A brief introduction to the laser
A brief history of the laser, from Albert Einstein to attempt to story must begin.
1917, he "stimulated emission of radiation" - stimulated emission of radiation -
On physical principles were first discovered. Laser phenomenon has been derived from him, then continued his studies by many scientists have come to today. In addition, the purpose, area, because it is related to various characteristics, and the process is very complex and the science related to physics, chemistry, physiology, medicine, etc. There are several.
Broadly speaking, we know today as an important achievement in obtaining the performance of advanced laser research look at are as follows:
1950: Townes, Gorden, Zeiger millimetric waves for the first time in the oscillator (oscillator
) Were to build this maser (major), respectively.
1951: North American Inn C.H. Towens and A.L. Schawlow was a demonstration of the laser potential, while in the USSR G. Baso and A.M. Projorov had the same success, which they received the 1964 Nobel Nobel Prize five times .- As is ever the laser.
1960: Theodoro H. Maiman for the first time using the Ruby laser (solid) made.
The next step is the development of laser physiology, and medical growth is characterized. This is the most obvious example of Dermatology, Dr. Leon Goldman of Cincinnati College of Medicine under the direction of the laser's effect on medical research is done jyeotdaneun.
1961: New york's Baptist Hospital, for the first time in the laser used in surgery was successful. The patient's vision was impaired in the small tumors of the retina is removed. After that you'll continue to surgical trials were done, therefore, the laser wound healing (wound healing) and to promote epithelization was demonstrated empirically that. Due to the biological effects of these various scholars of the laser bio-stimulation (bio-stimulation) was paid special attention to the effect. The most important of which is negative Inyushin Biophysics USSR Alma-Ata University Professor and Professor Mester of Budapest is the study of.
1962: creation of the first semiconductor laser and two years after the gas laser CO2 module was also created by the laser.
1965: Dr. Sinclair, Dr. The laser was used for the treatment of Knoll. As can be seen in our short history to this day many many times made progress in laser all scientific and technological revolution, which has a close relationship as they call. One feature common to correlate their surname, as an example of today's medicine, Biophysics Research that would be impossible without the itgetda. As such, based on a deep medical knowledge today Biophysical effect of laser therapy treatment process do not understand the depth can not be applied.
In Spain, the principle of laser research has tried to accommodate the large growth over the past few years, especially showed. In other countries, which then split into two directions, one physics, Biophysics, and university researchers, and one hospital. Private clinics, Consultancies, etc., trauma studies, dermatology, Rheumatology (RA) Stomatology (Oral Medicine), and so is the study.
Therefore, this article is interesting in a different chapter, the laser will use all the parts and aspects of inter-related research to help understand the laser was perfect for.
Performed laser therapy applied to the energy, the laser's effect on the organism and must be knowledgeable about how to apply, and neither of the three should not be neglected. In addition, the effect is surprising, because the laser in medicine today would be a very rapid growth.
And if you say the era of electricity, led by 20C 21C age is associated with the laser and the laser will be a laser that knowingly or unknowingly, we are providing a large part. Silk medical officer says the place did not even matter.
An overview of the action of laser
Here we Low power laser (soft laser-LLLT) for the approximate age of the work .- Spread To evaluate the current and most countries including the United States Food and Drug Administration classified the IIIB less than 500mw (5mw - 500mw) using the kehago is is more than 4 stars .- surgical laser we already know that the production of many photons, and some of these in vivo does not penetrate (most part of the reflection and scattering, and absorption into the skin , is used) of the dermis and epidermis, most of the rest is absorbed several floors. We also have absorbed energy is converted gareul know how, and how it is absorbed and the surrounding areas in the organization knows that will have an effect gareul.
Another thing we all need to remember that surgical laser absorption of the laser is absorbed into caloric energy is that the only part. If the absorption takes place only at the surface, clinically proven therapeutic effect, we can describe the theory and how its effects can occur from deep in the organization for the research (es) .- Of course now the effect of the laser and its deep recognized in accordance with the therapeutic effects, but most still have the old papers sometimes people do argue is not worth answering 20C is a concept.
Department of Rehabilitation Medicine, professor of radiology at the University of Seville Dr. Juan Ramon Zaragoza in accordance with the opinion of our low power laser effects on the general description can be put together.
As you can see we have the energy of the in vivo immediately switch to another form of energy is expressed in, or a biologic effect. Absorption changes and the effects that appear in the area or just around the primary effect is called, the Biochemical (biological), Bio-electrical, Bio-enegetic effects can be divided into:
- You can say reyijeotteum laser or other heat effect of the professors expect some hanuidae grade IIIB laser, which was revealed in the wrong malyimyeo more carefully see that the terms need to clean up. Heat effect, at least tell you if you can speak only from 500mw or longer exposure time, research area, wavelength, Race discrimination, should understand that the course is of course an individual's discrimination. If you're black or dark-skinned people in less than 500mw yeolhyogwaga also appears to make the cuts the skin in the black area or (neck, back of the hand than the other areas are often exposed black .-), wounds, burns ipeulsu samagwina jeomeneun is And even if the output of the laser appear differently depending on the type of effect should not overlook the fact that, for example, sijunyi very well each of the output (100mw to the hypothesis that) green laser and red laser on the skin if the skin is investigated feel the feelings at all look different flies, perhaps a black or hwanginjong of the normal skin if the clear understanding should be of the laser's color (or more accurately, the wave) by the treatment effect and acts completely change the fact that said: dermatology, surgery, orthopedics etc. (clinic, physical therapy) are used in is the fact that the laser can not be the same I still do not know these facts to create a medical device company and pay attention to the fact that users want hasigil.
By shock waves in this part of energy is directly translated into calories (below)
Laser Soft laser radiation
absorption absorption
BIO-CHEMICAL, BIO-ELECTRICAL, BIO-ENERGETIC
PRIMARY OR
DIRECT EFFECTS
1.MICROCIRCULATION STIMULUS
Stimulation of feeder cells 2.Trophic cellular stimulus
INDIRECT EFFECTS
* Local
* Regional
* General
Increased effective analgesia 1.Antialgic effect
2.Anti-inflammatory anti-inflammatory
, Anti-edemic effccts hangbujong effects
normalization of the circulation and Normalisation of circulation
3.Biostimulating effect of laser
GENERAL THERAPEUTIC EFFECTS
A) the primary effect
Biochemical effect of biochemical effect: The absorbed energy represents the work of two.
1.Histamine, Serotonin, Bradiquinine stimulates the secretion of such.
* What is histamine in mast cells, and a lot hoyeomgiguraneun cells function as a material are as follows: 1. Relaxation and an increase in capillary permeability 2. Contraction of the muscles in the distribution of built-in 3. Promotes the secretion of gastric acid 4. Increase in heart rate.
Secretion of histamine and other cells have an effect on the above role of histamine in order to bind to receptors on the cell surface and shall be There are two types of two histamine receptors. One is to say H1-receptors of the receptor function of the above 1, 2 are single action parameter. That histamine H1-receptors when attached above 1, 2 and the same action takes place. H2-receptor, the other one is to say three or four times to mediate action. And anti-histamine H1-receptors, respectively, and that works, H2-receptor that can act on.
2.Normal enzyme reaction (normal enzyme activity) to stimulate or inhibit such modification (modification) plays the role of.
Further Bendicentti professors, including some researchers lasers in the cell ATP stimulates production by mitochondria in the ATP increases are to be in cell division and induce and facilitate the sikindaneun observed that (Laser irradiation incresing ATP favours the deposit of energy to three principal functions : membrane transport, protein synthesis and musclar contraction.) biochemical effects in some cases by the production of substances such as prostaglandins, may be suppressed. This action by the other anti-inflammatory mechanism of inhibition is thought to be similar to.
Finally, we fibrinolitic action that is characteristic of the laser should be included in the biochemical effects. These effects are an important part in the study, and after a few years since for this challenge and ensure a more comprehensive and is sure to be able to.
Bio-Electric effect above the effect in my life
The first thing pointed out is the normalization of the cell membrane potential, we recall that each of the intracellular potential will be negative. Cells outside the potassium ion Sodium ion Sodium ion and potassium ion concentrations of substances such as striking a positive charge is too high. Potassium ion permeability of the membrane is large, and thus the potential difference between inner and outer membranes of the normal case is -60 or-90mV Put it on.
Some cells stimulated for the delivery of cardiac geunjakyong singyeongsepona membranes to regulate their physiological potential has the ability to partially adjust.
In the latter case, let's look at what happens happens. Due to increased membrane permeability, increased passage of sodium ion and accordingly to the changes in membrane potential is-30mV with. In other words, outside of nerve impulses into the cell by passing sodium ion to pass through the cell membrane is accomplished.
