Is anyone using therapeutic laser for abdominal findings on US?

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Is anyone using therapeutic laser for abdominal findings on US?

I have decided to purchase a Cutting Edge MLS therapeutic laser and hope to implement it in my mobile ultrasound practice as an adjunct interventional treatment for certain conditions we see often.  It is known to work well for cystitis.  Research is underway to use it to treat pancreatitis…awaiting final publication before considering this.  What about GB mucoceles?  IBD in dogs (not cats since it’s a precursor to lymphosarcoma)? Pyelonephritis?

I have decided to purchase a Cutting Edge MLS therapeutic laser and hope to implement it in my mobile ultrasound practice as an adjunct interventional treatment for certain conditions we see often.  It is known to work well for cystitis.  Research is underway to use it to treat pancreatitis…awaiting final publication before considering this.  What about GB mucoceles?  IBD in dogs (not cats since it’s a precursor to lymphosarcoma)? Pyelonephritis? Gastric ulcers?  Gastric mucinous hypertrophy?  Histoplasmosis in cat spleens & lymph nodes?  What else can you think of??

It is NOT to be used on any kind of neoplasia as it will stimulate tumor growth so caution must be taken on which cases are selected but considering the fact we have a pretty solid idea whether we’re looking at potential neoplasia or not and certainly with the needle we can rule it out.  Apparently it’s not recommended to be used on glands (which makes the pancreas a question) so no prostate or adrenals.

Have you considered this?  I’ll be getting mine in a week and will be looking for every interventional option we can blast with laser.  We’ll truly be doing something cutting edge (pun intended :).  Let me know what you think? 

Comments

randyhermandvm

I suspect this laser is a

I suspect this laser is a class 4 laser. I have owned an Erchonia Class 3 base station laser for a few years. It has its application. Lots of debate between the Class 3 or 4 lasers. Need to be a bit careful when using the Class 4 lasers because they can generate heat that can theoretically damage DNA. We mostly use the laser for musculoskeletal issues. You wont walk on water with it (hate to burst your bubble). 

randyhermandvm

I suspect this laser is a

I suspect this laser is a class 4 laser. I have owned an Erchonia Class 3 base station laser for a few years. It has its application. Lots of debate between the Class 3 or 4 lasers. Need to be a bit careful when using the Class 4 lasers because they can generate heat that can theoretically damage DNA. We mostly use the laser for musculoskeletal issues. You wont walk on water with it (hate to burst your bubble). 

marty

Yes Randy, it is Class 4 but

Yes Randy, it is Class 4 but it does not have problems with thermal burns.  It’s the only one that doesn’t.  The wavelength is perfectly tuned to not heat the water in cells and thus no thermal burns.  It has simultaneous 808nm continuous emission (antiinflammatory and anti-edema) and 905nm pulsated emission (analgesia) which is below the range that leads to thermal damage of cells.  This synchronized emission eliminates the need for a “high power” class 4.  Many of those older class 4 lasers are actually being recalled by the manufacturers b/c of the thermal damage issues 🙁

Texas A&M purchased one less than a year ago after researching all the other lasers on the market and it gets used 10-12x a day at the teaching hospital.  It wasn’t donated to them, they paid full price.  They’re conducting research studies with the unit presently.

I don’t expect to change the world but if there are some adjunct options that we didn’t have before, it would be great.  We’ll see…

marty

Yes Randy, it is Class 4 but

Yes Randy, it is Class 4 but it does not have problems with thermal burns.  It’s the only one that doesn’t.  The wavelength is perfectly tuned to not heat the water in cells and thus no thermal burns.  It has simultaneous 808nm continuous emission (antiinflammatory and anti-edema) and 905nm pulsated emission (analgesia) which is below the range that leads to thermal damage of cells.  This synchronized emission eliminates the need for a “high power” class 4.  Many of those older class 4 lasers are actually being recalled by the manufacturers b/c of the thermal damage issues 🙁

Texas A&M purchased one less than a year ago after researching all the other lasers on the market and it gets used 10-12x a day at the teaching hospital.  It wasn’t donated to them, they paid full price.  They’re conducting research studies with the unit presently.

I don’t expect to change the world but if there are some adjunct options that we didn’t have before, it would be great.  We’ll see…

EL

Disclaimer as I have a

Disclaimer as I have a conflict of interest here because I am CMO of Epicamedical International but be careful on what you hear from sales guys on lasers. Cold lasers are weak and will be falling by th ewayside wiht new technology brought forth with HILT (high intesity laser therapy). The artemis laser is thousand sof times more powerful than the cutting edge or any other cold laser and can apply to deep tissues without harm because of different wavelength physics. Its also used for laser ablation by changing the filament. I am heading a study on this in 2015 but re soft tissue we have seen a few dogs come out of iris stage 3 renal failure after applying the artemis at certain wavelengths. This is very early but we will be applying it to liver, pancreas-diabetics, ibd, cystitis and great results on stomatitis….

The most amazing resuklts have been on horses and CSU just bought 2 of them and is working their research oin 2 different departments.

