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LASER BASICS
The Science and Application of Low Level Laser
Therapy.
How to enhance all the good work
you already do!
LASER BASICS OUTLINE
HOUR 1
Intro to Laser
- Laser Basics – the science
- Laser and Chiropractic
HOUR 2
Neuro-musculoskeletal examination and up-regulation
- Muscle response testing (evaluation tool/treatment tool)
- Neck and upper extremity
- Low back and lower extremity
HOUR3
Cranial Nerves and Sympathetic/parasympathetic Balance
HOUR 4
Hypersympathecotonia (STRESS)
WHAT IS LOW LEVEL LASER THERAPY?
• Also known as Cold Lasers or Soft Laser
• Generates no heat
• Works on biological or cellular level
• Entirely therapeutic in nature
• No contraindications
• Highly accepted in sport therapy
LOW LEVEL LASER THERAPY
REPORTED BENEFITS…
Accelerates the healing
process and allows
patient to resume work
and daily activities, far
exceeding
conventional methods.
Carpal Tunnel Syndrome
Repetitive Stress Injuries
Sports Injuries
Acute & Chronic Back &
Neck Dysfunction
Sprains & Strains
Fibromyalgia
Tennis Elbow
TMJ Pain/Dysfunction
Arthritis
Migraine Headaches
Post-Operative Pain
Tendonitis
HOW DO LASERS WORK?
Increase Cellular Energy – ATP Adenosine triphosphate, a very important, relatively unstable
but ubiquitous molecule produced in the mitochondria of the cell. It is responsible for the release of energy necessary for
muscular activity and many cellular functions.
Cellular communication Involves the nervous system, phospholipid cell membrane and
the integrin system.
•Every cell contains hundreds of mitochondria which provide 90%
of ATP energy for function
Increase Cellular Energy
The inner membrane of the mitochondria contain 4 protein
complexes called the respiratory chain. Electrons flow through
the respiratory chain to produce ATP energy
This energy production creates oxygen free radicals as a by
product
The free radicals attack all components of the cell including the
mitochondria themselves
This leads to cell break down, decreased energy, degeneration
of all affected tissue and premature aging
LASERS TO THE RESCUE
Lasers are proven to
increase ATP synthesis and
decrease free radicals. Low level laser therapy effects the biological process that
makes antioxidant enzymes and antioxidant proteins such as
glutathione and alpha lipoic acid.
FACT: Lasers increase the
mitochondrial production of
ATP without increasing the
production of free radicals
LLLT AND CHIROPRACTIC
The nervous system uses the greatest amount of ATP energy.
Consequently, the most immediate physiological improvement
seen with “True Laser” in therapy is in neurological function
ENHANCING YOUR CHIROPRACTIC ADJUSTMENT
Stress injures the mitochondria which creates energy decline and
leads to cell death
“The tissues and organs most readily affected by cellular injury, due to stresses, are the central nervous system, heart, skeletal
muscle, kidneys and hormone producing tissue.”
Mitochondrial DNA in Aging and
Disease
Scientific American; Aug 1997 page 40
WE ARE
TAUGHT THAT
THE BODY IS
COMPOSED
OF SYSTEMS.
muscular skeletal
nervous cardiovascular respiratory
endocrine
digestive immune
reproductive
ACTUALLY,
ALL OF THESE
SYSTEMS ARE
COMPOSED
OF ONE
CONTINUOUS
SYSTEM:
INNATE
muscular skeletal
nervous cardiovascular respiratory
endocrine
digestive immune
reproductive
Current literature refers to
this as “The Living Matrix.” A
continuous system that is
primarily driven by energy;
communicating by light and
subtle vibratory oscillations
throughout every cell of the
body.
A SINGLE PHOTON CAN TRIGGER A REACTION IN ONE
CELL THAT CAUSES THE EMISSION OF SEVERAL PHOTONS.
THESE THEN TRIGGER PHOTON EMISSIONS IN OTHER
CELLS, AND THE EFFECT SPREADS FROM CELL TO CELL TO
CELL LIKE A CHAIN REACTION.
