1 Musculoskeletal Pain Webinar Social Commentary In The News at Meditech As usual, 2012 has been an eventful year. One of the highlights has been the progress in the development of clini- cal protocols for an expanding range of neurological conditions. ese include injuries (concussion), CVAs, dementias and even depression. Our early experi- ences in this area have been more re- warding than anticipated with regard to the clinical success achieved. As we continue to explore this area, we are instituting rigorous standards to mea- sure the degree of improvement of the individual patient’s physical and mental status as treatment progresses. e stimulus for this event has been the interest and collaboration of a number of university associated neurological researchers and psychiatrists who are seeking better solutions to the growing number of these problems in an ag- ing population and in the treatment of trauma secondary to strenuous physical activities involving our younger citizens. We are confident that these endeavors will be recognized and more widely uti- lized internationally in the coming year. Recently we have completed a video entitled “Insights with Terry Bradshaw” which is being aired on a regional basis throughout North America. e video explains Laser erapy in basic terms and describes the wide applications of the technology. is product should be instrumental in educating both the public and healthcare professionals. e video is available for demonstration in your clinic and for submission to your local radio and television stations. On June 9 th , 2012 Meditech hosted the “Innovation in Laser erapy” Sym- posium, which included three parallel streams; Clinical Applications of Laser erapy, Advanced Training in Wound Healing and Veterinary Applications of the technology. e event brought together clinicians and researchers pro- ficient in their specialized endeavours to share their vast experience with the BioFlex Systems and how it has ben- efited their patients in clinics around the globe. Healthcare professionals new to Laser erapy had an opportunity to interact with the many knowledgeable speakers and benefit from their knowl- edge and expertise. At this time we are preparing for a simi- lar Symposium to be held in Toronto, Canada June 8 th , 2013. Once again, we will bring together internationally ac- claimed speakers, researchers and clini- cians who will comment on every facet relevant to Laser erapy. e program will be followed by our Laser erapy Masterclass on June 9 th . is highly in- formative educational event will present an ideal forum for clinicians and thera- pists to learn advanced techniques of protocol customization, the placement of treatment arrays for standard condi- tions, trigger points, myofascial pain syndrome, etc. Moreover it will also focus on the improvement of commu- nication skills to ensure patient com- prehension and compliance. Additional information will be presented on our website over the next several months. We continue to host the monthly Cer- tification Training both in Toronto and a number of cities throughout North America. In addition, we have expand- ed our offering of online trainings and webinars and are making those available on a variety of topics. Many positive changes have occurred in the company including the addition of Alex Knaus as director of engineering, a number of PhDs in both engineering and research and I feel that 2013 will be an epic year. IN THIS ISSUE Laser Therapy for the Treatment of Sports Injuries Therapeutic Modality Comparison 2013 Training Schedule Research Highlight WINTER 2013 Annual Subscription ( 3 Issues) $50 Fred Kahn, MD, FRCS(C) Laser Report - Winter 2013 Clinical Effects of Laser Therapy Symposium 2013 & Training Master Class Product Services & Updates BioFlex Therapist Pro
Transcript
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Musculoskeletal Pain Webinar
Social Commentary
In The News at MeditechAs usual, 2012 has been an eventful year. One of the highlights has been the progress in the development of clini-cal protocols for an expanding range of neurological conditions. These include injuries (concussion), CVAs, dementias and even depression. Our early experi-ences in this area have been more re-warding than anticipated with regard to the clinical success achieved. As we continue to explore this area, we are instituting rigorous standards to mea-sure the degree of improvement of the individual patient’s physical and mental status as treatment progresses.
The stimulus for this event has been the interest and collaboration of a number of university associated neurological researchers and psychiatrists who are seeking better solutions to the growing number of these problems in an ag-ing population and in the treatment of trauma secondary to strenuous physical activities involving our younger citizens. We are confident that these endeavors will be recognized and more widely uti-lized internationally in the coming year.
Recently we have completed a video entitled “Insights with Terry Bradshaw” which is being aired on a regional basis
throughout North America. The video explains Laser Therapy in basic terms and describes the wide applications of the technology. This product should be instrumental in educating both the public and healthcare professionals. The video is available for demonstration in your clinic and for submission to your local radio and television stations.
On June 9th, 2012 Meditech hosted the “Innovation in Laser Therapy” Sym-posium, which included three parallel streams; Clinical Applications of Laser Therapy, Advanced Training in Wound Healing and Veterinary Applications of the technology. The event brought together clinicians and researchers pro-ficient in their specialized endeavours to share their vast experience with the BioFlex Systems and how it has ben-efited their patients in clinics around the globe. Healthcare professionals new to Laser Therapy had an opportunity to interact with the many knowledgeable speakers and benefit from their knowl-edge and expertise.
At this time we are preparing for a simi-lar Symposium to be held in Toronto, Canada June 8th, 2013. Once again, we will bring together internationally ac-claimed speakers, researchers and clini-cians who will comment on every facet
relevant to Laser Therapy. The program will be followed by our Laser Therapy Masterclass on June 9th. This highly in-formative educational event will present an ideal forum for clinicians and thera-pists to learn advanced techniques of protocol customization, the placement of treatment arrays for standard condi-tions, trigger points, myofascial pain syndrome, etc. Moreover it will also focus on the improvement of commu-nication skills to ensure patient com-prehension and compliance. Additional information will be presented on our website over the next several months.