Its the wavelength physics and the aplpication settings that are key here…. similar to someone picking up an US probe and doing a scan but has no clue on how to optimize the machine… you get the idea.

Don;t be confused with the class 3 vs 4 as this is misleading. I won’t get into it any more owing to conflict of interest but wanted to let you know what is coming down the pike in the industry for more info check out.

http://www.epicamed.com/

EL

Disclaimer as I have a

Disclaimer as I have a conflict of interest here because I am CMO of Epicamedical International but be careful on what you hear from sales guys on lasers. Cold lasers are weak and will be falling by th ewayside wiht new technology brought forth with HILT (high intesity laser therapy). The artemis laser is thousand sof times more powerful than the cutting edge or any other cold laser and can apply to deep tissues without harm because of different wavelength physics. Its also used for laser ablation by changing the filament. I am heading a study on this in 2015 but re soft tissue we have seen a few dogs come out of iris stage 3 renal failure after applying the artemis at certain wavelengths. This is very early but we will be applying it to liver, pancreas-diabetics, ibd, cystitis and great results on stomatitis….

The most amazing resuklts have been on horses and CSU just bought 2 of them and is working their research oin 2 different departments.

Its the wavelength physics and the aplpication settings that are key here…. similar to someone picking up an US probe and doing a scan but has no clue on how to optimize the machine… you get the idea.

Don;t be confused with the class 3 vs 4 as this is misleading. I won’t get into it any more owing to conflict of interest but wanted to let you know what is coming down the pike in the industry for more info check out.

http://www.epicamed.com/

EL

 
 
Here is the basic

 
 

Here is the basic difference between the Artemis (HILT) and cold laser or K laser that a client recently asked me:

Difference between K-laser and HILT:

Mechanism of action is completely different. They are not remotely comparable. It’s like comparing a compact car with a helicopter and asking why they are not the same. (K laser peak power of 5W and highly absorbed by melanin. Artemis Peak power 70,000W and very little melanin absorption)

K-laser (any diode or cold laser): photo-chemical effect. Superficial absorption and conversion to heat can increase ATP use in some cells. Also can cause burns. May have some pain management or assistance in granulation of superficial lesions.
HILT: photo mechanical effect (photo-chemical effect is minor) light pulses effect water and carbon-carbon bonds to ‘massage cells’. Results in RIM (Rapid Inflammatory Mitigation) that has 6-8 times greater effect than diode for pain management with much reduced risk of burn. It also penetrates to vastly deeper lesions.  HILT can also do NRT (Noninvasive Regenerative Therapy) which tricks cells into turning back on by mimicking the shaking of the cytoskeleton when the cell is naturally signaled (impossible after significant inflammation).  Artemis can also be used for minimally Invasive surgical ablation.

 
EL

 
 
Here is the basic

 
 

Here is the basic difference between the Artemis (HILT) and cold laser or K laser that a client recently asked me:

Difference between K-laser and HILT:

Mechanism of action is completely different. They are not remotely comparable. It’s like comparing a compact car with a helicopter and asking why they are not the same. (K laser peak power of 5W and highly absorbed by melanin. Artemis Peak power 70,000W and very little melanin absorption)

K-laser (any diode or cold laser): photo-chemical effect. Superficial absorption and conversion to heat can increase ATP use in some cells. Also can cause burns. May have some pain management or assistance in granulation of superficial lesions.
HILT: photo mechanical effect (photo-chemical effect is minor) light pulses effect water and carbon-carbon bonds to ‘massage cells’. Results in RIM (Rapid Inflammatory Mitigation) that has 6-8 times greater effect than diode for pain management with much reduced risk of burn. It also penetrates to vastly deeper lesions.  HILT can also do NRT (Noninvasive Regenerative Therapy) which tricks cells into turning back on by mimicking the shaking of the cytoskeleton when the cell is naturally signaled (impossible after significant inflammation).  Artemis can also be used for minimally Invasive surgical ablation.

 
EL

 
 
Here are a couple of

 
 

Here are a couple of abstracts on the Low Level (cold laser) approach… most of the biblio on laser is out of Europe and beyond… very little done in the US.

We are looking at it form a high intensity level (HILT) and we have shown that is regenerates hyaline cartilage in sheep OCD lesions by shaking up stem cells to induce activity again after their envoronment has been restored through antiinflammatory and procirculation HILT settings used first in the protocol. Its all about the level of pentration, wavelength and what you can do safely. Cold laser is very very limited in this manner because the power use is limited owing to side effects of tissue damage when you increase power… i.e. pain, burning after minimal depth penetration. HILT resolves all that with is why we can penetrate into the hip of a horse without damaging tissues.

Equine industry is going crazy ont he artemus for this reason.

HILT and LLT/cold laser only have in common the fact that they are both lasers… its like saying diode and CO2 are the same thing… the physics are different.

My research in 2015 is about soft tissue therapeutic reaction to HILT as well as minimally invasive US-guided laser tx f internal organ lesions.

 
EL

 
 
Here are a couple of

 
 

Here are a couple of abstracts on the Low Level (cold laser) approach… most of the biblio on laser is out of Europe and beyond… very little done in the US.