Senior painful stimuli delivered to the central order not to be to keep the membrane potential is the first method. And it must have the energy to (see the figure of Physiology Anatomy)
sodium-rich and easily through the story that was already. Thus, the cells "sodium pump" mechanism, called the crying to be removed by this time and the energy required, the energy of ATP hydrolysis (hydrolysis) could be achieved by:
In pathological states can not maintain membrane potential. In other words, biped membrane ionic gradient (ion gradients) will change in the coming. It may reach zero if not yeokjeonwi Dara (the yangjeonwi cells, outside the eumjeonwi), it could be.
Thus, the laser is operating in effect is two.
a) direct ionic permeability (permeability) influencing.
b) indirectly increases the production of intracellular ATP.
Bioelectric potential effect of stabilizing the cell membrane as a laser, the cell's normal functions and activities will keep the balance.
Bio-energetic effect saengeneojihyogwa
Research on this topic in order Gurvich, Popp, Mester, and should mention the study of Inyushin. Their experiments demonstrated the presence of cellular energy was to find the source of this energy, but their effectiveness was confirmed.
In any case, we have a laser cells, tissues and organs that supply energy equivalent to the nutrition and physiology at every level of stimulation and normalization of their deficiencies and corrects imbalances could be found flowing.
B) Indirect Effect (indirect effect).
Primary effect is absorbed directly by self-absorption region and its surrounding tissues is happening is displayed brings two important indirect effects.
This effect is more widespread and deep-tissue, which natanaege effect on the physiological effects of local or regional effect this general effect can be referred to a general effect.
Stimulation of microcirculation stimulation of microcirculation
Arteries and veins communicate directly with the first direct communication, in some cases, to act like a short round and the second capillary connected to the capillary network, which starts at the end of the three arteries and capillary sphincters watch (pre-capillary Sphincter) by the action of yeodathinda.
Normal conditions, this sphincter (Sphincter) acts regularly with each other to enable a feature of that section, and the suppression sikigido sikigido gives rise to a physiological change. (Sympathetic N is subject to.)
Lasers to chemical attack on the indirect effects, such as capillary sphincters get spectators are thought to be coming. This causes the sphincter muscle microcirculation by continually opening (microcirculat
ion) sikyeojunda promote. One of these chemicals is histamine think. In fact, vasodilatation of the laser power is constant, and a longer or shorter depending on the effect. Power, but not necessarily long-term effect does not appear to sedago. Sometimes even opposite results came out but still lack enough itda single.
As mentioned earlier, we have more therapeutic laser 1w caloric effect (heat effect).
Do not express. In some cases, the rise in temperature arising due to laser irradiation, but rather an increase in cell metabolism is due to vasodilation. For vasodilation, edema can lead to vasodilation and edema caused by heat and quickly absorb the normalization of lesions that help you distinguish between the effect of the laser (es).
Capillaries and arteries expand the effectiveness of three twice.
a) lesions increase in the nutrients and oxygen metabolites in the nutritional effects that help to remove
b) Humoral and solid defensive mechanism-hamyeom action can be deduced from it.
Increased in local trophicity localized increase in nutritional status
The basic effect of laser irradiation is one of the cells, tissues and organs is increased in the nutritional status.
As I mentioned earlier, mitochondrial ATP production is activated and promotes cell division from this we can infer that.
In tissues and organs to the point, we conclude that the laser gain to promote the healing process, but only new blood vessels from existing blood vessels into the surrounding tissue, as well as carrying capacity (carrying capability) is achieved by a small pole. These factors caused by several causes ulcers, surgical wounds and traumatic injuries such as traumatic wound healing, helps in:
Furthermore, the laser stimulates several other organizations. For example, to promote regeneration of damaged nerve fibers, and bone marrow hematopoietic function in the general stimulation for the general stimuli, improving nutritional status in the skin, pilosebulb activation, elastic fibers, fibroblasts, collagen fibers are important in the formation (fibroblast) stimulation, sometimes scapulohumeral Shoulder periarthritis humerus (上 腕骨) periarthritis: scapula and humerus on both sides if the relationship refers to. Travertine, etc., etc. If you are removing those parts that help.
In summary, the stimulating effect mentioned earlier, it says the laser atony-relaxation, exhaustion-exhaustion, etc. can bring improvement and organic healing process (organic healing process) is facilitating a line can be concluded that:
General Therapeutic Effects-treatment of common
Talk in front of an indirect effect of two important therapeutic effect is obtained from can be divided into three types.
a) Analgesic Effect analgesic effect
b) anti-inflammatory anti-edemic effect (anti-swelling effect), the normalization of circulating
c) cellular tropism-cell youngyangseong (营养 性) stimulation
A) Analgesic Effect-analgesic effects
cellular noxa (the cells that is a dangerous state of the cell, virulence (病毒) status) gets yanked out of our organization is a pain is a warning system works.
Some areas, especially in the epidermal skin, periosteum, joints, arterial walls, joints, the skull, falx and tent within the internal organization, such as sickle cell structure and membrane receptors deuleneun pain (pain receptor), called free nerve endings free nerve endings there. These different organizations of the stimulus in response to the following categories may be. Pain receptor to stimulate many chemicals of the bradiquinine, serotonin and histamine and the base material must mention one, excess K-ion, acids, prostaglandins, acetylcholine, protein enzymes ... .... Well as substances can stimulate the pain receptor.
Tissue ischemia (ischemia) or muscle spasm (spasm) of pain by an unknown mechanism causes plaque. What causes pain receptors by a sudden stimulus-sensitive neural pathways through the central nervous system, which to me signals that are passed to the smell of the spinal cord through which reaches spinalmedulla. The signals through the spinothalamic cord and ideas (thalamus), and from there leads to thailand-cortical cord along the cerebral cortex (cerebral cortex) is reached.
Three types of pain three types of pain (for ereul dadeunga receiving bottled with a needle knife, stabbing pain kokkok suppose sticks, fire deindeuthan pain, red pepper or a sprinkling of salt haneundeung pain like the pain is really represented a variety.
* Shooting pain (head), lateral shy.'s SHOOTING. Kokkok expressed as picking it.
* Burning pain sting hurt his hand: the pain of hot
* Continuous pain (deep pain) deep pain continued, mainly as back ache, etc. breakin 'you do not know the exact spot that comes from deep pain does not heal well. Sometimes painful intestine express the same height.
The three pain they are conducted by different nerve fibers, burning and continuous pain lasting pain and stimulate the primitive c fibers, shooting pain to stimulate the A-delta fibers, A-delta fibers of the 6-30m/sec and nerve conduction at high speed, C fiber conduction velocity is slow (05.-2M/SEC) of these two brain nerve cells to be delivered by the stimulus as soon as the cause of pain allows to react quickly on.
SHOOTING PAIN lesions, such as the source of irritation is not removed after a few worsen over time, the searing pain of the slow burning pain is converted into softly. Another characteristic of the pain receptor adaptation is that you do not. If irritation persists, the other never receptor gyeonghaengyi increase in the bangeungyeokchireul On the other hand, acceptance of pain when stimulated body pain as well as other types of pain receptors around it until the threshold is lowered.
The above two kinds of nerve fibers to different ranges of the pain you feel. A-delta fibers within the stimulated region of the 10-20cm, while having a keen awareness, c fibers, which is said from the ongoing pain is said to put the parts.
Finally, cerebral analgesic system of the brain will remember the pain that you have a system. This is a relatively recent discovery of neuro-transmitter encephalin neurotransmitters and endorphins are stimulated by.
Tactile stimulation of peripheral receptors, and also the relationship between pain channel is known.
In fact, a deep, sharp pain receptors are stimulated fibers to a certain degree of fine pain signal passed away you can see a reduction. This is applied to the Executive Summary (liniments), acupuncture, massage can explain the effect. This is also a certain portion of the skin or indirectly, electric shock treatment for spinal cord spinal cord stimulation and explain the effect of treatment.
Now, as we known about the laser's labor requirements, and how it works where it will be reasonable to ask haneungareul. Pain is particularly effective at first a short amount of time (12-24 hours) only stays in effect at the other level is considered to be arising by the total pixels.
Shown that laser action level is as follows.
1. local level local level: the reduction of inflammation, resorption of exudation.
2. During the stimulus passed interfering with the electric message
Maintaining membrane potential
Depolarization of the membrane potential to prevent or reduce the
3. acts on fatty tactile nerve fiber fine pain fiber block
4. the generation of beta-endorphin directly or indirectly stimulate the
5. Prevent the reduction of the threshold of pain receptors
6. Minor lesions in the energy balance and normalization (energy imbalance due to several researchers that the announcement caused referred pain).
