LASER Photobiomodulation for the Evidenced-Based Clinician

About

Program Statement of Purpose and Overview: This 4 hour program with optional examination certificate will expand the physician’s knowledge of LASER Therapy. Laser Therapy is utilized as a therapeutic instrument that can be highly effective if administered properly with correct parameters for the condition being treated. Many clinicians do not achieve the results expected because the wavelength or dosage provided is not adequate for the lesion or condition. This course will assist the clinician and the examiner/reviewer to understand the science behind this modality. The current guidelines and scientific evidence will be discussed to determine reasonable utilization parameters. The course will provide the attendee information to be more adept in presenting an opinion concerning the clinical appropriateness of LASER as documented in the medical record.

Hour 1:   Introduction to Laser, Acronym LASER, Definitions, Laser Language, Classifications, Safety Classifications, Laser Medium Types, Components, Elements, Surgical vs. Therapeutic, Wavelength, Frequency, Continuous Wave, Pulsed (Superpulsed), Modulated, Chopped, Characteristics of Laser, Collimated Beam, Divergent Beam, Coherence, Speckles, Non-Coherent, Electromagnetic Spectrum, LED, Absorption, Penetration of Laser, Divergence, Factors contributing to Loss of Penetration, Depth of Penetration of each Wavelength.

Hour 2:  Attenuation and Penetration of Light, No Penetration through Clothes, Power of Lasers, Calculation of Power Density, Energy Density, Joules, Dose, Energy, Loss of Energy with Depth of Target, Power Density Caution, Absorption of energy in dark skin and tattoos, Methods of Treatment, Techniques, Superficial, Deep, Tissue Compression, Distribution of Light, Treatment Time Parameters, Optimal Dosage, Time of Treatment, Parameters, Distribution of Laser, Reflection, Refraction, Absorption, Spread, Transmission, Determination of Treatment Location, Acute versus Chronic Conditions, Time of Treatment for each body part, Time for each laser device to generate amount of Joules needed, Arndt Schulz Law, Tiina Karu Research, Photochemical Mechanism, Speckles, Biological Effects of Laser, Mary Dyson Research.

Hour 3:  Laser Therapy Physiology, Mitochondion Reactions, Electron Transport System, Laser Biophysics, Photon Absorption, Photosynthesis, 30 inducible functions of Mitochondria, Inflammation, Adhesions, Podiatry, Dentistry, Orthodontics, Toenail Fungus Treatment, Photon Tissue Interactions, Photomechanical Effects, Cytochrome C, Contraindications, Burns, Safety Checklists, Laser Cleaning, Treatment Indications, Treatment locations, Treatment Outcome Assessments, Treatment Technical Procedures, Treating Acute, Treating Chronic, Proper Dosage Principles and Calculations, Treatment Reactions, Treatment Time, Color of Skin, Mathesie’s 50% Rule, Dosage per Point, Evidence Based Guidelines with Laser, Analysis of 650nm, 810nm, 910nm, 980nm, and 1064nm.

Hour 4: Conditions and Dosage, Other Conditions, Clinical Effects, Other Uses, Frequency, Simulated Pulsing, Clinical Applications, Key Principles to Optimum Dosage, PhotoBioactivation, Wounds, Diabetic Ulcers, Foot and Ankle, Tinnitus, Sinuses, Dermatitis, Acne, Psoriasis, Post-Surgical Wounds, Carpal Tunnel Syndrome, Skin Grafts, Nail Trauma, Toe Fracture, Lymphedema, Bells’ Palsy, Clear Plastic Overlay, TMJ, Herpes, Tooth, Acupoints, Facial Hematoma, Knee Injury, Road Rash, Post-Surgical Edematous Tissue, Cervical Spine, Shoulder, Arm, Elbow, Lumbar Spine, Disc Protrusions, Pelvis, Trigger Points, Ankle, Foot, Textbooks, Tuner and Hode Quotes, FDA Clearance, Weight Loss, Examples of Lasers with Specs, Insurance Issues, Billing Codes, Documentation, Record Keeping, Clinical Research Reporting.


Objectives

  1. This course will assist the clinician in understanding the science behind this modality.
  2. This course will teach the clinician proper treatment techniques, energy density, and dosage to achieve the best results with the laser they own on many conditions.
  3. This course will describe the physiological effects of laser as it penetrates into the tissue and with evidence based guidelines.
  4. This course will relay the safety factors with indications and contraindications to using laser therapy.
  5. This course will create more of an expert clinician who wants to continue mastering the science and biology related to laser therapy.