We continue to host the monthly Cer-tification Training both in Toronto and a number of cities throughout North America. In addition, we have expand-ed our offering of online trainings and webinars and are making those available on a variety of topics.
Many positive changes have occurred in the company including the addition of Alex Knaus as director of engineering, a number of PhDs in both engineering and research and I feel that 2013 will be an epic year.
IN THIS ISSUE
Laser Therapy for the Treatment of Sports Injuries
Therapeutic Modality Comparison
2013 Training Schedule
Research Highlight
WINTER 2013
Annual Subscription (3 Issues) $50
Fred Kahn, MD, FRCS(C)
Laser Report - Winter 2013
Clinical Effects of Laser Therapy
Symposium 2013 & Training Master Class
Product Services & UpdatesBioFlexTherapist
Pro
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Laser Report - Winter 2013
Introduction
Over the past 20 years, our company has treated an extensive number of high level professional and amateur athletes and members of sports organizations. Some of our prominent clients have included the Toronto Maple Leafs Hockey Club, the Toronto Raptors, the Miami Heat and periodically, in-dividual members of the Blue Jays, the Detroit Lions etc. In addition, we have treated an extensive number of golfers from the PGA tour, gymnasts and other high performance athletes. Almost in-variably we have been able to success-fully rehabilitate players suffering from an extensive number of musculoskeletal problems, which had failed to respond to traditional methods.
Pathophysiology of Sports Injuries
These are generally the result of overuse or acute injuries, sustained while partic-ipating in strenuous physical activities. For example, a runner’s knee is a pain-ful condition associated with the impact of running; similarly, tennis elbow is a form of repetitive stress injury affect-ing the elbow, associated with activities such as tennis or golf. Contusion-type injuries relate to firm contact with a hard object or another player. These can result in fractures or extensive soft tissue injuries involving ligaments, tendons and muscles.
Traumatic injuries are most prevalent in contact sports i.e. football, rugby, soccer - secondary to the dynamics and collision nature of these activities. Concussions may also result from these activities. From the overall perspective, injuries can cause extensive soft tissue damage, fractures or a combination of
both. The major response of the organ-ism to trauma is inflammation. This is characterized by pain, edema, erythema, elevated temperatures and in most cases, partial or complete loss of function. It must be understood that the inflamma-tory stage is the first phase of the healing process and initiates the cascade of cell proliferation and migration involved in healing and tissue regeneration. An excessive inflammatory response in the early stages of the injury may stall the healing process and delay functional re-covery. It is important therefore to un-derstand that Laser Therapy mediates and resolves the inflammatory phase of an injury, with subsequent acceleration of the entire healing process.
Muscle and Ligament Injuries
A muscle strain or ligamentous sprain can result from strenuous activity and lead to a tear of the affected structure. This is characterized by pain, tenderness and functional limitations.• First-degree strains involve stretch-
ing muscle or tendon fibers, with-out tearing
• Second-degree strains involve partial tearing of the muscle-tendon unit
• Third-degree levels result in com-plete severance of the tissues in-volved
A severe muscle strain or contusion injury causes secondary damage to the blood vessels resulting in the formation of a hematoma, which may be described as a pooling of blood in the interstitial tissues. This can develop into a firm mass in the subcutaneous area. The as-sociated edema and inflammation can delay the recovery of cellular function by limiting arterial perfusion of the area.
Knee Injuries
Injuries of the muscles and tendons sur-rounding the knee are caused by acute hyperflexion, hyperextension or twist-ing injuries of the knee. Bursitis, or an inflammation of the bursae, can occur secondary to direct trauma or chronic overuse. Acute knee injuries can result in pain and edema accompanied by dif-ficulty in flexing or extending the knee and negatively impacting weight-bear-ing activities.
Knee Sprain: ligament tears can result from acute hyperflexion, hyperextension or overuse.
Bursitis: an inflammation of the bursa as the re-sult of overuse or trauma.
Laser Therapy in the Treatment of Sports Injuries- The Answer for the Professional Athlete and the Weekend Warrior
Fred Kahn, MD, FRCS(C) & Fernanda Saraga, PhD
Laser Report - Winter 2013
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Foot and Ankle Injuries
The risk for injury to the foot or ankle is higher in sports involving jumping such as basketball, soccer or football, where quick directional changes are required. Aging adults are also at higher risk for injuries and fractures of this nature, as they lose protective muscle mass and bone density (osteopenia) in a progressive manner.
Achilles Tendonitis: micro-tears in the connective tissue in or around the Achilles tendon which connects the calf muscles to the calcaneum may weaken the tendon and make it more vulnerable to tear or rupture.
Plantar Fasciitis: characterized by pain at the site of the attachment of the plantar fascia at the calcaneum, with or without accompanying pain along the medial band of the plantar fascia.
Acute injuries of the soft tissues and bones can result from a sudden misstep in which the weight-bearing extrem-ity is improperly aligned to provide
appropriate support to the body. Over-use injuries occur when significant stress is imposed on a joint or other tissues re-peatedly, often caused by simple repeti-tive movements. These injuries include Achilles tendonitis, stress fractures, plantar fasciitis, retrocalcaneal bursitis and metatarsalgia.
