Kudos to waterwalkies for committing to a Laser Safe Work Zone

by Laser TherapyUncategorized

When it comes to Laser/pbm therapy-All That Glitters is Not Good.

Top marks to the team at waterwalkies and their detailed commitment to creating a Laser Safety Zone for their treatment sessions. It has been a joy to train this team of focused professionals to implement laser/pbm therapy into their treatment sessions. You don’t have to know much about laser safety to see the quantum safety differences in waterwalkies setup compared to so many other laser therapy images posted on various social media. https://lnkd.in/dPUvXcrm

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Morning 1 Kilkee

IS THERE AN OPTIMAL TIME TO DO LASER/PBM THERAPY SESSIONS ?

by Laser TherapyUncategorized

              Yes, there is an Optimal Time: Mornings.

However, that doesn’t mean that Laser/PBM therapy sessions scheduled for other times of the day won’t work. You will get efficacy from PBM applied any time of the day so continue to schedule appointment times as it suits you and the client.

However, if you have the luxury of booking treatment sessions in a Morning slot, then do so in preference for two particular reasons.

                1)Morning sessions are preferred if this is the First time the animal is having laser. This is simply so as to have the full working day to find out if this particular patient gets a strong ergogenic (aka ‘zoomies’) response to the treatment.

If so then that animal will be a bundle of energy and sleep will be the last thing on their mind. This means the pet and the owner might very well have a sleepless night if the pet decides come bedtime, that it is still time to play and play and not to sleep. 

Therefore, on the occasions that you can’t schedule a morning appointment, be sure to cheerfully alert the client that the pet could be active for longer than normal. Most clients if prewarned, are then fine if they are up all night with a super active happy pet. 

This ergogenic effect doesn’t always occur, some animals in fact are the opposite and want to sleep around the clock. Again clients should be pre-warned that this can happen so that they don’t panic after hours at a pet who just wants to stay curled up in bed after a laser treatment.

                2) Mitochondria are ‘Morning’ Workers.

Mitochondria are the main targets for Red-NIR wavelengths so it makes sense to treat when the target is most responsive. Some studies indicate that early morning, or at a minimum within 8 hours of awakening, is the time when mitochondria have spare capacity and are most sensitive to having improvements in the function of cytochrome C complex and ATP production. 

At the start of the day, ATP levels are high which results in a homeostatic reduction in complex activity as demand is low, with mitochondria only needed to top up the system which has not been drained by previous activity. Later when respiration increases, complex activity is elevated as ATP levels declined due to consumption. Mitochondria later in the day have reduced spare capacity to respond as daily activity has increased their workload.

 So where possible-Choose Morning Treatment Times.(aka

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Kyra

Comment on Canine Degenerative Myelopathy Paper

by Laser TherapyUncategorized

Hi Everyone.

I have had a few people ask me my opinion on the Dr. Lisa Miller’s paper on PBM for Canine Degenerative Myelopathy.

The paper, one of many reviewed by Drs Millis & Bergh, was given this accurate if rather terse summary:

“A study of laser use in treating degenerative myelopathy did not have a control group (comparison to a historical control group was used), had other confounding factors that may have influenced the results, and the laser dose used to compare Class III and Class IV lasers was not the same. The risk of bias for the study came in as high.”

In fairness to the paper, despite it being from a competitor company, I don’t think we should dismiss Dr. Miller’s findings based on the above reasons.

To put the comments into context: Drs. Millis & Bergh had undertaken a systematic literature review in general for PBMT and found gaps in the scientific documentation. Conflicting study results and unclear application for clinical use are explained by the wide variety of treatment parameters used in the analysed studies, such as wavelength, laser class, dose, and effect, as well as the frequency and duration of treatment. Some beneficial effects have been reported during treatment with light therapy; however, the published studies also have limited scientific quality regarding these therapies, with a high or moderate risk of bias. Although some beneficial effects were reported for light therapy, the studies also had limited scientific quality regarding these therapies, with a high or moderate risk of bias.

In general, I would have to agree with Dr Millis and Dr Bergh’s findings on most of the clinical papers out there in the PBMT field. The standard of publishing for PBMT is nothing like the wringer that the AVJ or EJFM etc, put you through to get a veterinary paper published with them.

However, pure science research based PBM papers, focused at the cellular level, do tend to hit a higher standard.

So where does that leave us with Dr Miller’s paper?

  1. Tacit Knowledge: The knowledge you absorb from being active and experienced in a discipline field, not from a textbook.

Our own tacit knowledge from using our PBM therapy machine on German Shepherd Myelopathy is that the therapy does work. The therapy should be added as an adjunct therapy;PBM doesn’t replace Megaderm, Denosyl, NSAIDS, Rehab, etc but PBMT alone, delivers about 70% of the total successful response.

2)Scientific Knowledge.

  • We know CDM disease is a mitochondrial-based disease with superoxide dismutase1 mutation being the fault line.
  • We know PBMT targets mitochondria very efficiently.
  • We know muscles and nerves have a high mitochondrial load.

Therefore PBM therapy has a natural scientific ‘in’ or ‘back door’ to this disease.

Conclusion. The findings of Dr. Miller’s paper are worthy of application in general practice.

Reading list.

  1. Miller, L.A.; Torraca, D.G.; De Taboada, L. Retrospective observational study and analysis of two different photobiomodulation therapy protocols combined with rehabilitation therapy as therapeutic interventions for canine degenerative myelopathy. Photobiomodul. Photomed. Laser Surg. 2020, 38, 195–205. (Attached above)
  2. Canine degenerative myelopathy: a model of human amyotrophic lateral sclerosis Raffaele Nardone et al . PMID: 26432396 DOI: 10.1016/j.zool.2015.09.003
  1. Mitochondrial dysfunction and amyotrophic lateral sclerosis.Isabel Hervias et al . Muscle Nerve 2006 May;33(5):598-608. PMID: 16372325 DOI: 10.1002/mus.20489
  1. Pre-exercise low-level laser therapy improves performance and levels of oxidative stress markers in mdx mice subjected to muscle fatigue by high-intensity exercise. Paulo De Tarso et al. Lasers in Medical Science30(6) 1007/s10103-015-1777-7
  2. Evaluation of inflammatory biomarkers associated with oxidative stress and histological assessment of low-level laser therapy in experimental myopathy. Natalia Servetto et al lhttps://doi.org/10.1002/lsm.20910
  1. Low-level laser therapy (LLLT) prevents oxidative stress and reduces fibrosis in rat-traumatized Achilles tendon Fillipin L. et al. https://doi.org/10.1002/lsm.20225.
  2. Millis D, Bergh A. Systematic Review A Systematic Literature Review of Complementary and Alternative Veterinary Medicine: Laser Therapy. Animals 2023. 14;13(4):667.doi:10.3390/ani13040667

Views: 8

ARWLaser Image

Let Lunchtime Focus on Food not on Facts

by Laser TherapyUncategorized
Our Vets at Vets1laser know the importance of keeping the focus of a busy clinic’s lunch times as a time for all staff to catch a breath and eat. Lunchtime is best spent taking in food, not taking in facts. Forget a Demo at lunchtime! Organise a time that best suits You, to learn more about all things Class IV Laser/PBMT. Contact us at [email protected] to find out more about how Vets1laser can be a game changer in your daily clinic or hospital schedule.

Views: 2