According to the regulation of physiology at the site of local reduction seems bradiquinine level laser, which acts as a pain inhibitor of endogenous peptide 内 生 them to stimulate the secretion of endorphine talbungeuke nerve cell membrane studies on the effects of laser on the laser sodium canal modifying the membrane potential by preventing fundamental change in [evolving] observed that the ability to reduce. Laser photoelectric that lipids lipids, fat (lipid crystal fat crystals, and acting like a lengthened molecules elongated molecules) that acts seem, the lipid normally on the cell membrane is perpendicular to the two loyalty has the structure off leaving is difficult is relatively free to move is These properties of the laser with the lipid mobilization through the hole blocking of ion makes sikyeoseo.
In addition, the maintenance of membrane potential laser talbungeukeul have mechanisms to prevent another. After laser irradiation increases ATP synthesis in the nerve fibers, "sodium-potassium pump" Sodium ion by the mechanism that is used as the energy required to eject revealed that: This runs counter to the normal gradient slope and my ability to perform is the energy consumption. Therefore, the laser directly or indirectly the balance of the cell potential while keeping the safe topical pain stimulus delivered by the Department may find that difficult.
Organism Organism, organism in the photoelectric absorption and by contacting one of the photons emerging photonic impact shock by A-delta myeline seconds (髓鞘) fiber passes through the pain to stop a reported fatty tactile fiber signal about its effects, which become lasts for 12-24 hours.
Analgesic effect according to the type of pain according to the analgesic effects of the type of pain
Three types of pain the superficial, deep, visceral type 浅, 深, 内脏 器 can be classified as:
1.Superficial pain
This is the local superficial pain. spot point or zonal form, you face an immediate analgesic effect seems to investigate, which lasts for 12 hours to 24 hours. The cause of this type of pain that can not be removed as long as is relapse.
2.Deep pain
Geumyukseomyu Neurology, fascia (fascia) and joints with pain arising from such superficialpain and sustainable, yet, unlike in a wide range of densities is felt. Pain due to ischemia are included here.
We ischemic tissue and muscle cramps (spam) pain caused by the same two pain in the organization of metabolic hwalbalhal know that when you feel better soon. This is related to the consumption of oxygen. A reduction in pain, because when the oxygen is supplied oxygenated blood, while blood containing oxygen to the blood-supply case, does not. After cutting off the circulation in the contracted muscle ischemic pain appeared after 15-20 seconds, after 3-4 minutes in a relaxed muscle appeared, and a very low metabolism in the skin was 20 minutes or so later. Anaerobic metabolism (anaerobic) are products of ischemic accumulation of lactate ((Hormone substances)) bradiquinine and a glass-like substance is sikigido.
Muscle cramps: a) by direct pressure on the vessels. b) indirectly, by hyperactivity of muscle metabolism, causing pain.
Laser capillaries and stimulate micro-circulation of three arteries capillaries and capillary watch (pre-ca
pillary) level by the extension of the lesions in the vascular irrigation (irrigation) - conduction of water - helps.
If there is pain and inflammation with edema reabsorption laser assist destructive cells by increasing the supply of, reducing the pain and inflammation are
In the case of deep pain analgesic effect does not appear immediately, just a few treatments (session) will be visible after effects.
3.visceral pain
In this case, the direct investigation of the laser because it is impossible that which seems to be very effective. Safe and trusted technology of laser surgical advances (endoscope) is by treating lazy, but a difficult fascia, baltongjeom, acupuncture, reflex points, and effective treatment to cure and must be familiar with this pain will be a great therapies. The penetration depth of the deep and vital current that drives well reyijeoya words can do it like a good laser treatment.
Conclusion (Conclusions)
such as microwave or shortwave jeotongjeokin ten patients responded to treatment with the laser did not have a notable effect, by taking specific analgesic effect of the laser have been used widely and quickly recognized. Sometimes the treatment is terminated too quickly may seem to have failed if you really what sokhyojeokin been dismissed as an illusion, and is sometimes mistaken for faking.
The response to treatment is to cure the patient and may vary by disease. Some symptoms of the first session (session), and fast response from the session can be repeated to continue liking rock. 3-4 However, in some cases, an analgesic effect does not appear until the second session only a reduction in pain exponential curve (exponential curve) appears only in the form. In fact, patients with lesions of the reaction will look very different depending on the various treatment options if you do not study nor the appropriate choice of laser therapy is a critical requirement.
B) Anti-inflammatory and anti-edemic effects and the normalization of circulation, and circulating anti-inflammatory effect of gender and normalization of inflammatory hingbujong
Inflammatory lesions on the response of the organization is complex. The cause is bacteria or other micro-organism, traumatism traumatic injury, caloric agent, chemical agent chemicals, such as immunological reactions vary.
Damaged tissue histamine, bradiquinine or abnormal substances such as serotonin secretion, and they increase the local blood flow and permeability of veins and venous capillaries would increase the role. This causes the blood vessels within the interstitial space from the large amounts of liquid and protein will cause swelling, escaped.
Blood proteins, one of the substances secreted from the cells with perinogen lymphatic cells and makes oeaekeul clotting. Thus, lesions around the hard edema (solid edema) is a made the. of fibrin clot to adhere to the tissue and lymphatic congestion in the surrounding healthy tissue is isolated from the lesions. However, microorganisms and toxic causes the formation of the viscosity of which is difficult.
Quickly react to the defense of microbial cells go through several steps.
Loosely coupled organization, deseo 1.lax conjunctive all derived expressions for this material has the ability to act. In other words, these things are destructive cells. These types of cells in the body, all organs and tissues has been sporadic. Therefore, these lesions appear to be most likely. As a result, first hour as a first defense against infection that they will appear.
2. After a few hours after the start of inflammatory leukocytes in the blood, increasing the material created. These substances leukocytosis leukocytosis inducing factor from the blood, causing tissue inflammation injara singing, and will exist until the bone marrow. These white blood cells that are stored in the bone marrow, venous sinus venous sinus extends into the bloodstream and are thought to act to flow.
White blood cells to the site of inflammation in the blood reaches the mechanism are three ways to.
a) margination around the dam, as if living: to call patients white blood cells surround the capillary walls.
b) diapedesis of blood spills: capillary permeability and clean Mac tissues by white blood cells to easily exit.
c) chemotaxis chemotaxis (走 化性) - substances present in concentrations of certain chemicals in the stimulation of primary cells to moving creatures and: bacterial cell products, activated clotting factors, anti-gene anti-DNA or anti Antibody-body product by product, such as white blood cells is induced to come to the area.
After hours of mature white blood cells of the lesions is sikjakyong debris. In addition, the red bone marrow, red marrow (赤色 骨髓) a young neutrophil (white blood cells younger) generation is increased.
Secreted by cells in tissue-destructive inflammation of the "caloric stimulating factor-calorie-stimulating factor has been found. This 45,000 PM glucoprotein glycoprotein (糖 蛋白) with quality local acts on the proliferation of white blood cells within tissues and white blood cells in the bone marrow to produce systemic effects in and increases the white blood cells, as well as all kinds of destructive fragmentation occurs rapidly, during normal young neutrophil enters the bloodstream within 14 days from Galena will take about a week when the inflammation.
3-destructive cells in lesions may have a slow but gradual increase. The increase of 8-12 hours, you do not have the ability to sikjakyong miseongsuksepoin monocyte mononuclear phagocyte predation, as well as the movement of white blood cells [sikgyunseong] re-production of cell reproduction - reproduction even be affected. In bone marrow, followed by the creation of monoctye will increase.
When chronic or long-term inflammation of the third mechanism is the most important role. Because these cells are larger than white blood cells have the ability to act more vigorous expression. In addition, they will also help generate the antibodies.
Above all, in this complex defense systems to describe the laser feature will be preferred. Pain, swelling, redness, heat and classic symptoms of inflammation, such as for laser shows a significant improvement. Advantages compared to traditional treatment of the thermal factor of the laser is that is not related yeolinjaga. In other words, shortwave, microwave, ultrasonics, radar, etc. to produce heat, whereas low-intensity lasers, low intensity laser muyeol castle.
Severe inflammation, arthritis, burns and inflammatory diseases such as bacterial many diseases can be treated with laser.
In the past, to the first cold therapy to reduce inflammation, treatment is not what you think it's valid from the beginning but now carefully examine the low dosage and low-intensity laser therapy can be.
Level of action of the action level
Located in the heart of local circulation and brings with it an extension of three arteries. Regeneration of the blood supply to increase white blood cells and monocytes and promotes fibrin exudate pibeurinsamchulmul (渗出 物) [solution] is to promote the resorption: congestion due to the removal of the inflammatory response of the organization facilitates the progress (in the case of infection antibiotic therapy should be treated carefully and continue to be at the same time).
In patients achieving the primary cause of edema 3-4Joules / ㎠ with the capacity of the laser is valid.
venous stasis venous congestion (静脉 郁 血) due to edema or peripheral circulation disorder of the legs due to intermittent lameness lameness (跛行) If you have been very successful in the utilization of the laser was used.
