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SOFT TISSUE/MUSCULOSKELETAL TREATMENTS
Low energy photon therapy has been proven in controlled medical studies and
through anecdotal reports by patients to be very effective for the treatment of
A wide range of soft tissue and musculoskeletal injuries such as repetitive
strain injury, carpal tunnel syndrome, arthritis, whiplash, sports injuries,
myofascial pain, chronic pain, cumulative trauma disorder and fibromyalgia.
In one study of carpal tunnel syndrome, a repetitive strain injury, the Salansky
protocol resulted in a 71.4% average rate of cure in 21 patients. The patients
ranged in age from 28 to 66 years, all had chronic, painful CTS and some had
been advised to try surgery. All received treatment three times per week over a
period of five to ten weeks. Fifteen patients experienced complete recovery and
were able to return to work. Two patients experienced partial relief and four
did not respond. In follow-up visits of three to eighteen months, the 15 cured
patients remained symptom free.
Results of this study were released in a University of Toronto Research
Highlights Bulletin issued in October 1994 by the Public Affairs Department. The
results also appeared in the University of Toronto Bulletin of April 24, 1995,
and the Family Practice newspaper of November 14, 1994.
LEPT has been shown to improve muscle strength by 23% after whiplash compared to
conventional therapy alone (Fitz-Ritson, D., et al, as reported in Laser Surg.
Med, 1993; suppl (5)). In fact, a 1995 Quebec Task Force study on Whiplash which
analyzed over 10,000 scientific papers found that current passive physiotherapy
treatments like ultrasound, TENS, pulsed electromagnetic field, and diathermy
are of low benefit for patient recovery. During the first two to three days,
only ice was found to be effective and later only manipulation and exercise are
effective. LEPT, however, can be used immediately following the trauma because
it reduces swelling and hematoma formation and accelerates the resolution of
inflammation. Patients often experience remarkable pain relief after 1-3
treatments and are able to start an exercise program sooner.
For other soft tissue and musculoskeletal injuries, LEPT has also been shown to
be very beneficial. In a study carried out by Dr. N Filonenko and colleagues,
there was an improvement in 60% of patients treated with LEPT who were suffering
from neuromuscular conditions or degenerative disc disease. 70% of all patients
with osteoarthritis and soft tissue problems showed an improvement with LEPT.
(see Low Energy Laser Biostimulation Therapy of Musculoskeletal Disorders in
SPIE Laser Surgery, 1992 (1643-240-250).
LOW ENERGY PHOTON THERAPY AND THE SALANSKY PROTOCOLS
In the late 1980s, Dr. Salansky, whose main areas of research were
microelectronics, began studying the therapeutic applications of low energy
photons. These photons have about 10,000 times less energy than surgical lasers
and are in the wavelength range of 4,000 to 7,000 angstroms. This is a visible
range of light extending from blue to red. Another range involved is the close
infrared with a wavelength of from 8,000 to 10,000 angstroms.
Salansky and his colleagues at IMI discovered that these photons, if delivered
at specific powers, frequencies and wavelengths, interact with body tissue and
can relieve a number of painful conditions. Early studies with photon therapy in
Hungary a number of years ago met with some success but the results were never
consistent.
Dr. Salansky, however, discovered that the reason for this failure to replicate
results was because there are a number of parameters that must be defined for
the condition being treated. In other words, it is not good enough to bathe a
wounded or injured area with photons; the parameters of the photons must be
specifically defined for the condition being treated. These parameters that must
be calibrated are wavelength, monochromaticity, beam divergency, pulse
frequency, pulse duration, power intensity, dose, and three-dimensional light
distribution in the tissue. Each condition being treated requires unique
settings.
Certain wavelengths have been found that will penetrate the skin to different
depths. In addition, by selecting the parameters of the photon beam, cell
metabolism can be normalized and the microcirculation can be improved.
Dr. Salansky’s work in this area has been funded by the National Research
Council of Canada and by the Canadian Department of National Defense. Research
into the appropriate parameters required to treat a number of conditions has led
to the development of the LEPT 2000 technology
Treatment with low energy photons is of short duration and usually takes about
two to six minutes; it rarely exceeds ten minutes. There are usually about 1 to
3 applications of a multiple source probe to specific areas defined in the
clinical protocol. Patients may even self-administer. In some cases, a special
point therapy focusing on acupuncture, tender, or trigger points may be used
with light emitting or laser diodes to facilitate the treatment success.
SKIN ULCERS
Chronic leg ulcers are a common and costly problem in North America. Despite
Numerous treatments that are available, many ulcers are difficult to heal and
Recurrence rates are high. Some of the existing treatments such as skin
Grafting, hyperbolic oxygen, ultrasound and ultraviolet light only marginally
Improve outcomes. It is estimated that there are 9 million skin ulcer patients
in North America who cost the health care system $50,000 each. Consequently, an
efficient treatment for ulcers will not only benefit thousands of patients, it
will save the health care system million of dollars annually.
That treatment is now available using low energy photon therapy!
The efficacy of this treatment was described in a front page article in the
August 1994 issue of the Dermatology Times of Canada. In addition to the
scientific discussion of LEPT, the article describes the treatment of a patient
at Sunnybrook Health Science Centre in Toronto - a teaching hospital associated
with the University of Toronto Faculty of Medicine. The patient was a woman over 70 years of age with a 200 square cm leg ulcer that had persisted for 13 years. The woman had had a hysterectomy related to cancer, radiation therapy and osteomyelitis of the ankle bone. Despite three failed skin grafts, the ulcer began to heal after low energy photon treatments began. The necrotic tissue disappeared, microcirculation improved and tissue grew under the
new skin and filled in the wound. According to a report by Jacqui Telfer of the Department of Physiotherapy at Scarborough General Hospital in suburban Toronto, 13 patients with 22 leg ulcers were treated. 19 of the 22 ulcers were completely healed in 60 treatments; 2 decreased in size by 75% and one did not heal. (Scarborough General Hospital Mednews, vol 6 no 2, May 1993)
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