Shoulder and Elbow Injuries
These types of problems occur frequently in the athlete who throws, particularly baseball players, javelin throwers and so forth. Many sports injuries involve the shoulder, elbow and wrist and these in-clude strains, dislocations, separation, rotator cuff injuries, epicondylitis and fractures. Tears of the rotator cuff ten-dons are classified as partial thickness, full thickness and occasionally with complete detachment from the bone. Shoulder pain may be characterized as variable and does not always correspond to the degree of the injury. Chronic ro-tator cuff problems are more frequent than acute injuries and most frequent-ly result from repetitive activity of the muscle groups.
Rotator Cuff Tear: may involve one or more of the four tendons of the rotator cuff muscles and can be described as partial or total. On occasion there may be complete detachment from the bone.
Epicondylitis results from inflamma-tion localized to the extensor or flexor origins at the inferior aspect of the lateral and less frequently the medical epicon-
dyle. Lateral epicondylitis is more often related to tennis and medial epicondyli-tis is associated with golf, however they are quite interchangeable. The primary symptom is pain and tenderness over the epicondyles accentuated by movements including flexion, supination and prona-tion. Similar movements at the wrist can also enhance the symptoms. These situ-ations restrict the ability to perform the tasks involved in everyday activities. As the disease progresses, it is accompanied by muscle weakness of the extremity and an inability to grasp objects or opening jars etc.
Lateral Epicondylitis: results from inflammation and microtearing of fibers in the extensor tendon origin. Symptoms include pain over the lateral epicondyle of the elbow, which can radiate into the muscle.
Physiological Effects of Laser Therapy
There have been a number of animal studies and human clinical trials that have evaluated the efficacy of Laser Therapy for a wide range of soft tissue and musculoskeletal problems. The evi-dence published to date in support of the application of Laser Therapy for sports injuries has been growing over the past decade. With most conditions, therapeutic guidelines have now been delineated to treat specific conditions. In our estimation, Laser Therapy is rapidly assuming a position as the treat-ment choice in the majority of these problems. In summary, Laser Therapy has been found to be highly effective in the treatment of entities including Achilles tendinopathies1,2, fibulo collat-
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Laser Report - Winter 2013
eral sprains of the ankle, rotator cuff in-juries and epicondylitis. The American Physical Therapy Association (APTA) recently established evidence-based clinical practice guidelines for the use of Laser Therapy for these conditions, along with eccentric exercises, resulting in the highest level of proof support-ing this therapeutic approach. Laser Therapy has also been associated with a biostimulatory effect on the prolifera-tive and regenerative phases of skeletal muscle repair7. Along with increased ATP production, Laser Therapy reduces oxidative stress, increases collagen and fibroblast production and regenerates new muscle fibers to replace those that are damaged as the result of injury. In addition, Laser Therapy has been dem-onstrated to decrease exercise-induced skeletal muscle fatigue8 and relieve acute pain resulting from soft tissue injuries10.
CASE PRofILES
CASE 1Diagnosis:
Partial tear of the right hamstring mus-cle origin with an associated extensive hematoma.
History:
The patient is a 52 year old male golfer who injured his right hamstring muscles while forcefully rotating in the course of a golf swing. The result - a tear accom-panied by hematoma that continued to expand rapidly with accompanying tenderness, edema and complete loss of function of the extremity. The pain was severe even at rest and the patient had difficulty sleeping, along with the inability to engage in any meaningful physical activities.
Physical Examination:
A significant degree of tenderness was noted over the hamstring muscle origin (i.e. biceps femoris, semimembranosus and semitendinosus muscles).
Discussion:
Following the administration of four Laser Therapy treatments over the course of seven days, there was a dra-matic resolution of the hematoma along with the edema, tenderness and pain. The patient was able to walk without difficulty and resume normal weight bearing activities.
Partial tear of the right hamstring muscle origin with an associated expanding hematoma. Initial (Top), Following 4 treatment sessions (Bottom).
CASE 2Diagnosis:
Full thickness tear of the right supra-spinatus tendon.
History:
The patient injured his right shoulder during a sudden movement utilizing the extremity.
Imaging Results:
An ultrasound study prior to the ad-ministration of Laser Therapy revealed a full thickness tear of the anterior and midfibres of the supraspinatus muscle at its junction with the tendon. The defect measured 24 x 15 x 9 mm.
Discussion:
After the administration of 13 Laser Therapy sessions over the course of two months, a follow-up ultrasound study indicated that the tear had diminished to less than 50% of its original dimen-sion, measuring 10 x 4 mm. The patient received 5 additional treatments and a second ultrasound study subsequently demonstrated that the rotator cuff in-jury was no longer visible. It should be noted that the patient was asymptomat-ic and had a normal range of motion of the shoulder at this point despite having continued to perform normal activities throughout the course of treatment..
CASE 3Diagnosis:
Partial tear right hamstring origin.
History:
The patient is a 28 year old female heptathlon competitor who sustained a partial tear of the right hamstring ori-gin 9 months earlier. She had suffered from constant pain and significant dis-ability with regard to activities. She had been subjected to a prior course of extensive physiotherapy, ART treat-ment, ultrasound therapy, along with ice and analgesics to reduce her symp-toms without any significant benefit. She was unable to train routinely and compete in any physical events.
