilos more than I did last week- heaviest clean I hit last week was 86kg.) This was halfway through my workout after doing a total of 117 reps. In Weightlifting a lot of volume can make your body feel tired & wrecked, so there was no explanation for why I was able to hit a PR on this exercise when my legs were fried.
Saturday 3/19: I hit a 3 kilo PR on my Power Clean & Jerk at 83kg
I added 2 kilos to my snatch triples from the blocks (59kg) from last week where I could only do 57kg.
I also did the most working weight I’ve ever done for Clean & Jerk Doubles at 83kg.
Sumo Deadlift triple: 127kg PR (up 5 kilos from last Monday 3/14 I only could hit 122kg for 3)
Snatch Deadlift 5 rep: PR working weight for 5 at 91kg (2 kilos more than last Monday.)
Push Press+Push Jerk + Split Jerk Complex: 75kg (up 2kg from last Monday’s workout)
This part of my training cycle has been very strength intensive, so for me to even be coming close to hitting PRs is a huge deal. My body should be more fatigued and worn down from the strength work, but I actually feel recovered and fresh.
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.
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”.
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).
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.
The 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.
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.
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 →
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.
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 :-)
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.
“I came with a completely open mind because I have been living with a lot of pain since I was 16. I am now 85 years old. I was in an accident which resulted in undiagnosed spinal issues which resulted in living with many discs out of alignment, deterioration, and constant pain. The most recent pain has been in my left shoulder; the muscles were trying to do something they were ill-equipped to do. The pain there has been constant and acute for more than 2 years.
So, when my brother suggested I try Josh’s Thor Laser therapy, I thought, ‘I have nothing to lose’. By the end of the session, I was out of pain, and even the next day, and even coming back to England and moving things and doing things I shouldn’t do. Still no pain 10 days later! I can feel it just starting to niggle back, so I am searching for someone to be able to give me the same treatment here. Then there was the shooting pain across my lower abdomen that I’d been dealing with as a consequence of an infection that I am fighting with antibiotics. By the end of the treatment, that pain had also disappeared and has not returned. Then there were my swollen legs and ankles, something that had never happened to me before, that happened as a result of my trans-Atlantic flight. I was so concerned about it. Again, the swelling went down the next day. I did a 10-hour trip the next day coming home and the swelling has not returned. That was the most amazing thing! All that in only one treatment!
I’ve been there, tried so many things over the years to get out of pain, and this is the most successful thing I’ve ever tried!”
Mrs. Clare Coxall
“I have been using Thor Laser in my clinic with amazing results! Many people called me after a news segment aired wanting to know more about the Laser and how it can help with their chronic pain.
Big thanks to THOR Laser Photomedicine for creating this piece of medical equipment which has bought a lot of relief to many of my patients that have been using it.
Everyone wants a speedy recovery, to get better fast, but not every intervention can work this fast! I am glad to help them improve their Quality of life.”
“I attended the conference a couple of weeks ago and it was a pleasure meeting the Thor staff, especially Mark, who possesses an extraordinary understanding of the laser. The knowledge gained at this conference has changed the way that I view medicine and treatment of my patients. I am grateful to Mark for inviting me to this extremely informative and interesting conference.”
Michael Risman M.D.
Risman Medical Center
Brooklyn, New York, USA
“Course was fantastic, materials were very well put together for a wide variety of clinicians at different levels of care. As a physician I look forward to seeing how this technology can enhance rehabilitation practice to conditions that have few or no currently viable treatments.”
Luke Kane, D.O.
NYU Dept. Physical Medicine & Rehabilitation
New York, USA
“I found the course in June very intriguing & informative – James clearly knows his stuff very well! I’ve also bought & been using the THOR machine 2 mornings per week since mid-July – have had 25+ patients thus far.
I’m VERY impressed with the great results I’m seeing, even in people with very difficult chronic pain (eg low back) – which is very exciting! So I’m intending to enthusiastically continue treating, & my patients all pass on the message by word-of-mouth to keep me fully booked!”
Dr Michele Browne
North Nowra Medical Practice
New South Wales, Australia
“The instruction and detail were so impressive at the last meeting from James, it prompted me to try out LLLT for myself in my own general practice. I am looking forward to attending the presentation from James later this month in Melbourne to improve my skills, as I plan to open a new Clinic dedicated to targeting pain with Laser therapy alone in the very near future. I am also very interested to hear of the benefits the whole body pod has to offer, while exploring new applications of PBMT. Keep up the good work in updating the professions on this very valuable and exciting treatment modality.”
Very best wishes and kind regards,
Nigel and Heather
Braybrook Medical Centre