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What is lllt equipment?

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lllt equipment is a non-invasive pain management technique that uses low-level laser therapy to reduce pain and inflammation. It is most commonly used for pain related to arthritis or sciatica. It’s been used in Europe for pain management for decades, and has recently been used in veterinary care.

lllt equipment is also sometimes referred to as cold laser therapy (but only when utilized as specified below). lllt equipment is creating much discussion in the pain treatment community, but without much evidence of efficacy beyond the anecdotal. Multiwave lock system (MK) laser therapy uses two therapeutic wavelengths – 808 nanometer (anti-edemic and anti-inflammatory) and 905 nanometer (analgesic) – to reach deeper into tissues and nerves that are affected by pain and inflammation.

According to Dr. Jean Santo, a pain management specialist and anesthesiologist, these synchronized wavelengths cause a metabolic reaction in the cells that stimulates healing and pain relief. In general, all laser therapy treatments work in essentially the same manner, according to doctor of chiropractic Dr. Phil Harrington, who trained at Palmer College of Chiropractic:

“By stimulating the cytochrome oxidase enzyme, we are utilizing that oxygen in the respiratory chain inside of the mitochondria, producing more ATP for that cell. So regardless of what kind of cell it is, it’s going to function at a higher level. Now, we are not turbocharging. We’re not making your body do anything that it could not normally do. We’re just facilitating the process. We are helping those cells produce the energy that they normally would, so they can function as they normally should.”

Lasers are, essentially, helping the cell to complete a natural process that has, for some reason, stalled or slowed. The following video, from the producers of the technology, gives a great overview of this treatment option.

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What is Potential lllt equipment Advantages?

lllt equipment is a non-invasive procedure, meaning that it does not require a surgical incision. This means that there is no prolonged recovery time.

Laser therapy also does not involve taking any medications, and many patients prefer to avoid taking medications. Studies have so far found that lllt equipment does not have serious side effects when used properly by a doctor.

What is Potential lllt equipment Disadvantages

lllt equipment does have several disadvantages.Patients do not typically get full relief or resolution from their pain symptoms after the first treatment. It takes a series of treatments, usually 8 to 30, depending on the severity and duration of the condition.

Patients often have to return to the doctor for treatments at least 2 to 4 times per week. Old injuries may be aggravated for a few days after treatments, but for most patients this sensation is short term, lasting for a couple of days.

Medicare and Medicaid do not cover lllt equipment expenses. Some major medical insurance carriers do assist with payment and others do not cover any of the treatment.

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What makes lllt equipment work?

The laser reaches through the skin to stimulate nerve endings. The treatment is similar to acupuncture in that we treat acupuncture meridian points with the low level laser. Low level laser is currently under investigation in the U.S. to see if it boosts endorphin production, which is produced normally by you and is natures own mood lifter and anesthetic. This endorphin production may relieve the cravings and withdrawal symptoms of quitting smoking to keep you calm and relaxed.How does LLLT work?-mitochondrialllt equipment (LLLT) has a photochemical effect (like photosynthesis in plants). One of the main mechanisms of action occurs in the mitochondria (the cellular power plant inside every cell). The effect depend on the application of the correct wavelength and density of light, delivered to the target tissues for an appropriate period of time (typically between 30 – 60 seconds). Pulses can improve tissue repair and anti-inflammatory effect, analgesia is best achieved with a continuous beam.

TISSUE REPAIR AND ANTI-INFLAMMATORY EFFECTS

The primary effect occurs when light is absorbed in cytochrome c oxidase a protein within the mitochondria.

When cells get stressed (perhaps due to disease, injury or ageing) the mitochondria produces nitric oxide (NO). This competitively displaces oxygen from cytochrome c oxidase consequently reducing ATP (an essential intracellular cellular energy and extracellular signalling molecule) and causing an over production reactive oxygen species (ROS) and leading to oxidative stress. Oxidative stress is well known to lead to inflammation an cell death via the gene transcription factor NF-Kb.

lllt equipment (LLLT) of the correct wavelength and density, dissociates NO allowing oxygen back in, so ATP is restored and oxidative stress reduced. Once normal mitochondrial function is restored by LLLT then cell metabolism is improves, and the patient gets better more quickly.

 

lllt equipment for Tinnitus Clinical Discussion

The authors noted that although laser therapy did reduce tinnitus in some of the patients in this study, there was no significant difference between laser therapy and placebo overall. The same conclusions were found in three other studies of which all were double-blind, placebo controlled studies.

However, some studies have shown positive results. Two other studies of shorter duration showed significant improvements in some patients, enough to be clinically significant.

One study conducted by Hahn, et al reported an alleviation of tinnitus in 50.8% of their patients. However, this study used lllt equipment in combination with Ginkgo Biloba Extract. It is very possible the ginkgo was the active factor in the reduction.

In conclusion, the authors noted they found that a 5 mV laser with a wavelength of 650 nm was no better than placebo in treating tinnitus. They suggested that more studies with different strengths of laser treatment be carried out.

Regarding Dr. Wilden’s previous work in Germany, it needs to be remembered he uses multiple lasers, each with dual frequency output, on each patient. He also treats each patient to 600 minutes of laser radiation. Subsequent trials have used one, single frequency laser. This trial exposed patients to 400 minutes of radiation and some use less. So Dr. Wilden exposes his patients to much more power than recent trails.

The data suggests that further clinical trials should be conducted exposing the patients to more power, equivalent to that used by Dr. Wilden. Only then will we truly know whether Low-Level Laser Therapy has beneficial effects on tinnitus.

 

 

 


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