Physical Examination:
Acute tenderness was noted on palpa-tion over the origin and the proximal portion of the right hamstring muscles. The range of motion of the lumbar
Laser Report - Winter 2013
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spine, hip and knee were within nor-mal limits.
Discussion:
Laser Therapy was administered on 3 consecutive days and subsequently 3 times per week over the following 2 weeks, for a total of 9 treatments. At the termination of the course of treatment, no tenderness was noted on palpation and the patient was able to resume training with the objective to compete in upcoming heptathlon events.
CASE 4
Diagnosis:
Bilateral synovitis of the knees along with tears in both medial menisci and the right lateral meniscus.
History:
The patient is a 16 year old male elite soccer player who presented with pain in both knees. Symptoms had been present in the left knee for approxi-mately 1 year and the right for several months. There was no history of any significant knee injury. The patient was unable to continue playing soc-cer; moreover symptoms precluded even minimal physical weight bearing activities.
Physical Examination:
The circumference of the right knee was 38 cm and the left 37.5 cm. Flex-ion was noted to be normal in both knees. The left knee lacked 15° exten-sion and the right 10°. Tenderness was noted over the medial and patellar compartments bilaterally. No instabil-ity was noted.
Imaging Results:
An MRI of the right knee prior to his initial presentation revealed a horizon-tal tear of the body and anterior horn of the medial meniscus, with an adja-
cent parameniscal cyst measuring 2.7 cm x 4 mm. In addition, there was a horizontal upper-surface tear at the an-terior horn of the lateral meniscus. A joint effusion was also reported.
The MRI of the left knee indicated a horizontal lower-surface tear at the anterior horn of the medial meniscus with an adjacent parameniscal cyst measuring 2.5 cm x 5 mm. Similar to the right, a joint effusion was present.
Discussion:
The patient was initially treated 5 times over the course of 6 days and re-examination revealed marked improve-ment characterized by reduced edema, decreased tenderness and a normal range of motion. For geographical rea-sons the patient was instructed in the use of a Home II BioFlex System to continue treatment on alternate days at home. The patient was able to re-sume training and competition within 2 months after the initial examination and continued to be asymptomatic. Re-assessment demonstrated a normal range of motion, no existing tender-ness or other abnormalities.
A follow-up MRI of both knees 9 months after his initial examination indicated significant reduction in the extent of all meniscal tears and in the size of the associated cysts. This patient had been offered a full soccer scholar-ship to a major US university and was able to accept this offer, as the knees were normal on clinical examination and he was completely functional.
Conclusion:
In the past five years particularly, an increasing number of athletes have ac-quired BioFlex Laser Therapy Systems for their personal use, in order to be able to treat their injuries immediately after occurrence. All have been edu-cated to understand that the therapy can be utilized with protocol specific
guidelines, for most sports injuries. In these situations, rapid and complete recovery is almost invariably assured.
A number of golf professionals have learned “never to leave home without it” (i.e. the BioFlex System), knowing that they can independently treat their injuries on the road as required.
Several baseball pitchers in the Major Leagues have followed suit. Athletes are instructed to use the system for 10-20 minutes prior to pitching and also subsequently. The benefits resulting from this approach include the imme-diate reduction of any inflammation and pain, increased proliferation of collagen, cartilage and muscle cells. In essence the result is the rapid repair of injuries, enabling athletes to continue with their activities and to return to the playing field soon after sustaining an injury or in many instances to con-tinue performing.
Both the professional athlete and the weekend warrior can benefit signifi-cantly from the early application of Laser Therapy for a wide range of soft tissue and musculoskeletal problems. Increased awareness of the benefits of this emerging, highly effective medi-cal technology will allow more ath-letes, both professional and amateur, to return to the playing field sooner after suffering an injury and even more importantly prolong their career for many years. In addition, the Systems may be used to prevent future compli-cations and curtail recurrence of previ-ous problems.
References available upon request.
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Laser Report - Winter 2013
Pain is the most common factor involved in prompting patients to consult their health care practitioner. For this reason, it is important to recognize that pain is only a symptom of the underlying pathology, which is responsible for the pain. The modulation of pain by utilizing analgesics and other modalities may diminish the sensation of pain, but does not cure the cause of the pain. Conversely, Laser Therapy treats the pathology at the cellular level; as treatment progresses, pain disappears along with all other concomitant symptoms.
The training will begin with a review of the literature regarding chronic and acute musculoskeletal conditions. Presentations will include a diverse number of clinical cases relating to sports injuries, traumatic episodes, degenerative osteoarthritis, fibromyalgia etc.
