Easy to use 6 min. twice a day
Safe for everyday home use
Dr. Hagay Amir - MD MSH MSc - Orthopedics (Specialist in Orthopedic Surgery, Physical Medicine and Rehabilitation)
Re: Treatment of IDF Disabled Veterans with Soft Laser Therapy
In the light of my experience with soft laser treatments over the past 23 years, and my familiarity with the professional literature on the subject, I was asked by Michael Schlosser to prepare background and indications in order to examine the possibility of introducing home-use soft laser devices for IDF disabled veterans.
During the long history of medicine, many sages and healers predicted the healing power of the sun. “But for you who revere my name the sun of righteousness shall rise” (Malachi, 3, 20). Many forms of light therapy were proposed.
For the past 60 years, laser treatment techniques have undergone a meteoric evolution. The laser now serves in many fields, including industry and medicine. The word “laser” is an acronym of Light Amplification by Stimulated Emission of Radiation. The laser is an electromagnetic monochromatic coherent wave with fixed wavelength. As such, it has good penetration ability and is able to transfer a large amount of energy to a very narrow beam. Laser use is accomplished by a single beam or a cluster of beams. Repeated studies found that in wavelengths of 600-900nm and at an intensity of 1-1000mW, not only does a laser wave fail to cause damage, it actually has a beneficial effect on tissue and on the function of cells on the systemic level. Low Level Laser Therapy (LLLT) is the accepted term to differentiate between “soft” lasers, which are used in medical treatment, and “hard” lasers, which are used in several kinds of surgeries. The accepted terminology is therefore soft laser, LLLT, cold laser, or low level laser.
The laser has an effect on the tissue level by lowering the inflammation factors in the injured area, such as prostaglandin-endoperoxide synthases 2, interleukin-1beta, and tumor necrosis factor-alfa. This lowers the entrance of the neutrophil granulocytes, oxidative stress, swelling and hemorrhage. On the cytoplasmic cellular level, the ADP affects the mitochondrion, thereby changing the cellular homeostasis, activating enzymes and increasing ATP production.
B-Cure Laser, an Israeli company, has succeeded in expanding the width of the beam. This innovation enables illuminating an area of about 4.5 cm2 in a 808nm monochromatic coherent wave length, and in 250mW intensity.
The effective soft tissue penetration depth of a laser with such intensity is up to 4 cm. below the skin layer. The energy can reach up to 6 cm., though the effectiveness at such a depth is low. There are no known side effects. There is, as well, no known damage when treating above the recommended therapeutic window. The only limitation: It is recommended not to point the laser directly at the eyes and direct eye contact should be avoided.
In light of this background, the many studies that have been done on the subject and that were documented in the professional literature over the past 20 years, as well as my familiarity with B-Cure Laser and the medical needs of IDF disabled veterans, I would like to detail below the recommended indications.
Recommended Indications for Treating IDF Disabled Veterans:
Levator Scapulae Tendinitis, Bicipital Tendinitis, De Quervain’s Tendinitis, Trigger finger, Pez Ancerine Bursitis, Trochanteric Bursitis (in thin people), runner’s knee (Biceps Femoris Tendinitis), jumper’s knee (Patellar Tendon Tendinitis), Achilles tendinitis, Plantar Fasciitis.
Treating Small Joint Arthritis*
For Example: Temporomandibular joint, shoulder pain, finger joints, wrist joints, pain after fracture healing, non-connecting fractures in carpal bones and pain due to osteoporosis in feet joints.
Treating Hard- to-Heal Wounds*
Including diabetic wounds and neuropathic pain.
Treating Acute Injuries*
Painful and absorbed hematoma, injuries and intramuscular hematoma.
After periodontal surgeries, dental extractions and dental stitching (in these cases, use of high-potency laser is recommended).
Treating Nonspecific Back and Neck Pains*
Applying to trigger points, sore muscles and pain points.
- It is important to note that laser treatment does not replace medical diagnosis and treatment by a licensed physician. However, it can undoubtedly serve as a symptomatic treatment in many cases of musculoskeletal pain, as well as adjunctive therapy and prophylaxis.
Treating Biomechanical Chronic Injuries
In some cases injuries can cause deformations, traumas and biomechanical damage that lead to chronic disorders. These disorders cause pain due to aberrant muscle activation, which in turn cause continuous load on fixed points and chronic pain. Patients suffering from these kinds of problems, tend to consume pain killers and other prescribed drugs over long periods of time, which can cause temporary or permanent damage. In these cases it is possible to use the soft laser each time there is an exacerbation of the pain, as well using it as prophylaxis and preservative treatment between exacerbations.
Given all this, and according to the EBM criteria, I believe it advisable to use this kind of treatment as an alternative to analgesic symptomatic treatment, which is currently given given to IDF disabled veterans, according to the indications above.
