There is evidence to suggest that, in many cases of chronic refractory pain monotherapeutic approaches are less effective than combination therapies. For example, single therapeutic modalities like low level laser, ultrasound, or transcutaneous electrical stimulation are not supported by strong clinical evidence on their efficacy for chronic back pain , (see American College of Physicians/American Pain Society Guidelines).
Low Energy Photonic Therapy (LEPT) LEP2000, Doctors Salansky Protocols, is essentially a multimodality therapy when a specific sequence of “Therapeutic Optical Windows” is applied to injured tissues to facilitate pain relief and tissue healing. Each “Therapeutic Optical Window” is applied to address and improve particular tissue pathology (e.g., deficiency of cellular energy, impairment of microcirculation, inflammation). Most of the time, a disease represents more than a single pathological condition within the tissue. For example, carpal tunnel syndrome is a result of median nerve compression in the carpal tunnel. First of all, this is leading to impairment of microcirculation and depleted cellular energy adenosinetriphosphate (ATP) around the median nerve. In addition, it may be median nerve damage, inflammation in wrist and finger joints and tendons, tenosynovitis, or wasted thenar (to check spelling!) eminence muscle. Doctors Salansky Protocol of LEPT for carpal tunnel syndrome varies from patient to patient and depends on particular pathological conditions that the patient has. This approach allows providing maximum efficacy of therapy for a particular patient addressing not only the symptoms of the disease but also its causes.
Suggested image for this section: the hand (to be made) with red spots where pathological conditions of the tissues could be. Look for images of carpal tunnel syndrome on internet. Multitherapy is needed to treat carpal tunnel syndrome and other msk and neuromsk diseases. Monotherapy in the best case can address only a single pathological condition.
LEPT LEP2000, DOCTORS SALANDKY PROTOCOLS ADDRESSES
NOT ONLY SYMPTOMS BUT ALSO THE CAUSES OF DISEASES
A large body of cell culture and animal studies suggest that monochromatic light of special optical qualities and quantities can induce substantial alterations in cell energy, cell secretion, cell proliferation and motility, as well as enzyme activation. These so-called photobiomodulation phenomena could be used for clinical applications for pain relief and tissue healing improvement and acceleration. In order to activate healing phenomena in human body an appropriate 3-dimensional photon distribution has to be applied to the damaged tissue. In many cases, traditional low level lasers can not provide required 3-dimensional photon distributions within the tissue. In addition, low level lasers can not provide sufficient variability of optical parameters required to treat various pathological conditions of tissue and various diseases. Insert pictures of lasers and clusters of LEDs.
Doctors Salansky developed a concept of “Therapeutic Optical Windows” and 3D photonic therapy to accommodate treatment for various tissue pathologies and diseases. They implemented this concept in a patented LEP2000 Photonic Therapy System where a variety of optical probes with light emitting diodes and laser diodes are used to deliver to the tissue required 3D photonic therapy. LEP2000 Photonic Therapy System includes as an essential part Low Level Laser. “Therapeutic Optical Windows” An illustration of 3D Photonic Therapy. Monte Carlo and Neural network stimulation plus comparison of laser and clusters of LEDs.
Each “Therapeutic Optical Window” (TOW) is intended to improve or to reverse back to normal specific underlying tissue pathology. There are different TOWs for different tissue pathologies. TOW includes a specific wavelength, optical power, power density, dose, frequency, duty cycle, and 3-dimensial photon distribution within the target tissue. Altogether each TOW presents a special waveform which is specific for specific tissue pathology. A graph showing various TOWs.
Doctors Salansky discovered that for the best therapeutic effect, each TOW has to be optimized in regards to various optical parameters including optical power, power density, dose, frequency, duty cycle and others. If all those optical parameters are not optimized, it is not possible to achieve high therapeutic efficacy. This is the reason why along with good clinical results, there are so many negative or low clinical significance studies are reported each year involving low level lasers. A graph illustrating optimal optical windows. See Slides 45 and 46 (the axes names have to be amended.
Reference from CAM newsletter
Cochrane data base review ref on low back pain.