These are called high-speed branched-chain processes.
James Oschman, PhD, and author
of Energy Medicine, cites the
findings of Frohlich, world renowned
Physicist, who predicted:
“On the basis of quantum
physics, the living matrix must
produce coherent or laser-like
oscillations”
His predications were confirmed in a
number of laboratories. Energy
therapists have always recognized
the importance of vibratory
phenomena (including light) in
healing, but academic molecular
science was focused on other
matters.
Cell Communication
NERVOUS SYSTEM
Neurons
Slow (meters/second)
Point to point
Digital (all or none)
Regulates specific events:
100 billion cells
BASIC LASER PRINCIPLES
Lasers
Infrared
LED
Wavelength
Power
Wavelength
The visible light spectrum ranges from 390nm-760nm
635NM WAVELENGTH
kills bacteria
and
accelerates wound healing
resonates with DNA,
stimulates cell division without mutation
stimulates ATP production,
and neutralizes free radicals
Mitochondrial DNA in Aging and Disease
~Scientific American, August 1997
COLD LASER TECHNOLOGY
Non-thermal
Coherent light: ruby crystal, same direction, same wavelength
Non-coherent light: LED, scatter, fluctuating wavelength
Every tissue emits and absorbs specific frequency; bio modulation
Living matrix: stimulate one point you stimulate them all
LLLT AND PAIN MANAGEMENT
Increased ATP means greater interdigitation of the muscle contractile proteins, improving strength
Phillip Pack, Cliffs Quick Review Anatomy and Physiology, 2001, page 94
LLLT AND PAIN MANAGEMENT
Improved mechanics inhibit the sympathetic nervous system, which improves blood flow, improves immune system function, decreases
pain…..INCREASES OVERALL HEALTH AND WELL BEING
LLLT AND PAIN MANAGEMENT
ATP is also required for muscle to relax. Calcium is returned to the sarcoplasmic reticulum by active transport (requiring ATP).
Increased ATP also results in improved range of motion
Phillip Pack, Cliffs Quick Review Anatomy and Physiology, 2001, page 94
The firm’1st IRB FDA Approved, Clinical Study was conducted in 2000, to prove the effectiveness of Laser Energy for Pain Management
Pain Management
Pain Management
The firm’s 2nd IRB / FDA Approved, Clinical Study was conducted in 2001 and further substantiated Laser Energy as a viable modality.
Erchonia Corporation Medical Lasers
• The Erchonia Lasers made history, January 2002 by being granted the 1st FDA market clearance any low level lasers.
• Granted their 14th FDA Market Clearance June 2016
LOW LEVEL LASER THERAPY
REPORTED BENEFITS…
Accelerates the healing
process and allows
patient to resume work
and daily activities, far
exceeding
conventional methods.
Carpal Tunnel Syndrome
Repetitive Stress Injuries
Sports Injuries
Acute & Chronic Back &
Neck Dysfunction
Sprains & Strains
Fibromyalgia
Tennis Elbow
TMJ Pain/Dysfunction
Arthritis
Migraine Headaches
Post-Operative Pain
Tendonitis
MEDICAL
RESEARCHERS
ARE
DISCOVERING
THAT
INFLAMMATION
IS A COMMON
DENOMINATOR
TO
A WIDE RANGE
OF CHRONIC
DISEASES.
INFLAMMATION AND CHRONIC
DISEASE:
THERE IS A GROWING CONSENSUS IN THE MEDICAL COMMUNITY THAT
CHRONIC DISEASES AND DISORDERS ARE ACTUALLY THE RESULT OF AN
INFLAMMATORY RESPONSE THAT HAS, IN A SENSE, OUTLIVED ITS
USEFULNESS.