C) Bio-stimlative effect and Tissular trophism and tissue bio-stimulating effect of the nutritional function
This effect was studied by several researchers talk to you a summary:
1. Stimulation of mitochondrial ATP generation
2. Increase in protein synthesis
According to the research of Dr. Benediccenti after laser irradiation generates ATP in mitochondria is increased until it reaches about 22% is said to have.
Two trophic stimuli and nutritional effects on the circulation and stimulate the cells for energy production as a result of what happened with the stimulation effect is thought to be. After laser irradiation, the capillaries of the newborn and cell division is also increasing.
This effect decubitus ulcer bedsore (褥疮) varicous ulcer and varicose veins is applied to the congestion.
Research on what features your organization with the following results have been.
1. As a result, the emerging growth of fibroblasts and collagen fibers increase in
2. Regeneration of blood vessels from pre-existing
3. Superficial ulcers remained as in the basal cell (basal cell) in the re-epithelization jaesangpihwa (上皮 化) increase in
4. As a result of a general increase in cell division
Conclusion Conclusion
The laser's positive nutritional effects of the improvement and worsening of chronic degenerative disease prevention is good evidence of an effect on. After work or labor, anti-inflammatory effects and nutritional effects in the treated area, rather than acting independently, will happen with the analgesic effect .-, anti-inflammatory effects, nutritional effects
C o n t r a i n d i c a t i o n s prohibition
This section is divided into the following three Consider
A) Precautions Prevention
Here we want to treat patients without regard to the eyes of doctors and patients think about the risk of a laser Let's do. If the laser passes through the eye, if a transparent liquid medium absorbed or deposited in the retina and cause degenerative changes and permanent blindness visually impaired - you know that there will be. (1mw laser pointer, and virtually no relationship to visual acuity. Jeokoeseong sijundoen risks involved, well-based laser is less visible because the eye does not detect the risk of unintentionally produced during the incident.)
Investigation of the laser optic fiber through an optical fiber can be made, these risks (sijundoeji anatgie) In any case, protect your eyes without protection should not be investigated directly. Both patients and physicians in general no more than 5% of survey ships can pass the standard for special goggles are worn. (Because of differences depending on the wavelength selection should be used with: Sometimes, if you wear sunglasses, which results in a more dangerous because absolutely should not.) clinics within the mirrors and also the sparkling object in the same laser can be reflected object should not leave. Avoid walls and tile or similar to the old walls are painted matt preferred one.
According to several studies of the most well-absorbed He-Ne laser is known as the color green (these days, the medical use of He-Ne laser is not well done in Korea. He-Ne lasers coming out these days, but a good output significantly over the investigation because the fiber is no need to worry about.)
And ventilation for gas coming from the laser, you should also. Of course, the laser will do or if any gas, it is not necessary.
More easy to keep things as is a precaution to see this end of the laser itself is not harmful to itgetda andago.
Otherwise, in some cases now, let's look at the news.
B) Definite Contraindications certain prohibitions
In any case, you should not use the laser has the three cases. In other words, retinal area, (not the eye itself nunjubyeonyi), cancer patients and patients with acute bacterial infections is In the first case, the description has already been.
In the laser treatment for a variety of tumor studies were performed. Yet, in the Conference Symposiums official hyeopuina announced conflicting opinions, and yet an absolute contraindication in patients with tumors should think. Lasers in the tumor is still a preparation step for the research, and we'll have to wait until the results obtained still investigating the effects on the tumor itself is also not known.
Only if there is an acute bacterial infection, you need to treat other symptoms, no matter, or were already using antibiotics only when you choose to have laser treatment can be.
To date, studies focusing on bacteria, bacterial focus look at the survey - the symptoms worsened, the laser and also be ready to extend the problem.
C) Relative contraindications relative contraindication
1. in patients receiving steroid therapy: the effect obtained in these patients, however, there are cases.
2. yuseonjeung fibrous fibrous mastopathy (乳腺 症): cysts in the breast (囊 胞) and all kinds of the bunch (肿瘤) to form one single .* 30 to 40 are most likely to occur among women. State of chronic irritation caused by some kind of tumor that is considered. The cause of hormonal imbalance, including follicular thyroid, pituitary, adrenal, placenta, such as hormone, or sex hormone metabolism has been mentioned. In the past, this is a pre cancerous diseases yieoteuna training is a disease that can be cured today. Several of the breast around the nipple is the size of the core pressed discomfort is occurring. A larger core would like oval touched muljumeoni pray. Menstrual symptoms before menstruation simhana geuchimyeon lost. In addition to longer periods and infertility, widows, and sexual disorders, experienced abortion, the number of births less people, feeding people more prone to have. - Stressed or angry easily often alone into naegeona also a man with a lot of stress. Axillary lymph jelling together and listens for a quick check if a lump is wise: Frozen shoulder to the axillary lymph nodes and sometimes the distinction that comes with costs.
By X ray, ultrasound diagnostics. When a fixed increase turned out to receive special treatment need not, receive regular consultation between the symptoms disappear. However, difficult to distinguish between breast cancer when a biopsy is performed the surgery for the resection.
* When the investigation of patients with malignancy is likely to be braeast is assumed. It is already known some of these fibrinolytic effect of soluble fiber (纤维素 溶解性) - by enzyme activity, fibrin (fibrin) degradation and dissolution of the effect of causing the conflict with the nature that the debate will face .-.
3. So far, epilepsy in the treatment of the little problems could, but by an unfamiliar treatment for vomiting vomiting, arrythmias bujeongmaekjeung (不 整 脉 症), pain as psychosomatic reaction psychological problems caused by the reaction may cause must remember that.
4. If the fetus of pregnant women affect the laser was going to be away not considered part of the investigation, but should be at. Customs and social factors are important, and even irrational thoughts that may arise due to the laser for a number of problems should not be considered ropge.
5. Some thyroid malfunction thyroid dysfunction, cardiac arrythmia of the heart arrhythmia, pace maker that uses the patient is forbidden to talk to. However, in patients with pace maker device, the laser ionizes the ioniser [electricity] with the device does not need to be contraindicated because of the debate is taking place.
6. photosensitising medication in patients with photosensitive medications, and it is preferable that you do not use.
However, that will be used for effective pain relief or hamyeom taking effect from the start if the laser dosage gradually over a few session julyeoga can stop after a few hours.
Finally, to emphasize that you should not disregard the other is physical therapy. Surprisingly, they are complementary. Of course, some doctors if it's predecessors in the electromagnetic irradiation of electromagnetic radiation decreases argue that the effects of laser. In general, however, if it is appropriate to the patient, the ultrasound, microwave, radar,, motor stimulation mesotherapy
Sat massage and iontophoresis ion-Foret system ((ion doipbeop)), and do not forget about.
Treatment of Locomotor apparatus
1. Trauma Traumatisms seongjangae of the Muscles, Tendons, Nerves and Bones
Talked about earlier, treatment of common fibrin ruptute partial rupture of fiber-muscle injury that accompanies the two are to play an important role in the analgesic effect and hangbujong effect. In this case, the pain in the damaged spot on the per-copy 3-5Joule / ㎠ the dosage will conduct a spot therapy. Research conducted in the following section shall zonal irradiation. In the 1/2Joule / ㎠ dosage does not exceed the entire area is examined.
Total fibrin rupture if there is to be treated after surgery. You can also get the same effect is added to the nutrient supply effects. 4-6Joule / ㎠ a spot form of the dosage should apply to.
In this way, we
1 to promote wound healing of the wound and give the health.
2.Malfornation anomaly - or could prevent the emergence of keloid and
3 along with the analgesic effects can be obtained remarkable functional recovery.
As the sequelae of the treatment of acute traumatism can be prevented.
sclerotic post-traumatic post-traumatic ossifying myositis dermatomyositis - a characteristic of calcific mutation seokhoeseong degeneration - a laser treatment can prevent almost 100 percent through. If you are using seokhoeseong caused degeneration drug effects reinforce the penetration of hydrocortisone.
Laser micro-circulation by stimulating the blood vessels supplying oxygen and nutrients and thereby metabolic metabolism [material] ambassador - and will by promoting trophism. Therefore, even if there is severe muscle tear scar tissue fibers fibrous scar tissue - to prevent the formation of a laser may be useful. This witness also important posterior atrophy muscular atrophy, muscular dystrophy (筋 萎缩 症) -
Also reduces the amount. If you see such signs of damage as well as the periosteum periosteum of the survey - are also investigated.
tendon damage, even if partial payeolin muscle damage and are treated the same way. If the suture of the severed tendon jeonchepayeolin junction is required and the organization's rebuilding after the laser at the same time helping to promote nutrition helps to speed up the healing process. Seomyucho quite satisfactory if the fibrous sheath (纤维 鞘) - to suppress the inflammation will also. If money order or incomplete chronic wounds as well as prevent the formation of a damaged tendon will prevent adhesion.
When nerve damage, the laser acts in two ways.
