U.S. CONGRESSIONAL BRIEFING. Ending Opioid Use – Washington DC
James Carroll presented evidence to Congress on the effectiveness of PBM for treating pain and where it can be used in place of opioids. Prof. Praveen Arany explained how and why it works, and Annette Quinn RN gave her first hand experience in treating over 854 patients with Oral Mucositis.
PITTSBURGH (KDKA) – Pittsburgh has gained a national and international reputation for the medicine being practiced here.
New developments continue to improve a patient’s quality of life even as they are being treated.
Now, a revolutionary laser light therapy is helping cancer patients undergoing chemotherapy treatments.
“To me it was the perfect thing for a radiation oncologist to be doing. We really need as a field to take ownership of this.” Dr. David Clump said.
Dr. Clump is a radiation oncologist who works at UPMC Shadyside Hospital. He is a Medical Doctor who also has a Ph.D., and he is very excited about how doctors and nurses in Pittsburgh are treating a major side effect suffered by cancer patients who are going through chemotherapy treatments.
“We have been using a different spectrum of radiation within the visible light spectrum to try to help heal sores,” he said.
The therapy is called photobiomodulation, which is a form of laser light therapy. Teams at UPMC Shadyside Hospital use it to treat the mouth sores that often are the result of chemotherapy. The medical term for the sores is oral mucositis.
By Ms. Hannah M Clark, Global NetGeneration of Youth Cyberjournalist, with support from Dr. Ronnie Lowenstein, Executive Director Global NetGeneration of Youth
Recently, I was honored to be invited by Dr. Robert Boege, Executive Director of ASTRA to join ASTRA’s Futurist Dr. Ronnie Lowenstein, and serve as a NetGeneration of Youth Cyberjournalist covering a Congressional Briefing held in the Rayburn House Office Building on October 11, 2018 entitled, “Ending Opioid Use: A New Hope”. The event was co-sponsored by ASTRA, The World Association for Laser Therapy, NetGeneration of Youth, The Optical Society of America, and thirteen other science and medical organizations. What an opportunity to learn about PBM, “photobiomodulation,” an innovative medical technology, as well as, to be exposed to the organizational stakeholders who advocate for support of America’s ‘science and technology innovation ecosystem.’
What is PBM and What does it Promise?
When I first heard the term photobiomodulation (PBM) I was confused—initially the word sounded like a lighting technique for theater productions. Then as I started researching, it seemed more like a tool for physics experiments involving light. Only when I attended the Congressional Briefing and heard the first-hand testimony of people who miraculously benefited from using this medical technology did I begin to grasp its far-reaching implications for both revolutionizing health care and for serving as an alternative solution to the prescription opioid crisis.
Disclaimer: These comments by healthcare professionals and their patients are solely their own. They are uncompensated personal stories about how they have used, or been impacted by, light therapy. These uses have not been reviewed or cleared by FDA.
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.
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 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.
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.
Available only to THOR Customers and/or 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.
Amazing interview with natural health expert and Mercola.com founder Dr. Joseph Mercola hearing from expert James Carroll on the benefits of photobiomodulation, and what the research says about this form of therapy.