Rheumatoid arthritis
Multiple sclerosis
Heart disease
Atherosclerosis
Diabetes
Alzheimer's disease
Osteoporosis
Asthma
Cirrhosis of the liver
Bowel disorders
Psoriasis
Meningitis
Cystic fibrosis
Cancer
In other words, inflammation seems to play a role
in a wide range of diseases not previously considered inflammatory.
Clinical Application
in
CHIROPRACTIC
PAIN CONTROL (“ANALGESIA”) SYSTEM IN THE BRAIN AND SPINAL CORD
The degree to which each person reacts to pain varies
tremendously. This results partly from the capability of the brain itself to control the degree of input of pain signals to the nervous system by activation of the pain control system, called an analgesia system.
The analgesia system consists of three major components
The periaqueductal gray area of the mesencephalon and upper pons
The raphe magnus nucleus located in the lower pons and upper medulla
A pain inhibitory complex located in the dorsal horns of the spinal cord
THE PAIN RECEPTORS
There are two types of pain…Fast Pain and Slow Pain
Fast pain occurs within about 0.1 sec when a pain stimulus is applied. Fast pain signals transmits in the peripheral nerve at velocity 6–30 m/s
Slow Pain begins only after a second or more and then increases slowly over many seconds and sometimes even minutes.
Slow Pain signals transmits in the peripheral nerve at velocity 0.5-2 m/s
The brain only knows pain as a frequency of nerve firing
LASER EFFECTS Increases ATP
Biomodulates cell
Increases nitric oxide
Increases mitosis
Increases phagocytosis
FDA: decreases pain meds
Stimulates mitochondria
Increases strength and
ROM
ERCHONIA’S 635NM LASER
DNA replication emits light at 630-640nm. Thus, photonic energy from 635nm laser may accelerate DNA replication – AND it is not mutagenic.
- Dr. Joe Kleinkort, PT, MA, PhD, CIE, DAAPM
UNDERSTANDING LASER EFFECTS:
LOOK FOR SYSTEMIC EFFECTS.
System-wide
Whole person
Phase transitions
Shift to coherence
Cell to cell
communication
BODY PRINCIPLES CONTINUED
Total integration=total interconnection = every part knows
precisely what every other part is doing
A distortion anywhere in the body distorts the whole
The extracellular matrix (connective tissue) is continuous with the
cytoplasmic and nuclear matrix within every cell in the body.
The extracellular matrix (connective tissue) is continuous with the
cytoplasmic and nuclear matrix within every cell in the body.
SUMMARY OF LASER EFFECTS:
635 nm wavelength
Antibacterial
mtDNA and ATP stimulation
Free radical neutralization
Increase strength and ROM
Decrease pain and inflammation
CONCLUSION -
Proven that the Cellular Research exists to substantiate Low
Level Laser technology is a viable modality
Reported on the expert evidence of Clinical Data
Clarified the physics of Depth of Penetration and Power
The Future Applications are Limitless
COLD LASER PRECAUTIONS
OSHA: Erchonia laser can be used without protective glasses.
Never shine laser directly in eyes
Caution with pace makers
Erchonia 635nm WILL NOT facilitate cancer cells (No cellular mutation)
Journal of Manipulative and Physiological Therapeutics January 2009
Establishing Laser Therapy Efficacy… The Only
Modality
to
receive
A Rating
NOW THAT YOU HAVE AN
UNDERSTANDING OF LASER BASICS….
My Goal for You is:
• Everyone leaves this room understanding the living connective tissue matrix
• Everyone learns the laser up-regulation protocol
• Everyone has an appreciation for the profound impact Stress has on each and every one of us
• Everyone has fun
THE UP-REGULATION SEQUENCE
TEST LOCALIZE LASER RE-TEST
1. Test: 2-3 second muscle challenge
2. Localize: Patient manually contacts the primary reflex
point then doctor retests muscle to see if it is strong to
confirm correct laser point
3. Laser: Place the Erchonia Laser on the ______ point
for 15-30 seconds (4, 9, 33, 60)
4. Re-test: Retest muscle challenge to confirm up
regulation
MUSCLE TESTING
• You want to know if you can have a conversation with the body; can you hold a dialogue?