The Systemic Effects of Photons - ImmunomodulationMary Dyson, PhD, FCSP(Hon) - Running time: 60 mins
Musculoskeletal Pain - Literature ReviewFernanda Saraga, BSc(Hon), MSc, PhD - Running time: 40 mins
Laser Therapy in Acute ConditionsSlava Kim, MD(INTL) - Running time: 60 mins
Musculoskeletal Pain WebinarAdvanced Laser Therapy Training
LECTURE TOPICS
CE CREDITS AVAILABLE
OPTION 1 - $119Online LecturesTraining Manual*
Certificate*
*hard copies mailed upon receipt of payment
OPTION 2 - $99Online LecturesTraining Manual**
Certificate**
**electronic copies only
For more information or to register for this webinar, please contact us at 1-888-557-4004 by email at [email protected] or visit www.bioflexlaser.com
Laser Report - Winter 2013
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Meta-Analysis of Pain Relief Effects by Laser Irradiation on Joint Areas.Jang H and Lee H. Photomed Laser Surg. 2012 Jun 29
Laser therapy has been proposed as a physical therapy for musculoskeletal disorders and has attained popularity because no side effects have been reported after treatment. However, its true effectiveness is still controversial because several clinical trials have reported the ineffectiveness of lasers in treating pain.
In this systematic review, we investigate the clinical effectiveness of low-level laser therapy (LLLT) on joint pain. Clinical trials on joint pain satisfying the following conditions are included: the laser is irradiated on the joint area, the PEDro scale score is at least 5, and the effectiveness of the trial is measured using a visual analogue scale (VAS). To estimate the overall effectiveness of all included clinical trials, a mean weighted difference in change of pain on VAS was used.
MEDLINE is the main source of the literature search. After the literature search, 22 trials related to joint pain were selected. The average methodological quality score of the 22 trials consisting of 1014 patients was 7.96 on the PEDro scale; 11 trials reported positive effects and 11 trials reported negative effects. The mean weighted difference in change of pain on VAS was 13.96 mm (95% CI, 7.24-20.69) in favor of the active LLLT groups. When we only considered the clinical trials in which the energy dose was within the dose range suggested in the review by Bjordal et al. in 2003 and in World Association for Laser Therapy (WALT) dose recommendation, the mean effect sizes were 19.88 and 21.05 mm in favor of the true LLLT groups, respectively.
The review shows that laser therapy over the joint reduces pain. Moreover, when we restrict the energy density of the therapy to those suggested by our previous study, and the WALT recommended guidelines, we can expect more reliable pain relief.
BACKGROUND
RESULTS
CONCLUSIONS
METHODS
Research Highlight
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Laser Report - Winter 2013
Angiogenesis & NeovascularizationAn increase in oxygenated blood flow to the injured tissue improves arterial perfusion and therefore healing.
Collagen ProductionProper alignment and remodeling of collagen reduces internal scar formation and enhances tissue elasticity.
Muscle Regeneration & Muscle AtrophyRepair of damaged muscle fibers and activation of myogenic satellite cells leads to regeneration of muscle tissue.
Laser Therapy is a non-invasive, pain-free, light-based therapy that uses red and infrared light to target inflamed, injured and diseased tissues. Photons of light stimulate ATP production, thereby accelerating cell regeneration and the healing process. Compared to traditional treatment, patients recover from musculoskeletal and peripheral nerve injuries with less scar tissue formation and improved functional capabilities.
Clinical Effects of Laser Therapy
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Inflammation & EdemaAn increase in inflammatory mediators such as macrophages, neutrophils and lymphocytes accelerates resolution of the inflammatory process.
Nerve RegenerationProliferation of growth factors promotes neuronal sprouting and myelin formation for optimal nerve recovery.
Cartilage ProductionAn increase in chondrocyte and collagen production promotes cartilage regeneration and joint function.
Bone FormationProliferation of osteocytes and remodeling of the extracellular bone matrix results in accelerated bone repair.
This diagram is available as a poster. Please contact [email protected] for details
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Laser Report - Winter 2013
Social Commentary
The Psychological Status of Wound PatientsFred Kahn, MD, FRCS(C)
A disproportionate number of patients in this category have been suffering from lesions in existence from a matter of months to over five years. They have been exposed to an extensive number of therapeutic modalities at multiple centres. These range from dermatological offices to specialized hospital wound clinics. Generally and invariably, they have seen a number of special-ists including vascular surgeons, dermatologists, infectious disease controllers, neurologists and family physicians. Most have been treated with several courses of antibiotics, comprising oral, topical and intravenous delivery, along with analgesics, sleep medications and an almost unlimited number of dressing options. Topical applications are so diverse that the attempt to clas-sify them, boggles the mind. Some incorporate silver, others are iodine-based – the list is without end.
Often despite best efforts, wounds continue to increase in dimension at a gradual pace, whether diabetic, atherosclerotic, venous, inflammatory, iatrogenic or of other origin.
As the days pass and turn into months, even years, the patient becomes increasingly depressed with the feeling that there is no light at the end of the tunnel. In essence, they lose faith in the power of the healing professions. Many become resigned to their fate; others become angry at the journey that eventually may encompass the loss of a limb. Gradually, they lose interest in the proceedings and cease to care with regard to the objective or the end result. The wound and the extremity on which it is located, from their perspective, ‘now belongs to the therapist’. In the course of this development, they tend to become non-compliant with regard to the prescribed regimen and often, somewhat like alcoholics, disappear for a week or two until someone in their family persuades them to continue with treatment, which by then may present new complications.