We are looking at it form a high intensity level (HILT) and we have shown that is regenerates hyaline cartilage in sheep OCD lesions by shaking up stem cells to induce activity again after their envoronment has been restored through antiinflammatory and procirculation HILT settings used first in the protocol. Its all about the level of pentration, wavelength and what you can do safely. Cold laser is very very limited in this manner because the power use is limited owing to side effects of tissue damage when you increase power… i.e. pain, burning after minimal depth penetration. HILT resolves all that with is why we can penetrate into the hip of a horse without damaging tissues.

Equine industry is going crazy ont he artemus for this reason.

HILT and LLT/cold laser only have in common the fact that they are both lasers… its like saying diode and CO2 are the same thing… the physics are different.

My research in 2015 is about soft tissue therapeutic reaction to HILT as well as minimally invasive US-guided laser tx f internal organ lesions.

 
EL

 
 
I have a ton of biblio on

 
 

I have a ton of biblio on this  in addition but again most is out of europe… The US Laser industry is very channeled and it gets put off as voodoo medicine in many circles but when you see horses standing to be put down and after HILT they are functional again or returning to racing after being maybe used just for stud you can’t ignore it because horses don’t know placebo.

I don’t know of any LLT/k laser or other that has had any sort of significant effect on horses that have a healing rate 7x less than humans. This is why our research started on horses because if it worked there it represented the toughest customer.

We will only have to see what it does on soft tissue organs like kidney liver and pancreas with proper settings which is key.

The laser industry z(human example in the following) is horribly plagued with improper physics an resultant bad results. On the human side… I had a soft palate ablation by a well known ENT in NJ for example a few years ago and had flash burn in my mouth for 5 weeks. The guy found out he was using the wrong settings because cutting should not burn and his answer was “These are the settings the company rep told me to use.” So in the end human error and monkey see monkey do medicine plagues the industry especially in laser and I was a guineapig…. a boarded ENT listening to a company rep with little more than a high school education on what laser settings to use on my soft palate…. lovely.. see my point? I couldn’t anjoy a glass of wine for a couple of months and you know how upset I got on that issue lol!

Now translate that issue onto the exposition floor at your next conference and ask tough questions to get them out of the company line of thought and see what happens… Where were their settings derived from? On which animals and organ systems? Which depth and pigmentation? Long hair or short hair or no hair? Which body score? Who did the research? Based on what??? You will find that the discussions get very weak or superficial if you dig because the level of info out there is small to begin with… Our data base is small but growing and we just say how it is and esnure proper settign are used which is so very important because they vary by many factors wihtin the HILT itself and the morphology or the tissues from skin to organ.

The laser sales scenario is similar to US reps that have no clue about songraphy…. and we have all been there in that conversation.

 
EL

 
 
I have a ton of biblio on

 
 

I have a ton of biblio on this  in addition but again most is out of europe… The US Laser industry is very channeled and it gets put off as voodoo medicine in many circles but when you see horses standing to be put down and after HILT they are functional again or returning to racing after being maybe used just for stud you can’t ignore it because horses don’t know placebo.

I don’t know of any LLT/k laser or other that has had any sort of significant effect on horses that have a healing rate 7x less than humans. This is why our research started on horses because if it worked there it represented the toughest customer.

We will only have to see what it does on soft tissue organs like kidney liver and pancreas with proper settings which is key.

The laser industry z(human example in the following) is horribly plagued with improper physics an resultant bad results. On the human side… I had a soft palate ablation by a well known ENT in NJ for example a few years ago and had flash burn in my mouth for 5 weeks. The guy found out he was using the wrong settings because cutting should not burn and his answer was “These are the settings the company rep told me to use.” So in the end human error and monkey see monkey do medicine plagues the industry especially in laser and I was a guineapig…. a boarded ENT listening to a company rep with little more than a high school education on what laser settings to use on my soft palate…. lovely.. see my point? I couldn’t anjoy a glass of wine for a couple of months and you know how upset I got on that issue lol!

Now translate that issue onto the exposition floor at your next conference and ask tough questions to get them out of the company line of thought and see what happens… Where were their settings derived from? On which animals and organ systems? Which depth and pigmentation? Long hair or short hair or no hair? Which body score? Who did the research? Based on what??? You will find that the discussions get very weak or superficial if you dig because the level of info out there is small to begin with… Our data base is small but growing and we just say how it is and esnure proper settign are used which is so very important because they vary by many factors wihtin the HILT itself and the morphology or the tissues from skin to organ.

The laser sales scenario is similar to US reps that have no clue about songraphy…. and we have all been there in that conversation.

 
marty

HILT is certainly very

HILT is certainly very exciting territory but far out of reach of general practitioners and folks in this realm of practice from a financial perspective. I do hope that can change in the future or the only places that will have HILT will be tertiary facilities 🙁 

marty

HILT is certainly very

HILT is certainly very exciting territory but far out of reach of general practitioners and folks in this realm of practice from a financial perspective. I do hope that can change in the future or the only places that will have HILT will be tertiary facilities 🙁 

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