1 If you have a natural potential total innervation of nerve impulses pass a full-
Promote.
2 in the following ways: surgery will prevent birth defects that may arise.
a) by the action of pain relief, reducing muscle contraction.
b) As a result, the ambassador to tell actively cycling smoothly helps.
c) resorption of edema
d) improve the sensitivity of nerves and muscles sikyeojunda.
e) rigidity degradation (强直), stiffness (硬 直) - and the contraction contraction 收缩 - will prevent.
f) tendon will prevent adhesion.
In general, dosage should be long-term treatment also usually higher. Therefore, we treat every other day twice a week, mainly Jenna is recommended. Osseous consolidation of the laser combined bone-promoting or callus callus-forming effect is well known for promoting. However, shortly after fracture treatment is not possible due to the cast and rehabilitation therapy after removal of the cast are written. The laser to stimulate callus formation, as well as stimulating the arterial circulation, and by the anti-fibrin action maintains the elasticity of the capsule and the ligament and, in extreme cases, anoxia in anoxia-state by the muscles will revive.
Analgesic effect by restoring the function of muscles and joints, and accordingly will get a great convenience in movement.
In general, the oxygenation oxygenation treatment area [oxygenation, 酸 素 化] -* is also known as oxygen saturation. In general, hemoglobin (Hb) molecule has four Fe + + and one molecule of each of the reversibly binds O2. Fe does not change the dimensions because of a combination of oxidation and is frequently called the oxygen-sensitive. By Hb oxygen hwae colors, crystals, such as saneuroseoui strength constellation of domestic capital as a reversible change. Tues completely when oxygen Hb Hb / g of about 1.34 ㎖ is a combination of O2.
- Helping to promote the 1Joule / ㎠ less desirable to use a laser.
Heat treatments in the past, if the first was the swelling could not be used. However, laser treatment can be used even if there is swelling or edema, and two of its treatment effect doemeuro semyida obtained.
Ankylosis of the joints gwanjeolyuchakjeung - due to the pain caused to the patient, the analgesic effect of laser julppun Relaxation neighboring joints and muscles, but empowers the damaged joint compensation compensation - is to give this big.
2. Rheumatoid Arthritis-RA
Laser for the treatment of this disease, the effects of drugs commonly used to give a big help. Do not know exactly what causes this disease is immune-complex mechanism nine trillion -* immune complexes immune complexes [immune complex, 免疫 复合 体] Antigen-antibody complexes of multiple molecular sieves. Complement (complement), regardless of the presence of soluble or biyonghae by the size of the present state.
Due to collagen disease collagen disease (胶原 病) - is thought to be. The indiscriminate use of corticosteroids corticosteroid ((adrenal (副 肾) cortical hormones and similar substances collectively)) due to the medicine depend on the patient and, hydroelectric imbalance pulls the sodium ion of sodium ions - retention congestion - and potassium potassium ion-ion losses are taken.
The effect of the laser depends on the stage of the disease.
Lesions of the first joint synovial articular synovium, tendon sheath geonhwalaekcho (腱 滑液 鞘) - or serous sac sac Curtain - is limited to edema and hyperemia, fibrin and leucocytes, and is accompanied by exudate. As the inflammation progresses worsen when joint pressure is causing the pain. In the early stages of this lesion lasers, brings good results. Starting in the second session, especially elbow, shoulder, knee to the improvement in the mobility are taken.
Morning stiffness is reduced in the first session, in some cases, there is a completely disappears.
Survey area plus the pain for you to spot form the inflamed area usually coincides with this region. The interval between each area should be kept at 1-2cm.
Without acute symptoms gradually emerging in the dosage if the 4-5Joule / ㎠ should be used and if the initial treatment of acute sangil be increased 2-3Joule / ㎠ should be enough.
To complete the treatment divergence divergent lens lens (concave lens to the light is spread out .- 反 converging lens means convex lens (convergence) .- or a device to maintain thermal equilibrium sweep mechanis-section of zonal irradiation by Survey - to be the the the 0.25Joule / ㎠ should not exceed the laser treatment is another effect that can be achieved with subcutaneous nodule (subcutaneous nodules) is the loss of.
In summary: An important objective of laser therapy in the early stages of the progression of the disease or deformity, or by extending the state to stop the creatures would not.
Cartilage damage already, synovial membrane synovial membrane (滑膜) - necrosis and fibrosis, retraction of capsule degeneration of the capsule, granulation tissue granulation, granulation tissue (肉芽 组织) the formation of granulation tissue - the tendon, sheath invasion in the attack - and with the In the second stage of the laser is already the primary purpose to prevent the progression of anatomical changes, and maintain the function of joints and more than deteioration worse - is to avoid.
matacarpo-phalangeal-phalangeal joint of the resin - level of the cubital elbow comes to finger curve, genuvalgus valgus knee in the flexion of the knee, such as variations on the case, the correction is not possible and surgery is needed.
This second stage of the laser to the patient by reducing inflammation and represents an analgesic effect with anti-fibrin action joint fibrous ankylosis of the severe destruction of the fibrous skeleton gwanjeolyuchakjeung
(The third stage can be seen in), and reduces the amount.
Dosage for treatment of patients with second-stage spot per each 4-6Jouie / ㎠ the same way as in the first stage is carried out. Due to this treatment, as well as extraarticular symptoms of rheumatoid arthritis in the works.
Subcutaneous nodules, usually along the ulnar edge elbow when I was 4-5Jouie / ㎠ a spot treatment when the dosage absorbed doenhu can be seen to be removed.
Tenovaginitis tenosynovitis - or other common tendon lesions of the synovial sheath in the rheumatoid infiltration rheumatoid the invasion - by becoming a resulting de spot application of a small few session quickly cure and total synovial sheath region in the short brushing session (seuchideut 2000000000004 - the treatment for end can be.
tent serous sac - born of the infiltration of synovial bursitis [mucus] nangyeom-of-way for the treatment dosage and are as follows:
1) 2-4Jouie / ㎠ a spot application,
2) As the last session will zonal irradiation.
Rheumatoid arthris improvement of the disease, atrophic skin, depending on the atrophic skin-color and general aspect of the improvement will come. When irradiated with a laser to reduce swelling, as well as the area is to promote the nutritional status.
Deterioration and improvement for years to repeat this disease has reached about 2% of the population, three times more than men from women and only 15 percent occurred from the third stage is known to proceed.
Analgesic and anti-inflammatory agents for the treatment of symptoms of use, and relaxation for the treatment of systemic progression of this serious disease can be prevented to some extent. In addition, the use of laser to the patient by reducing dependence on their medication and this will slow down the progression of the disease greatly. In this way the patient can come to the staiffness joint stiffness, deformity disorders - are wrong or incorrect posture posture - and can be prevented.
3. The Treatment of Articulations in General
By pathological changes in any of the natural degeneration of cartilage is go the home. This increased density of bones and joints to form hypertrophic spur on margin, which referred to this situation arthrosis.
This causes arthrosis a common cause are as follows.
a) a reduction in joint blood flow
b) due to improper posture and abnormal excessive use of joints
c) Obesity: excessive weight given to the joints
d) genetic element: the sooner the symptoms are caused.
The action of the laser essentially helps reduce pain, increase blood flow by giving the joint cartilage will bring improvement in nutritional status. However, the right attitude with the mowing, suppose a particular joint, reducing the weight added, mobility, and other therapies to increase in parallel with a laser should be.
In this case, the characteristic changes seen in Figure 33 a vertical excision of cartilage or fibrillation, osteophyte formation include:
by changes in the superficial cartilage cell cartilage, bone tissue that was protected by being exposed gradually becomes increasingly hard and sclerotic. Increasingly thickened and calcified cartilage, subchondral bone and penetrates into the cavity formed by the pathological bone tissue can be damaged even.
Before laser treatment, many of these changes and to determine the extent hayeoyaman well to treatment areas that can get effective results from. In addition to more effective treatment of joint position and temples, and other conditions must also consider bending.
Arthrosis at the same time in more than one joint symptoms that may appear three kinds of stiff joint, pain and strain (deformity) are The first symptom is usually stiffness, which is a movement based on the symptoms can be like.
Pain is the most incapacitating jeungsangin second. Patients with pain due to movement of the joints becomes impossible or cause joint damage can easily be intoxicated improper posture. For two radioldgic affliction is not the result of pain or muscular origin in synovial think. In the laser treatment of arthrosis pain is the removal of the first purpose.
Feel pain in areas at Touch 4-5Jouie / ㎠ makes to the capacity of spot deposition. Analgesic effect of the pain receptors As mentioned earlier, the anti-depolarization by the action takes place.
Certainly continued to represent the analgesic effects of the treatment is necessary at least 12session. In some cases, there appeared the first session of therapeutic efficacy of treatment can be terminated too early, but in this case, the laser is sufficient for beta-endorphin effect is prevented.