• 2-3 second challenge with slight increase in pressure toward the end.
• This is a meeting with the minds, not a meeting of the muscles…so don’t over power!
• If it doesn’t seem to be working, remember…less is more.
Orthopaedic Neurology
A Diagnostic Guide to Neurologic Levels
By
Stanley Hoppenfeld, MD
Brush up on your muscle testing (myotome) skills!
Active range of motion
should be included as
part of your up-regulation sequence
EVALUATION BLOCK #1
CERVICAL SPINE
Active Primary Ranges of Motion in the clear.
• C1-2 Flexion/Extension
• C3 Right/Left Lateral Flexion
• C4 and Cranial Nerve XI Right/Left Rotation
Muscle Test Active Primary Ranges of Motion
Laser primary nerve root responsible for specific
range of motion to up-regulate or reset
Re-test
WORK SHOP
EVALUATION BLOCK #2
UPPER EXTREMITY
Active Myotome Testing
C5 Arm Elevation – Deltoids bilateral
C6 Biceps
C7 Triceps
C8 Finger Flexion
T1 Finger Abduction
Laser the primary nerve root to up-regulate or reset
Re-test
WORK SHOP
EVALUATION BLOCK #3
LUMBAR SPINE AND LOWER
EXTREMITIY
Active Primary Ranges of Motion
Patient Standing: Flexion
Extension
Lateral Flexion Right/Left
Patient Supine: Straight Leg Raise Bilateral
Abduction Bilateral
Patrick’s Test
Muscle Test Primary Nerve Roots
• S1: Eversion; peroneals
• L5: Big Toe Dorsiflexion; ext. hallicus longus
• L4: Inversion; tibialis anterior
• S1: hamstrings
• L2: quadraceps
• L1-2: hip flexors
LASER UP-REGULATION
SEQUENCE
Test - Lower body muscles
Localize - Primary reflex point for that weak muscle
Laser - The reflex point for 30 seconds
Re-test - To confirm that up-regulation has taken
place
DR. JEFF SPENCER’S CARDINAL RULES:
ABSOLUTE “MUST-DO” STEPS TO BE
SUCCESSFUL WITH THE LASER
• Treat as you go
• Don’t try to figure out correlations
• Never skip steps
• Be precise, don’t get sloppy
• Only use the laser for what it will do
CRANIAL NERVE TESTING AND UP-
REGULATION (4, 9, 33,60)
CN I – Olfactory (smell) mint, coffee, cinnamon
Up-regulation – Cribiform Plate
CN II – Optic (eye chart)
Up-regulate – Occipital Lobe
CN III – Occulomotor (accommodation focus) Near-v, far-v-near
Up-regulate – Frontal Lobes
CN III, IV & VI – Occulomotor (6 cardinal fields of gaze)
- Trochlear
- Abductions
Up-regulate – Frontal Lobes
CRANIAL NERVES CONTINUED
CN V – Trigeminal (Sensory to face, motor to muscles of mastication)
- Lightly swipe forehead, cheeks and chin tap jaw (jaw jerk reflex)
Up-regulation - Foramen Rotundum and Ovale
- Superior Orbital Fissure
CN VI – Facial (All fascial muscles)
Up-regulation - Stylomastoid Foramen
CN VIII –Vestibulocochlear (Snap or rub fingers, place head in flexion, extension,
right and left lateral flexion)
Up-regulation - Auditory Meatus
-
CRANIAL NERVES, CONTINUED
CN IX + X – Glossalpharyngeal and Vagus (Big swallow, say “Ahh”)
Up-regulation – Jugular Foramen
CN XI – Spinal Accessory (Shrug shoulders)
Up-regulation – Upper Cervicals
CN XII – Hypoglossal (Stick your tongue out, point right and left)
Up-regulation – Hypoglossal Foramen and Ramus of the Jaw
AUTONOMIC NERVOUS SYSTEM SYMPATHETIC -V- PARASYMPATHETIC TONE
Autonomic Nervous System is under constant utilization to provide the
appropriate physiologic adaption throughout all 14 systems in the body.
