Download Carpal Tunnel Syndrome (CTS)

New Generation Healing
Biostimulation with 830Laser
How Does it Work?
Brief Overview
Effects on Human Body
1. Light/Photons
2. Stimulate
Mitochondria
3. Stimulate
Lymphatic
system
4. Increases
Tensile strength
Skin
Subcutaneous tissues
Biostimulation
In 1967 a few years after the first working laser
was invented, Endre Mester in Semmelweis
University Budapest, Hungary wanted to find out
if laser might cause cancer,
Dr Endre Mester
The father of laser therapy
1.
2.
3.
4.
He took some mice
Shaved the hair off their backs
Divided them into two groups
Gave a laser treatment with a low
powered ruby laser to one group.
5. They did not get cancer
6. To his surprise the hair on the treated
group grew back more quickly than the
untreated group.
Waveforms
Sunlight
LED
(light emitting diode)
830Laser Produces
a Unique Light
1. Monochromatic
2. Coherent
3. Collumated
What Can the Patient
Expect?
3 Essential Benefits
1. Reduces
Inflammation
2. Reduces Pain
3. Increases
Tissue Healing
& STRENGTH
Successfully Treats
* Pain Relief (muscles, joints, nerves)
* Plantar fascitis
* Wound Healing
* Trauma
* Arthritis
* Migraine headaches
* Lower back pain
* Repetitive Stress Injuries (RSI)
* Carpal Tunnel Syndrome (CTS)
* Tendonitis
* Fibromyalgia / Myofascial Pain
* Sprains and strains
More Indications
* Post-operative pain
* Whiplash
* Post-operative wounds
* Knee, foot, ankle pain
* Tennis Elbow
* Golfer's Elbow
* TMJ
* Soft tissue injuries
* Swelling
* Burns
* Pressure sores
* Herpes simplex
* Acne
* Rotator Cuff Injury
Is it Safe?
US Food & Drug Admin
In the United States, medical lasers are
classified as Class II (Special Controls)
and must have Section 510(k) premarket
approval or premarket clearance from the
FDA prior to marketing for any claimed
human indication, unless specifically
exempted by the FDA.
FDA Approval
• February 6, 2002
• Took 12 years
• No harmful
effects except for
eyes
Research Development
• Since 1967, more than 2,000* clinical
studies have been published worldwide on
low-level laser therapy (aka. low intensity,
cold laser)
Painful Osteoarthritis of the
Knee
•
•
•
•
2003 Double-Blind, Randomized, Controlled Study
90 patients, 14-week study
Randomly assigned to three treatment groups
GaAlAs diode
• Group I “A”: actual LPLT consisted of 5 minutes (3 J)
• Group II “B”: actual LPLT consisted of 3 minutes (2 J)
• Group III “C”: placebo laser
30 patients in each group. All patients received a total of 10
laser treatments (over 2 weeks) and 14 weeks of
exercise. Follow up measures 4-8-12 weeks after last
laser treatment.
Study Conclusion
“We found significant improvements in patients within the two
active therapy groups with respect to all of the parameters such
as pain, functioning, and QoL measures, whereas there were
significant improvements in patients in the placebo laser group
with respect to morning stiffness, pain at movement, pain at
rest, pain at flexion, and WOMAC at the end of 14 weeks.
Additionally, we did not find any significant differences in
placebo laser group with respect to any outcome measures
except morning stiffness at week 6. This finding was one of the
most important results of our study. This finding suggests that
significant improvements in some outcome measures starting
from week 10 in the placebo laser group may rise from the
exercise therapy applied rather than the placebo laser therapy.”
Orthodontic Movement
Velocity
• 2004 Randomized Study
• The aim of this innovative study was to analyze the effects of 780nm diode laser irradiation on human canines’ retraction during an
orthodontic movement with a healthy tissular response, by the
measurement of the biometrical progress. A higher retraction
velocity could decrease treatment time and therefore treatment
costs.
• 11 patients, 2-month study
• Left and right first maxillary premolars extracted and a fixed
orthodontic appliance installed to close the space created and to
restore an ideal occlusion and facial esthetic.
• GaAlAs diode
• One half received laser treatment, the other half did not.
Study Conclusion:
“The results of this preliminary study suggest that LILT
significantly accelerates orthodontic movement in humans
with a healthy response from periodontal tissues. The
irradiation parameters and protocol used in this study were
successful in decreasing treatment time. As a
consequence, future perspectives of this innovation are
decreased treatment costs and less discomfort for the
patient. Further studies are still required to explain the
mechanisms of LILT and more clinical trials are necessary
to optimize treatment parameters.”
Secrets Getting Out
• New England Patriots
• Olympic Athletes
Carpal Tunnel Syndrome8
• Nearly 500,000 Americans
have surgical treatment
for carpal tunnel
syndrome each year;
surgery costs $8,000 to
$10,000 per patient,
according to the American
College of Orthopedic
Surgeons.
• GM Study. 12 year study
due to $250 million per
year.
Mandated Soon!
• Back Surgeries
• Carpal Tunnel Surgeries Watch Video.
Carpal Tunnel Surgery costs
$8,000 to $10,000
830 Laser treatment costs less than
$500
How Long are
Treatments?
Fast, Effective Healing
•
•
•
•
•
Studies proving as little as 2 minutes
70% after ONE treatment
Typical treatment (per area) is 3-6 minutes
Cumulative irradiation effect
Effects do not “wear off” (but pain may return if you
re-injure)
Connective tissue disorders and chronic scar tissue may take longer
How Much do
treatments Cost?
Laser Treatment Costs
• Varies from office to office
• $19 – $150 dollars per treatment (based on
length of time)
Billing Codes
Highest reimbursement codes (may require documents)
• 97140 Manual Therapy – Constant Att
• 97139 Unlisted Procedure – Constant Att
• 97039 Unlisted Modality – Constant Att
Easy reimbursement (lower return)
• 97026 InfraRed
• 97032 EMS - Attended
Easy Return on Clinician
Investment
Conservative Scenario:
• $50 per treatment?
• Just 5 treatments per day
• $1,250/week
• $1,250/week times 4.3 (wks in a month) =
$5,375/month
• ROI in less than 1 month for Corded unit
• Less than 2 month for Cordless!
Currently there are doctors generating $30,000 per month.
Superior to Other Tx Options
(ie. Pain Meds, Botox, M. Relaxers, US, EMS, Massage)
• Painless, non-toxic, non-invasive, without
drugs and very safe
• Can be applied over pins, plates, and
fractures
• Directly onto skin. No gels/medium required
• Cumulative effect
• Increases collagen synthesis (tensile
strength)
• No potential dangers (x eye)
• Immediate results typically
Warranty Info
One Year
Purchase a Three Year Extended
Durable Product
CLINICIANS:
How Can I Purchase?
One Form
One Check or CC
Start treating within 7 days
The ML830 Packages
Direct Connect Unit
•
•
•
•
830nm wand
A/C cord
Goggles
Case
Portable Cordless Laser
•
•
•
•
•
830nm wand
3 lithium batteries
Charger and tester
Goggles
Cases
Contact Info
• IndeFree Association for member pricing
• Go to www.IndeFree.com
• Call 1.800.801.4511 ext. 701
830Laser –vs- Others
Depth to Effected Tissues
• 632nm absorbed
by skin (thermal)
• 830nm effects
tissue down to
5cm
Do not buy a $12,000 heat lamp!
Comparison of Penetration Depth
5
4
3
2
1
0
Argon 488-514.3
HeNe 632.8
GaAlAs 830
Nd:YAG 1064