The effect of laser sufficiently to happen daily session is recommended. 4-5Jouie / ㎠ one spot therapy after a dosage of 0.5 or 1/2Jouie / ㎠ d ㅇeuro divergent lens for not more than by the effects of laser therapy if you can last longer.
If the treatment of this disease, even with the lasers and to prevent stiffness and deformity of the joint exercise must be combined. In addition to the nutritional effect of the laser by a cartilage or other joint degenerative changes of the structure can be reduced.
The Wrist and the Band
Laser treatment of the wrist and soneseodo good effect.
In the PIP and MP joints, such as we have seen in rheumatoid arthritis and inflammatory changes can be seen. DIP joint degenerative arthritis, especially in well-formed.
With pain and dysfunction arising Tenosynovistis in the hands and wrists are common causes.
Goyeoseo Tendinous sheath is weak in the swelling can occur sometimes.
Repeat the steps in front of them talked about the laser, as well as the analgesic effect of edema reduction and drainage is also effective. A common syndrome among women in midlife sugeongwan first laser treatment session can be represented as a labor action sikyeojunda ligament strengthened.
Treatment of the Elbow
The most common disease in the elbow the tendon or the sac is due to the many degenerative diseases and infectious diseases are rare.
Common, many patients heater does not respond well to therapy, or infiltration, in this case, the laser treatment is best.
Continued use of hand and forearm joints by a week in the inflammatory response of the muscle insertion site and me accordingly saenggyeo leading to forearm pain and resulting functional limitations caused by these lesions, which made the "tennis elbow" is called.
In most cases, the implementation of the laser session by just a few small reduction in the inflammatory response is brought.
Spot deposits should be carried out at 3 to 4 Jouie / ㎠ per
spot, around the epicondilus or the epitrocleus and in the exetensions of the insertions.
Bursitis of the elbow is one of the most common lesions. To be most frequently involved is the subcutaneous sac of olecranon.
The treatment of these lesions 2-3Jouie / ㎠ sac in the center of the spot irradiation with a back 0.5Jouie / ㎠ with a capacity of less zonal irradiation by divergent lens is.
Treatment of the shoulder
Scapulohumeral articular capsule by trauma or inflammatory disease arises in several. At this time the symptoms that are common to all lesions is pain. Jeolbu dog tube before starting treatment first identified as the cause of their pain is important. For lesions that cause pain in joints and is hobal. : Scapulohumeral, acromiclavicular, and in some cases exteranl clvicle.
In general, at the same time the onset of the first two joints, and the approximately four or five spot deposition is carried out, and dosage of each spot per 3-4Jouie / ㎠ is adequate. Abducction relaxation therapy, and dogs under 30 degrees, starting at the beginning of joint, and then to the acromion clavicle area, and finally carried to the top of the acromion (Figure 37.38).
With the pain if accompanied by an inflammatory reaction to the treatment of higher energy density is recommended.
Finally, as shown in the photo copy the front of the Sword (foremost surface) after the treatment ends up in the questioning. (Figure 39).
Scapulohmeral periarthritis and Duplay's disease represents a good effect in the laser.
When yijilhwan motion, which increases according to the deep pain of calcifying type, which is arising by multiple peritendinitis. This causes the dog to come joint dysfunction is a serious.
In the supraspinatus, infraspinatus, rhomboids, levator scapulae, teres major, latissimus dorsi, and finally to the deltoid region of the insertion of spot deposition will. The dosage of the 4-5Jouie / ㎠ At the end of treatment shall be as shown in Figure 40 about the center of the rear part Greaves 5-10 ㎠ area zoanl irradia ation is carried out.
Of course, even pain during exercise-induced stability of the frozen shoulder joint is common in dogs is followed suprascapular nerve lesions are sometimes accompanied by pressure.
The main pathology of these lesions is an inflammation of the capsule and surrounding tissues. The purpose of the first laser treatment to remove the pain and allows you to relax enough at night is juneunde.
After 12-16 session to get the second goal completely destroyed by the inflammation is juneunde.
The first spot per each 2-3Jouie / ㎠ richest dog in the dosage, starting from the front, side and rear of the spot as a spot application of which is the amount of approximately 10 to 20 dogs. Also shown in Figure 41.42.43 shall have triple zonal treatment.
In this last step, cover surface of the treatment and dosage should be a 4 ㎠ the 0.5Jouie / ㎠ should not exceed.
Finally, in the inflamed subdeltoid or subacromial sac of elbow bursitis if the treatment is in a similar manner to that in. Before ending this section, we always have to remember that a dog joint pain dog lounging by itself, even when the lesion, but by other causes, as a form of tendonitis is that radiating pain. In other words, cervicocerebral pathology, cervical disc hernication or by pinching, etc. also created. In this case, the laser is used, but in this chapter is written in a way other than stated.
The vertebral column
In order to understand the function of the spinal cord 31 dogs can be divided into 32 segment, the number of root directly above the vertebral body in the world ... follow the numbers. However, no neck, which is a segement of one of the first cervical muscles just above the first light water is coming out.
In fact, the function of the spinal cord motor, sensory, and visceral integrity include: Thus, lesions of the spinal cord is separated from here by the stimulation of the nerves to come up with, and that's governed by the nervous symptoms may occur in other places will.
Follow the old man overflowing vertenral columa degenerative changes are coming. As the first disc, which begins in the nucleus over time, become dehydrated, collagen is increased, protein-polysaccharde content is reduced, the elasticity is reduced. Accordingly, the dynamic change to come, which leads to a change in position of the nucleus and fibrous ring and the fiber is ruptured.
Depending on these changes are similar to those seen in other joints spondylarthrosis lesions are the faces.
The aim of laser treatment in Discopathy are as follows: inhibit the sensitive stem and induced analgesia by stimulating the motor and the improvement of the lesions, irrigation and oxygenation by removing metabolites is to bring improvement in the nutritional status.
In the treatment of acute 2-3Jouie / ㎠ using a chronic spondylosis syndrome, spondylart
hrosis, disarthrosis or another column when the infection per each spot 5-6Jouie / ㎠ the dosage is applied.
In the early stages of lesion disc to penetrate into the vertebral platfom intraosseous discal hernication while not showing symptoms may be caused, extraossous herniation, which may result in the case of the latter is sikige spondylathrosis accelerate progress.
pain treatment of vertebral origin is carried out in two places. dosage of the one part of the cause of pain in the 2-3Jouie / ㎠ and one conducted in two parts to the pain in the area do not always match.
C3-C4 and C4-C5 due to the spondy lasthrosis gyeonbue pain can also occur in the optic fiber necessarily using the 2-3Jouie / ㎠ four spot deposition to be conducted. Zonal application to be performed, as in the dosage to the 1/2Jouie / ㎠ not exceed the
Survey the area around 3-5 ㎠ is appropriate.
The C5-C6 and C6-C7 spinal cord away from involvement at the site if you are feeling pain. Habake the upper arm, and if there is pain on both the research Dermatome (es) and the myotome. At this point, using a divergent lens 12Jouie / ㎠ fh 3 ㎠ Therapeutics area, C3-C4 and C4-C5, as in the case of the last interlineal irradiation is carried out.
If you are in minor pain Shoulder with interlineal deposition 4Jouie / ㎠ infraspoinatus to
subcapularis, teres major, rhomboid, latissimus dorsi muscle to the insertion site should be investigated. (Figure 48).
Pre-thoracic area, on the other hand, if you have pain in the pectoralis major and minor areas of muscle insertion in the 4Jouie / ㎠ collarbone level to be on the spot deposition.
stiffness and motion restriction in cervical arthrosis of the specific muscle tension of the muscles used in conjunction with its treatment for frequently occurring 4-6Jouie / ㎠ spotirradiation in the most tender parts are heavy. Again, 1-2Jouie / ㎠ dosage does not exceed a width of 5 ㎠ should be in the zonal irradiation.
Neck pain is not continuous and well treated and in many cases have a psychosomatic element.
Strength, bend your torso in addition to expensive acute lumbago lumbar lesions has HNP. The laser on the pain I feel the interlinear deposition area and a small amount of energy to zonal irradiation.
In some cases, pain butock (hip) and to have occurred in not in the myotome and dermatome in both the 3-4Jouie / ㎠ fh spot deposition will.
Pain in the lumbar spine, the most that can be caused. However, from the story by other causes, such as to produce too. Therefore, a correct diagnosis after spot deposition to determine how and where it should be.
1) excess effort, 2) anomalies in lumbosacral transition (sacralization-lumbarization). 3) over-development of one or both apophises of l5 4) spondtlolisthesis, 5) alteration of diseases, infectious spondylitis, visceral diseases, 6) ankylosing spondylitis.
Abstract: The laser has a reaction to the patient and type of disease also depends on whether an accurate diagnosis. In most cases, the cause of pain to the area and pain on the spot deposition in the region 2-3Jouie / ㎠ fh zonal irradiation will add.
