Category Archives: Rants

How much laser is enough? and how much is too much ?

In a recent systematic review and meta analysis of laser therapy on tendinopathies (Tumilty et al), 11 out of 20 studies failed to produce a positive result. The reason identified for the ineffective studies were that the laser beams were too strong (the irradiance was too high for this particular pathology). Most clinicians are rightly confused about which laser to choose and which dose or technique will work.

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Photobiomodulation / Cold Laser Therapy / LLLT It’s time to name names

This week Lars Hode and Jan Tunér put out a call for some concensus on the name for this cold laser, low level laser, photobiomodulation thing that we do.They concluded by proposing Laser Phototherapy. I had some counter arguments:

Posted in Rants | on Photobiomodulation / Cold Laser Therapy / LLLT It’s time to name names

Are the BBC drug pushers ?

The BMJ “Editors Choice” headline this week was “Key opinion leaders, your time is up”. The editor Fiona Godlee asked “Why is it considered normal for medical leaders to accept personal payment for promoting a company’s drug or device?” She was referring to the BMJ article “Drug Marketing” which interviews former pharma sales representative Kimberly Elliott about  Key Opinion Leaders. “These people are paid a lot of money to say what they say,” she said. “I’m not saying the key opinion leaders are bad, but they are salespeople just like the sales representatives are.” “Influential doctors can earn up to $400 an hour”.

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Oh no, not another LLLT society

It’s not new, but it is clever. The American Society for Photobiology Kendric Smith makes the case for academics improving their knowledge of photobiological fundamentals.

Laser and LED Therapy is Phototherapy

All too frequently the people in the laser [and light emitting diode (LED)] phototherapy field are untrained in the basics of photobiology. This can lead to bad science and bad clinical trials, and can contribute to conflicting results concerning a given endpoint. Furthermore, it diminishes the stature of the field, and delays the admission of laser (and LED) phototherapy into the mainstream of science and medicine.Kendric C. Smith, Ph.D., Professor Emeritus of Radiation Oncology (Radiation Biology), Stanford University School of Medicine, Founder and First President of American Society for Photobiology.

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