At the same time, no matter how caring or attentive the therapeutic environment may be, there is always the danger at this stage of failing to penetrate the patient’s mental armour. They become guarded and somewhat reclusive in communicating their problems and anxieties and may retreat into a shell, which inures them from outside influences and the reality of their situation. On occasion, indeed, they lose total interest in their progress and the objective of the therapeutic exercise, along with the administration thereof. Even when significant healing is demonstrated by serial photographs, they become disinclined to reveal any interest or emotion with relation to these positive events.
The most negative factor often prevalent and frequently reinforced has been the debridement process. The administration of this step is often heavy-handed, painful and engenders the feeling that it may even be destructive. Whereas on occasion it may be required, in our experience, natural debridement, based on the use of hydrogen peroxide and saline compresses, is vastly preferable. Moreover in our opinion, it is better tolerated, more effective and permits new cells to survive.
In an effort to penetrate the negative mindset of these patients, one must reflect on their psychological status and educate them about treatment objectives. The Meditech Laser Therapy Program for Wound Healing stresses a positive approach, along with the development of relevant insight into the patient’s psychological status. The latter involves psycho-therapeutic techniques including guidance to enhance comprehension conversion to become a participant in the healing process and sharing the re-sponsibility for the outcome. It is mandatory that all centres specializing in wound healing understand and incorporate these principles into their programmes.
For references regarding the Meditech Method for Wound Healing, please email our Director of Research, Fernanda Saraga, PhD at [email protected]
Laser Report - Winter 2013
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Introducing the Bioflex Therapist Pro System
*Introductory special expires March 30th, 2013. Taxes & shipping not included. On approved credit. 60 month term. 10% buyout.
The BioFlex Therapist Pro System is a fully developed laser therapy product following in the footsteps of the internationally acclaimed BioFlex Professional Laser Therapy System. It combines the ease-of-use and compact size of the Therapist System with the larger and more powerful arrays of the Professional System.
Regular Price $16,500Introductory Special $14,950*
Lease Amount $292*
LD-I 200, LS-R 750, LS-I 1500, CU, Safety Kit, Extension Strap, BioFlex Carry Bag, Weight Set, Training for 1
“There is no other system in the world that is comparable or gets such outstanding results.”
Director, Laser Therapeutics of Southern ArizonaTucson, Arizona
LASER PRoBE
TREATMENT ARRAyS
CoNTRoLLER UNIT (CU)
• For treating acupoints, trigger points & localized pathologies
• Safety in design & treatment• Both red & infrared laser
probes available
• Flexible large surface arrays that contour to anatomical configurations & permit hands-free treatment • A library of scientifically
developed & clinically tested protocols
• Ability to customize protocols to treat specific pathologies
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Laser Report - Winter 2013
Meditech, the leader in education and the design of Laser Therapy devices, presents the foremost researchers and clinicians involved in this emerging technology.
Whether you are experienced in the administration of Laser Therapy or interested in learning how it can benefit your patients, this conference will provide you with the most advanced information available and educate you in order to facilitate the application of therapy.
Keynote Speaker: Dr. Norman DoidgePsychiatrist, psychoanalyst, and author of the New York Times best-selling book “The Brain that Changes Itself ”, Dr. Doidge will present an exciting lecture on the concept of neuroplasticity which has changed the medical perception of neural function.
“Lucid and absolutely fascinating...engaging, educational and riveting. It satisfies, in equal measure, the mind and the heart. Doidge is able to explain current research in neuroscience with clarity and thoroughness.”
Chicago Tribune
Symposium Highlights• Neuroplasticity – The Brain that Changes itself• Complex Regional Pain Syndrome and Fibromyalgia – From Diagnosis to Effective Treatment Plans• Application of Laser Therapy for Dermatological Conditions• Laser Therapy for Sports Injuries – The Answer for the Weekend Warrior
Expand your knowledge. Build your practice.INNOVATIONS IN LASER THERAPY
JUNE 8th & 9th TORONTO, CANADA 2013
Early Bird Registration*
Symposium June 8th, 2013 - $295*
Master Class June 9th, 2013 - $295*
Symposium + Master Class June 8th & 9th, 2013 - $590*
For symposium schedule, CE information, or to register please call 1-888-557-4004, email [email protected], or visit our website www.internationallaser.org
Increased ATP ProductionInhibition of Nociceptor (Pain) SignalingEndorphin ReleaseAngiogenesisTissue RegenerationResolution of InflammationThermal Effect
Mechanisms of Action
Over the Uterus during PregnancyDirectly over MalignanciesImpaired Skin SensationPacemakersRisk of Hemorrhage or ThrombosisBone FracturesEpilepsyCardiovascular DiseaseMetal Implants
Contraindications
Comparison of Therapeutic Modalities
Laser Report - Winter 2013
15
Registration includes course materials, structured classroom presentations and hands-on clinical exposure.
A certificate is presented to all healthcare professionals on satisfactory completion of this course.
For more information or to register for one of our courses please contact Melissa at 1-888-557-4004 or by email at [email protected]
Meditech International Inc. believes in the dictum of “Progress through Education.” As manufacturer of the BioFlex Laser Therapy Systems, the Company is dedicated to the education of participants with regard to all aspects of Laser Therapy. This ensures that systems will be used appropriately, leading to optimal clinical outcomes.
Formal lectures are followed by hands-on training in the application of Laser Therapy for the treatment of soft tissue and sports injuries, wound healing, dermatological conditions and a wide variety of musculoskeletal problems.