Well happen in the lumbar spondylarhrosis cervical arthrosis, but in any case, one story should be treated in the same way.
The Hip
Rheumatoid arthritis in the joints and the onset of the rare long arthrosic process mainly
With the disease will occur.
The most common lesion with the immediate pain that causes a movement disorder caused pyeoncheuke hayeotdaga coxarthrosis's first several months on both sides are facing.
Pain in the first groin, trocanter regin, buttock and result in a feeling lameness occurring with movement restrictions will have an inappropriate attitude. Thus, the degenerative changes are being accelerated.
Shall in the X-ray diagnosis. Radiate oblique shot results in a phase we coxarthrosis often exists outside or go into the femoral head must be sure that the osteophytes. E in the laser treatment to get to the analgesic effects, but little effect of the latter can not be obtained.
Analgesic effect is desired in this disease where the depth because of gipgi 7Jouie / ㎠ is required. In some cases a more deep hypothermic method may also be used to penetrate when the failure to obtain a satisfactory effect is said.
On the other hand, seems a significant effect tongeneun laser radiation. (Eg: the groin, the buttock etc.)
The knee
With knee inflammation or infection of the spinal cord, accompanied by arthrosis or disease hobal dongtongseon the place.
wejght bearing the signs of arthrosis appeared reluctant, and when the initial laser treatment if you can get a very large effect of the progression of the disease can be prevented.
If Arthrosis associated with the arthritic pocess examination of synovial fluid may be needed
Internal collateral ligament lesions of the abduction when the pain is saenggyeo me.
Empower people to work on his knees for a long time to perotulian subcutaneous sac can cause bursitis. The tibialis anterior and tricps surae, popliteal muscles, such as tendinitis at the insertion site will also produce.
Finally, the slot If this happens, there is more cartilage leukomalacia. The laser is effective in all of them, directly acts on pain and inflammation represent.
Spot irradiation, which also makes the patient feel pain during the examination is conducted on site. Energy density per each spot 3-5Jouie / ㎠ and as a front, side and rear including all 0.5Jouie / ㎠ a zonal spplication dosage should not exceed.
With laser treatment for weight control and the knee to avoid excessive weight bearing, you degenerative diseases, such as the general therapy is effective in prolonging disease progression.
The Foot and Ankle
Excessive feet use, due to trauma or disease is acquired and congenital deformity can arise in general merit, but Anna is easily removed for pain.
Found on radiographs of the calcaneus tendon calcification and lesions causing pain brings.
Generally, tendinitis is accompanied by bursitis in the achilleal sac.
After the inner surface of the calcaneus is the feeling in the secondary thalaga.
tnosynovitis and the flexor tendon sheath of the peroneal muscles to be invaded.
These two symptoms in the foot lesions is pain accompanied by inflammation.
Spot from the laser spot per each 2-3Jouie / ㎠ investigation into the 1Jouie / ㎠ to be conducted in the last zonal irradiation. As shown in Figure 53,54,55,56,57 can and do apply
dosage can be increased depending on the disease.
TREATMENT TABLE INDEX
A
Third nerve
Neurosurgery, neurology
2
Sinusitis
Otolaryngology
3
Rhinitis
Otolaryngology
4
Chukduhaak, joint symptoms
Orthopedics
5
Cervical, cheokchutong
Neurosurgery, Orthopedic Surgery
6
Arthritis gyeonbujuui
Orthopedics
7
Phase (Col) and salt
Orthopedics
8
Symptoms kalpalteonneol
Neurosurgery, Orthopedic Surgery, Internal Medicine
9
Field book deformed arthrosis
Orthopedics
10
Lumbar, sacral cheokchutong
Gyeomham sciatica and orthopedic surgery, neurosurgery
11
Jeoltong dignitaries
Orthopedics
12
Chigoltong
Orthopedics
13
Slot joints
Orthopedics
14
Gyeonggoljok joint sprains
Orthopedics
15
Achilles geunindaeyeom
Orthopedics
16
Arthritis jungjok
Orthopedics
17
Sprains and muscle contraction
Orthopedics
18
Venous insufficiency
Medicine
19
Mildly ulcers and pressure sores
Orthopedics, neurosurgery, general surgery, dermatology
20
Acne vulgaris
Dermatology
21
Cellulitis
General Surgery
22
Locate signs and upgrade seuteulyicheo
Obstetrics and gynecology, orthopedics, plastic surgery, neurosurgery, general surgery
No
Parthologcal and Clinical Lesions
Treatment, and lesions
Pathological lesions and clinical
Chiryossegan (minutes)
Number of treatment
(Min)
A
Trigemimal Neuralgia
Third nerve
6
7-8
2
Tenporomamdibular Articulation Syndroms
Joint symptoms chukduhaak
4
8-10
3
Carvical rachialgia
Cervical cheokchutong
4
10-12
4
Shoulder periarthirtis
Arthritis gyeonbujuwi
4
10-12
5
Epicondy latins
Phase (Col) gwayeom
6
10
6
Carpal tunnel symdrome
Teonneoljeungsang kalpan
6
11-13
7
Deforming arthrosis of the hand
Field book deformed arthrosis
2
10
8
Lunbosacral rechiugia with sciatic trradiation
Cheokchutong lumbar sacral
4
10-12
9
coxalgia
Jeoltong dignitaries
8
10
10
pubalgia
Chigoltong
4
8
11
Gonalgia
Slot joints
4
10
12
Tibiotarsalgia
Gyeonggoljok joint sprains
6
6-7
13
Achilles tendinitis
Achilles geunindaeyeom
4
6-8
14
Matatarsalgia
Race arthralgia
4
10
15
Sprains and muscle contractions
Sprains and muscle contraction
4
5-6
16
Ulcers / sores
Malignant ulcers and pressure sores
18
17
Sciatis pain
Sciatica
3
6
18
Sacral Arthrosis
Vertebral joints
5
12
19
Lumber Arthrosis
Lumbar arthritis
3
12
20
Dorsal Arthrosis
Thoracic joints
3
12
21
Cervicai Arthrosis
Cervical arthritis
3
12
22
Torticollis
사경 (mokgyeongryeon)
2
2
23
Periarrthritis fo the humeral scapula
Humeral periarthritis Greaves
3
10
24
Acroparesthesia
Mabijeung shoulder
3
8
25
Raynauds Disease
Reyinodeossibyeong
3
12
26
Acuphenia
Arthritis geupmanseong
3
15
27
Arthcular Distorsion or arthrosis of the knee
Symptoms of knee
3
10
28
Tendon imflammation
Inflammation of the muscles ligaments
3
8
29
Strech Mars and cheloids
Signs of stress and kerosene upgrade processing
60
12-15
30
Talagia
Joktong
4
8
31
Cellulitis
Cellulitis
A
13-15
32
Frontal cwphalagia
Jindutong
4
6
33
Paranasal or Frontal sinusitis
Bubitongyeom and jeondudongyeom
3
8
34
Rhinitis
Rhinitis
4
8
35
Venous insuffocieny
Venous insufficiency
2
8-10
36
Acne
Acne vulgaris
30
10-12
Both face 12 of the facial nerve that governs the sense of abandoning the project Article 5 경
TRIGEMINAL NEURAGIA 3 primary nerve
(Neurology neurosurgery)
1 sangwanwagong
2 zygomatic bone 공
3 bideokbuguui upper end of the rain
4 chukbuhaak joint
5 apeogeumnippuri part 1
6 When the upper arm and nerve involvement beurenchwiga same axis as well to treat the skin of the frontal region is sufficient to advise. In this case, the probe should not be in the fashion spotlight, and even as a child in the form of pattern programming menu innings radiation schedule as slowly as the probe over the lesion should be seuteuriking.
Schedule or a fixed mid-innings and 1-5 points using a laser to cure can be treated as the basic unit.
Nearby places chukduhaak sprained left dislocated painful symptoms of salt
TEMPOROMAND I BULAR ARTLCULATION SYNDROME
Chukduhaak joint symptoms (Orthopedic Surgery)
1. Chukdu joints
PROBE MID LASER: split into two parts: the area of (1a-1b)
2. Was carried out under contract gyojakgeonui akbu corner where all the points above.
3. Below the marginal mandibular hondail hyeopgolbuwi before the end points of the larynx.
SCANNING MID LASER: TM joint is radiated above the skin. And from all parts of the joint should radiate beyond the 0.5-1cm.
Signs of inflammation sanggolui
EPICONDYLITLS (bone) and the salts
(Orthopedic Surgery)
1 rateral Effie Dail cone
FLXES MID LASER: a fixed mid-about 10cm above the surface of the laser as part of the episode cone will emit light perpendicular to the Dail. As part of and I jjoinda irritating.
PROBE MID LASER: Effie Dail cone is divided into 3 parts.