Dr. Hagay AmirI.D number: 055976021 MD MSH MSc – Orthopedics Specialist in Orthopedic Surgery, Physical Medicine and Rehabilitation P.O.Box 249 Tirat Yehuda 73175, Israel Tel. +972-3-9226964
15 July, 2013
- Roberta T Chow, Mark I Johnson, Rodrigo A B Lopes-Martins, Jan M
Bjordal. Efficacy of low-level laser therapy in the management of neck
pain: a systematic review and meta-analysis of randomised placebo or
active-treatment controlled trials. Lancet (2009) 374, 1897-908.
- Abrisham, S.M., Kermani-Alghoraishi, M., Ghahramani, R., Jabbari,
L., Jomeh, H., Zare M. Additive effects of low-level laser therapy with
exercise on subacromial syndrome: a randomised, double-blind,
controlled trial. Clinical Rheumatology (2011) 30(10), 1341-6.
- Alfredo, P.P., Bjordal, J.M., Dreyer, S.H., Meneses, S.R., Zaguetti, G.,
Vanessian, V., Fukuda, T.Y., Junior, W.S., Martins, R., Casarotto,
R.A., Marques, A.P. Efficacy of low level laser therapy associated with
exercises in knee osteoarthritis: a randomized double-blind study.
Clinical Rehabilitation, (2012) 26(6), 523-533.
Dr. Dothan Avraham - Director Pain Clinic, (Wolfson Medical Centre)
To: Erika Carmel Ltd.
From: Dr. Dothan Avraham, Director
Wolfson Medical Center
Re: B-Cure Laser
As a senior physician and director of the Pain Clinic, I recommend to my patients that they use B- Cure Laser, to minimize scarring and post-surgery scarring.
Four of my patients used B-Cure Laser for neck pain, five used the device for lower back pain, five used it for knee pain, and 10 used it following my recommendation for post-surgery scarring, some after heart surgery.
Most of the patients who have used B-Cure Laser report an easing of pain and an improvement of their condition, within approximately a week from the beginning of device use. Those patients use the device 2-4 times a day, 6-8 minutes in each session.
The process of wound healing with the B-Cure Laser is accompanied by improved blood clotting, faster and more efficient healing, with formation of healthy skin tissue and significant reduction in scarring.
In conclusion, I am pleased to report that B-Cure Laser contributes significantly to the (recovery of the) patients in my care, to minimizing orthopedic pain, and to the treatment of post-surgery scars.
I will continue to use it in my clinic and to recommend it to my patients.
Dr. Dothan Abraham, Director
Wolfson Medical Center
Dr. Nimrod Liram - D.C., MSc. Chiropractor, Spine and Musculoskeletal Specialist (The Jerusalem Spine Center)
Dr. Nimrod Liram D.C., MSc.
Spine and Musculoskeletal Specialist
Re: B-Cure Laser Device
I have had this device in my clinic for several months.
A report regarding its use for various purposes and its treatment results follows:
- Localized treatment for tendon inflammation of the knee: infrapatellar tendon semimembranosus, VMO. Duration of treatment for inflammation or simple injury to these tendons: 5-10 treatments (in most cases relief was achieved within 2-3 treatments). Improvement for longer periods of time after 5-6 treatments. The protocol included a 6-minute treatment, twice a day.
- Localized treatment for chronic inflammation resulting from overload on the adductors. The patient is a competitive international athlete. In this case treatment was intensive for a full week, consisting of 2-3 treatments a day using the device on each painful location in the muscle mass. The result: relief from pain lasting 6 months.
- Localized treatment for a second degree burn scar. This treatment was secondary to a back pain problem afflicting the patient. The scar disappeared completely after two treatments.
- Sinusitis treatment. Significant relief after two treatments.
- Two cases in which the device was used in order to treat osteoarthritis
(OA) of the palm in adults. There were no clear results within the range of a few
days of treatment.
- Treatment for pain in the neck muscles connecting to the base of the skull, involving muscle spasm and irritation of the muscle. Muscle strain and pain dissipated after two treatments.
These results are excellent. This device provides an additional, easily accessible and safe treatment option.
Dr. Nimrod Liram
July 17, 2011
Clinical Trials Prove High Efficacy of Soft Laser Therapy
During the last decade, over 2,000 studies have been published on the use of soft laser (LLLT) for the treatment of pain relief, and there have been about 100 double-blind studies that prove the clinical value of laser therapy.
It is important to note that most studies conducted up to this point have used the “old generation” devices, with the treatment frequency for patients set at only 1-3 times a week. This is less than the desired frequency that would enable optimal results.
Thanks to its portability and heavy-duty power, the Good Energies™ LLLT-808 enables immediate and more frequent daily treatments, dramatically improving healing.
The “at-home LLLT” in temporo-mandibular disorders pain control: a pilot study
A double-blind study conducted in Parma University, Italy: B-Cure Laser significantly reduced (50%) the level of pain experienced by patients suffering from jaw joint pain and problems.
ANALYTICAL REPORT A PILOT STUDY TO EVALUATE THE EFFECTIVENESS AND SAFETY OF B-CURE ® LASER FOR ATHLETES
Study conducted in The Federal Bio-Medical institute of Russia on the efficacy of B-Cure Laser for the reduction of pain in cases of knee osteoarthritis and injuries, found significant reduction (90+%) of pain level among the patients.