Continuing Education (CE) credits are available depending on healthcare professional and provincial regulatory bodies.
Please visit our website, www.bioflexlaser.com for details.
Principles of Laser TherapyThe Science and Research
Practical ApplicationSystem Operation
Development of a Laser Therapy Practice
www.bioflexlaser.comMedical Device License
HealthCanada
A12233 ISO 13485
Meditech International Inc.
Laser Report - Winter 2012
1
In The News at MeditechNew Years
Product SpecialWebinars & Advanced
Training 2012
In The News at Meditech
As 2012 begins, Meditech, the organi-zation, re-dedicates itself to the task of continuing to improve the standard of excellence in the design, manufacture and clinical application of Laser � er-apy Systems. � is task has never been simple or easy, and this year will be no exception. � e research and experience gained over the past, will however form a solid basis for future enhancements, some of which have already been in-corporated into our current products. � ese achievements should improve the therapeutic experience for both practi-tioners and patients.
On this note, we have recently added two outstanding engineering specialists to our sta� , along with several outside consultants, which will enable us to continue to create exciting new systems with advanced technological features.
Over the past two years, we have un-dertaken research, in conjunction with the Institute of Optical Sciences at the University of Toronto, to explore the performance and longevity of our su-perluminous and laser diodes and will
use this data to further improve our systems’ performance. � is again is a complex subject and to the best of our knowledge, no other manufacturer has instituted this type of study, which we feel is essential to ensure the durability, functionality and clinical performance of the devices.
In summary, our objectives in 2012 are to continue to improve the quality and wider application of our systems. We will also continue to provide industry leading training and educational pro-grammes for all therapists, in order to optimize clinical outcomes.
We are pleased to announce that in the last quarter of 2011, sales of the BioFlex Professional Systems increased by more than 20% and this trend is expected to accelerate in 2012.
We recently had visits from Drs. Karim and Farzana Mohamed from Kenya, whose family operates medical clinics in Mombasa, Nairobi and London, and in April of 2012 will open a new clinic in Vancouver, BC. Both are physicians and have used a number of laser devices in the past and after a thorough review,
have selected the BioFlex System for their new clinic. In addition, they antic-ipate installation of these systems in all their clinics located around the globe.
Elizabeth and Ben Yuen, in Bedford, Nova Scotia, have placed an order for eleven additional systems to be shipped early in the New Year. � is will bring the total number of BioFlex Systems in their clinic to thirty one, making it one of the world’s largest free-standing laser therapy clinics. � is is a singular achievement indeed and the Yuen’s and their sta� are to be congratulated on their initiative and leadership.
Dr. Moona Rahemtulla who operates clinics in Kitchener and Owen Sound, in December added � ve BioFlex Profes-sional Systems to his already existing eleven, which he has utilized with great success since 1999.
At the Meditech clinic, we are pleased to report a continuing stream of pa-tients from around the globe and in most instances these individuals obtain what can be termed as dramatic results. Most of these patients had been un-able to � nd medical solutions at major
IN THIS ISSUE
Literature Review
Abstracts of InterestRoberta Chow, MD
& Benjamin Yuen, DC2012 Training ScheduleSocial Commentary
Laser Therapy for the Treatment of
Neck Pain
WINTER 2012
Annual Subscriptions (3 Issues) $50
Insights with Terry Bradshaw Segment (5 min)
Patient Education Video (30 min, closed captioned)
2 year subscription to the Laser Report
WOULD YOU LIKE TERRY BRADSHAW TO EDUCATE YOUR PATIENTS ON LASER THERAPY?
Watch legendary quarterback and dynamic television personality Terry Bradshaw narrate an engaging and informative documentary featuring BioFlex Laser Therapy at the Meditech Laser Rehabilitation Centre. This concise five minute video news segment titled “Insights” will be broadcast in major markets across North America to build public awareness of BioFlex Laser Therapy.
BioFlex customers can now purchase the Insights segment DVD to play for their patients in their waiting room or to distribute to patients and referring healthcare practitioners. Also included in this package is a 30 minute closed-captioned Patient Education Video which can be plated on a loop in your clinic waiting room. It’s an impactful tool to educate your patients about Laser Therapy through frequently asked questions, clinician testimonials on the success of Laser Therapy and interesting case profiles.
Package includes 20 DVDs (10 x Insights Segment; 10 x Patient Education Video). Additional DVDs may be purchased at a cost of $10 per DVD. To view excerpts from these videos please visit www.bioflexlaser.com. This DVD may not be copied, reproduced or uploaded to a website without the express permission of Meditech International Inc.
For more information or to order the kit, contact 1-888-557-4004 or by email at [email protected]
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INSIGHTS PACKAGE INCLUDES
INSIGHTSwith Terry Bradshaw
$495Plus applicable taxes and shipping charges
Registration includes course materials, structured classroom presentations and hands-on clinical exposure.
A certificate is presented to all healthcare professionals on satisfactory completion of this course.
For more information or to register for one of our courses please contact Melissa at 1-888-557-4004 or by email at [email protected]
Meditech International Inc. believes in the dictum of “Progress through Education.” As manufacturer of the BioFlex Laser Therapy Systems, the Company is dedicated to the education of participants with regard to all aspects of Laser Therapy. This ensures that systems will be used appropriately, leading to optimal clinical outcomes.