Our patients come in each visit stressed out, in some state of
hyper-sympathecotonia or sympathetic over-drive.
It is impossible to have proper
sympathetic/parasympathetic tone in the
body if any dis–ease process is present.
That being said…It is beneficial to enhance,
facilitate (raise) parasympathetic tone for our
stressed out health compromised patients.
Neurologically, the parasympathetic system is
comprised of cranial nerves III, VII, IX, and X
Sacral para sympathetic nerves include S2 – S4
(occasionally S1). Approximately 75% of all para-
sympathetic nerve fibers are in CN X (vagus n.)
Which passes through the entire thoracic and
abdominal regions.
Neurologically, the sympathetic system is made up of
spinal nerves T1 – L2. Distribution tends to overlap, but
can be generalized to include:
T1 Heart and Head
T2 The Neck
T3-T6 The Thorax
T7-T11 The Abdomen
T12-L2 Into the Legs
The Autonomic Nervous System works
as a system of checks and balances.
When sympathetic stimulation excites a
specific organ, parasympathetic
control inhibits and visa versa
The problem then lies in this thing called:
STRESS!!
Any threat or demand (real or perceived) placed on the
body initiates the flight or fight response (increased
sympathetic tone). An Innate protective mechanism
designed to turn on in an instant and turn off once the
threat or demand has passed.
The problem is then exacerbated due to the
fact that our flight or fight response never
truly gets to shut down because our world,
our lives are rittled with a constant barrage of
minor or mild demands day-in and day-out.
Why don’t Zebras get ulcers?
TEST THE PARA SYMPATHETIC NERVOUS SYSTEM
BY FIRING THE APPROPRIATE NEUROLOGY LASER FREQUENCY 9 HZ, 20 HZ, 5,000 HZ, 10,000 HZ
MUSCLE RESPONSE TESTING
Oculomotor Nerve – CN III
Exam: Light Reflex (papillary)
Motor, Patient covers one eye. Have patient move their eye(s) up,
down and out.
MRT shows weak when a specific motion is involved.
Treatment: Treat the area of the brain or brain stem that negates the weakness.
(Laser frequencies: 4 Hz, 9 Hz, 33 Hz, 60 Hz)
Facial Nerve – CN VII
Exam: Glabellar Reflex, tap glabella and
supra-orbital notch to stimulate
contraction of orbicularis oculi muscle.
Motor, challenge muscles of facial
expression while muscle response testing.
Sensory, taste; peppermint, cinnamon, coffee
(pick your favorite)
A weak muscle response test necessitates lasering the area of the
brain or brain stem that negates the weakness.
(Laser frequencies; 4 Hz, 9 Hz, 33 Hz, 60 Hz)
Test Sympathetic division by firing
the appropriate neurology.
T1 – L2 and organ entrance points.
Laser muscle response testing and the
Red/Violet Laser (only) EVRL
(2.5 Hz, 7.83Hz, 764 Hz, 10,000 Hz)
Calming/Inhibiting facilitation
Nerve Root Entrance Points:
Challenge a strong indicator muscle while stimulating
the T1 nerve roots – midline
If the muscle remains strong, this indicates proper
balance of sympathetic to parasympathetic divisions.
If the muscle weakens, this indicates imbalance
between sympathetic and parasympathetic divisions –
usually too much sympathetic tone.
Treatment: Hold EVRL (red/violet laser) over the specific
spinal level for 60-120 seconds. Retest the previously
weak muscle. Strong response indicates up-regulated
or resetting of appropriate sympathetic/para-
sympathetic balance.
Organ Entrance Points:
Using a strong indicator muscle, place the EVRL over a specific organ then challenge the indicator muscle – weakness indicates sympathetic/para-
sympathetic imbalance.