Formal lectures are followed by hands-on training in the application of Laser Therapy for the treatment of soft tissue and sports injuries, wound healing, dermatological conditions and a wide variety of musculoskeletal problems.
Continuing Education (CE) credits are available depending on healthcare professional and provincial regulatory bodies.
Please visit our website, www.bioflexlaser.com for details.
Principles of Laser TherapyThe Science and Research
Practical ApplicationSystem Operation
Development of a Laser Therapy Practice
www.bioflexlaser.comMedical Device License
HealthCanada
A12233 ISO 13485
Meditech International Inc.
Laser Report - Winter 2012
1
In The News at MeditechNew Years
Product SpecialWebinars & Advanced
Training 2012
In The News at Meditech
As 2012 begins, Meditech, the organi-zation, re-dedicates itself to the task of continuing to improve the standard of excellence in the design, manufacture and clinical application of Laser � er-apy Systems. � is task has never been simple or easy, and this year will be no exception. � e research and experience gained over the past, will however form a solid basis for future enhancements, some of which have already been in-corporated into our current products. � ese achievements should improve the therapeutic experience for both practi-tioners and patients.
On this note, we have recently added two outstanding engineering specialists to our sta� , along with several outside consultants, which will enable us to continue to create exciting new systems with advanced technological features.
Over the past two years, we have un-dertaken research, in conjunction with the Institute of Optical Sciences at the University of Toronto, to explore the performance and longevity of our su-perluminous and laser diodes and will
use this data to further improve our systems’ performance. � is again is a complex subject and to the best of our knowledge, no other manufacturer has instituted this type of study, which we feel is essential to ensure the durability, functionality and clinical performance of the devices.
In summary, our objectives in 2012 are to continue to improve the quality and wider application of our systems. We will also continue to provide industry leading training and educational pro-grammes for all therapists, in order to optimize clinical outcomes.
We are pleased to announce that in the last quarter of 2011, sales of the BioFlex Professional Systems increased by more than 20% and this trend is expected to accelerate in 2012.
We recently had visits from Drs. Karim and Farzana Mohamed from Kenya, whose family operates medical clinics in Mombasa, Nairobi and London, and in April of 2012 will open a new clinic in Vancouver, BC. Both are physicians and have used a number of laser devices in the past and after a thorough review,
have selected the BioFlex System for their new clinic. In addition, they antic-ipate installation of these systems in all their clinics located around the globe.
Elizabeth and Ben Yuen, in Bedford, Nova Scotia, have placed an order for eleven additional systems to be shipped early in the New Year. � is will bring the total number of BioFlex Systems in their clinic to thirty one, making it one of the world’s largest free-standing laser therapy clinics. � is is a singular achievement indeed and the Yuen’s and their sta� are to be congratulated on their initiative and leadership.
Dr. Moona Rahemtulla who operates clinics in Kitchener and Owen Sound, in December added � ve BioFlex Profes-sional Systems to his already existing eleven, which he has utilized with great success since 1999.
At the Meditech clinic, we are pleased to report a continuing stream of pa-tients from around the globe and in most instances these individuals obtain what can be termed as dramatic results. Most of these patients had been un-able to � nd medical solutions at major
IN THIS ISSUE
Literature Review
Abstracts of InterestRoberta Chow, MD
& Benjamin Yuen, DC2012 Training ScheduleSocial Commentary
Laser Therapy for the Treatment of
Neck Pain
WINTER 2012
Annual Subscriptions (3 Issues) $50
Customization consists of the following:
Addition of two slides at the end of each video segment
SLIDE 1Contact information, logo and color branding
SLIDE 2Services Offered
DVD Label with contact information, logo and color branding
Meditech International Inc. believes in the dictum of “Progress through Education.” As manufacturer of the BioFlex Laser Therapy Systems, the Company is dedicated to the education of participants with regard to all aspects of Laser Therapy. This ensures that systems will be used appropriately, leading to optimal clinical outcomes.
Formal lectures are followed by hands-on training in the application of Laser Therapy for the treatment of soft tissue and sports injuries, wound healing, dermatological conditions and a wide variety of musculoskeletal problems.
Continuing Education (CE) credits are available depending on healthcare professional and provincial regulatory bodies.
Please visit our website www.bioflexlaser.com for details.
Registration includes course materials, structured classroom presentations and hands-on clinical exposure.
A certificate is presented to all healthcare professionals on satisfactory completion of this course.
CERTIFICATION TRAINING CONTENT:Introduction to Laser TherapyScience and Clinical-Based ResearchHands-on Protocol TrainingCustomization and Protocol DevelopmentHow to Build your Practice and Increase Revenues
www.bioflexlaser.com
Meditech International Inc.415 Horner Avenue, Unit 1Toronto, Ontario, M8W 4W3Telephone: (416) 251-1055Fax: (416) 251-2116Toll Free: (888) 557-4004
Medical Device License
HealthCanada
A12233 ISO 13485
Meditech International Inc.
Laser Therapy for Healthcare Practitioners
2013 CERTIFICATION TRAINING
For more information or to register for one of our courses please contact 1-888-557-4004 or by email at [email protected]