Organ Map:
Adrenals Large Intestine
Liver Bladder
Gall Bladder Prostate/Uterus
Heart Testes/Ovaries
Kidney (Right/Left) Thymus
Spleen Thyroid
Pancreas Para-Thyroid
Stomach Lung (Right/Left
Small Intestine
Treatment:
Hold EVRL with frequencies, 2.5 Hz, 7.83 Hz, 7.64Hz
and 10,000 Hz over the organ and the pre-
programmed head over the specific spinal level
– nerve root using: 4 Hz, 9 Hz, 33 Hz and 60 Hz for
60 – 120 seconds to up-regulate and restore
sympathetic/para- sympathetic balance.
‘STRESS’ HYPER – SYMPATHECOTONIA
FIGHT OR FLIGHT REAL OR PERCEIVED (IMAGINED)
THE BODY DOES NOT DIFFERENTIATE
Designed as a protective mechanism it is extremely
efficient and effective.
However, today we unconsciously tap into it far too
often and for some…the process never gets to shut
down.
Stress is the precursor to ALL dis-ease
TOO MUCH OF …
NOT ENOUGH OF …
Electromagnetic exposure
Physical trauma
Emotional trauma
Rest
Exercise
Nutrients
Chemical exposure
Microbial exposure
IMBALANCE BETWEEN CATABOLIC
METABOLISM AND ANABOLIC
METABOLISM
Adrenal Fatigue ** Adrenal Exhaustion
Hypothyroidism
Metabolic Syndrome X (Mal-digestion/Mal-absorption)
Dysbiosis
Irritable Bowell Syndrome
Disrupted Sleep
Weak Immune System
Depression ** Anxiety
Chronic Fatigue
So, How do we fix it…For Ourselves and our
Patients?
Change up the Diet
• 55-65% Animal Sources (protein)
• 15-25% Non-Starchy Vegetables and Fruit
• 5% Nuts, Seeds and Berries
Learn your Metabolic type (Sympathetic,
parasympathetic or both)
Avoid any and all starchy carbohydrates,
packaged or processed foods, low fat or
non-fat items
Push the water (Pure, Fresh, Clean)
Your body weight in pounds x 0.55 = the
appropriate amount of water you need to drink
every day.
Example: 150 lbs. x .55 = 82.5 oz.
82.5 ounces of water every day!
Get moving…
Our bodies were meant
to be active not stuck in a
subluxation machine.
Get Adjusted regularly
and combine that
treatment with LLLT!!
NUTRICEUTICAL SUPPORT (I CHOOSE NUTRIWEST)
• ADRENO LYPH PLUS
• ADRENO LYPH SYM
• ADRENO LYPH PARA
• ADRENAL DROPS (Homeopathic)
• CORE LEVEL ADRENAL
• DSF
• DSF HERBAL
• PRO CORTISOL BALANCE
• TOTAL THYROID 2
• CORE LEVEL THYRO
• COMPLETE BRAIN CHARGE
• COMPLETE NEURO
• TOTAL BRAIN
• COMPLETE HI D3
• COMPLETE IMMUNE D3
HAVE YOUR LEVEL OF
OXIDATIVE STRESS EVALUATED (BLOOD TEST)
• COMPLETE OMEGA ESSENTIALS
• F COMPLEX
• COMPLETE GLUTITHIONE
• TOTAL FLM
• PRO INFLAZYME
• LYSO LYPH FORTE
REFERENCES:
• Jerome Rerucha, DC; The Biological Basis of Low Level Laser Therapy
• Dan Murphy, DC, DABCO; Low Level Laser Therapy
• Jeff Spencer, DC, CCSP; Clinical Mastery of Cold Laser
• James Oschman, PhD; Energy Medicine, The Scientific Basis
• Jerrold S. Green, PhD; Comprehensive Stress Management
• Robert M Sapolsky, PhD; Why Zebras Don’t Get Ulcers; Stress and the Aging Brain
• Evan Mladenoff, DC; Stressed Out and Headed for Burnout