2 These two ligaments and muscle cone Effie Dail minutes between the intermediate trans Perth Hospital Forsyth emits the cue.
3 sangbakgol above the outer end of the episode points to a cone it.
SCANNING MID LASER: Laser EPI mid-scale dining area radiation cone is Dail. And Phil
Bakbureul if necessary I will therefore emit a painful part. Both
In areas with severe inflammation of the above-inning lines 1cm scope to adjust schedules to
Is.
Cervical spine (neck 7 Records) symptoms of pain
Cheokchutong cervical CERVICAL RACHIALGIA
(Orthopedic surgery, neurosurgery)
1 disc area along the spine between the former part of the cheokchugan.
2 bangcheokchuseoneul Thus cervical brachial neuralgia, neuromuscular therapy when a seizure is.
3 point 1 along the spine, upper and lower edges of the division between cheokchugan. (3a-3b)
4 At the top end of the trunk vertebrae posterior procedure right bottom of the tube silencer.
5 of the first thoracic and Boots Part of speech-no-mouse-processor that is the best arc ends and thus between lukewarm updates
Rakpejeumui points in the middle part.
SCANNING MID LASER: right outside the sub-directory in the occipital region is carbide.
Between the two should divide the treatment time.
Symptoms of inflammation of the joints of the shoulder
SHOULDER PERIARTHRITIS gyeonbujuwi arthritis
(Orthopedic Surgery)
1 Part of the upper arm around the shoulder of the Sword emits.
2 Boots Part of the upper arm and points to the back of the soft parts.
3 at the bottom of the right arc to arc Mion Mion keurabakyural upper joints
4 trailing portion of the deltoid muscle of the upper arm bone
5 Intra-speaker Paula Ross Forsyth heart of Scarborough
6 rateral epikonda radical ligament biceps on the line that links the middle of Forsyth Hospital Thus, cue trans
Part
SCANNING MID LASER: 3 parts are separated shoulders. That is all, rear, chukbu minutes on each part is the treatment of Lee.
Treatment time is also divided into three parts to cure.
Kalpan lateral ligaments of the wrist of the median nerve compression symptoms of pain by
CARPAL TUNNEL SYNDROME Symptoms kalpan teonneol
(Orthopedic Surgery, Neurosurgery, Internal Medicine)
1. Carl Lee eight moment in the middle of the medial portion of the outer part (a) (b) (c)
2. Wrist, and part of the trans bis seulkyubeu width of the finger points to three words.
3. Sixth cervical nerve roots
FIXED MID LASER: 8-10cm apart to radiation.
Signs of arthrosis deformed hands
DEFORMING ARTHROSIS OF THE HANDS
Field book deformed arthrosis
(Orthopedic Surgery)
Section 2.3.4.5 of the joints 1a/1b/2a/3a/3b/4a/4b/- resin inside and outside surface of the resin
Lumbar spine (lumbar region), 5 sacral pain symptoms
LUMBOSACRAL RACHIALGIA WITH SCLATIC TRRADIATION
Lumbar spine via the sacrum (the sciatic nerve gyeomham) (orthopedic surgery, neurosurgery)
1 additional signage along the spine, trunk area, if necessary, equal to radiation from above and below.
2 lumbar sacral nerve roots thus emit the same side bangcheokchuseoneul.
3 Maxi Brewer proteus off meu pelvic muscles out from the root portion of the sciatic nerve is the diffusion.
4 Bottom center of the bottom portion is radiated.
5 popeuritial part is the central part of the radiation.
6 gemelrayi of the calf muscle meets the part of the Great Valley
7 portion of the outer surface of the femur below the patient's arm, the patient upright ppeotdorok points.
Emission point is a point in the right bottom.
SCANNING MID LASER: therapeutic range yocheongol yocheonbuwiwa to the sciatic nerve roots as a two part course to split the emission. Treatment time, the teyipeul (Table) have been instructed to.
When treated with sacral spinal yeocheongol bangcheokchujeoneul scale in the range of 8-10cm beyond the inning line is determined. So often in a painful contraction bangcheokchugeuneul relaxes.
Symptoms of hip joint pain
COXALGIA and joint pain
(Orthopedic Surgery)
1. Protruding portion of the thigh and knee joints are made on the outer surface of.
2. In the above position is on top of inginal fold.
3. Stretch your hands and fingers upright limbs of patients with two fingers width below the points.
4. Radial nerve
SCANNING MID LASER: Treatment section is divided into two areas. The front side of the case toegol inginal section head portion, dining area, in accordance with time schedules of the two.
Byeonggol part of the joint pain symptoms
Chigoltong PUBALGIA
(Orthopedic Surgery)
1.1a/1b/1c- affected by inflammation, part of the muscle attached
Muscle contractions leading 2-3 when touching on the points to the most painful part.
FIXED MID LASER: 1a-1b-1c is similar at the same time.
SIXED MID LASERCANNING MID LASER: is the whole area radiates. In other words, both parts of the root attached, and which emits the same time, Shawn Hampton.
Symptoms of joint pain in knees
GONALGIA slot joints
(Orthopedic Surgery)
1. Bone slot top, right, down, right, up, left, down, left, points to the corner.
Knee and below the bottom of the bone tissue and bone between the slots in the laser beam is radiated.
2. Slot outside the central part of the (knee back) 1.1.92.
3. Thus, the outer surface side of the knee swells up points.
4. I think, however, points to the inner surface of the above call.
5. Ligaments that purchased a radical right slot at the end of the upper phase of bone
6. Bone under the knee ligaments that slot just below the part at the end of
7. The central part of bone slot (before the knee synovial nangyeom)
A diagnosis of the cause of emission points shall be selected geohaeseo muscle. Synovial arthropathy of teachers yeomja nangyeom whether it be treated either in the morbid anatomy compromised application areas listed above, please report points.
Symptoms of a sprained ankle, lower leg area
TIBIOTARSAL SPRAIN salts left tibia joint family
(Orthopedic Surgery)
Like all yeomjaeseowa determined by touching with the most painful part of the outer or inner sides of the joints and at least four places (EG 1/2/3/4) points should be
Symptoms of inflammation of the Achilles muscle ligaments
ACHILLES TENSINITIS of Achilles muscle-to-salt
(Orthopedic Surgery)
1. Peuroksimal ligament portion (proximal part).
2. Portion of the medial ligament (medial part).
3. Diseutal ligament portion (distal part).
On one side than the other two being more severe disability and 50% more when time allows.
PROBE MID LASER: To stimulate the organization equally determined to lay in two directions at right angles to high radiation.
FIXED LASER: boat laying on the bed and placed down the patient is radiated.
SCANNING MID LASER: I will treat the ligaments at the same time.
Symptoms of joint pain, plantar
Arthralgia METATARSALGIA family of
(Orthopedic Surgery)
1/2/3/4- particularly painful in part related to a depth of four parts: the energy that interferes with the proper pass in order to prevent skin keratosis chosen star foot portion of the sole portion and optionally emits family times.
5. Hoenggwa nine middle part (mid point of trans bis seulkuseuui oral Mare)
6. Part and one part just before the surgeon
7. Surgery of the upper area of the four fingers
SCANNING MID LASER: The time it takes to select depending on the surface of the footprints.
Symptoms sprained muscle contraction where
SPRAINS AND MUSCLE CONTRACYIONS sprains and muscle contraction
(Orthopedic Surgery)
1. Geunchaksangbu
2. Source wibu
Younghaengeul 3/4/5/- various parts of the receiving portion distributed nearly
PROBE MID LASER: The device itself may be useful to handle, as a micro-massage.
FIXED MID LASER: 10-15cm away to keep it perpendicular to the beam portion of treatment
Jjoimeurosseo as a single spot to treat the muscle belly.
SCANNING MID LASER: I received all the parts involved in the 0.5-1cm wider than the area to radiation schedules in the inning, focuses LA.
Torn muscle: Part of the total time of implantation nearly 5.3 is to increase the radiation. This results in an average number is 8 to 10.
Infection (chronic) symptoms of ulcers and sores
ULCERS malignant ulcers and pressure sores
(Neurosurgery, orthopedics, general surgery, dermatology).
In this palliative surgical treatment of disinfection and antibiotic treatment process can be done, but rather will be mid-laser radiation with only one explanation. And importantly, the center of the ulcer, but rather around jjoyineun part must always remember that radiation. Whether manual spot-type scale innings radiation ulcers and sores around the area so whatever time you are jjoyeoya.
PROBE MID LASER: 10-15cm unit rays fall to cover the rice mill and decubitus ulcers, and is divided into two or more may be treated come.
SCANNING MID LASER: decubitus ulcer, and larger than the 1-2cm wide and all parts of the beam at the same time neolhyeoga Please treatment.
Radiation for a few seconds to make every ㎠.
STRETCH MARKS: increased maternal abdomen after delivery, symptoms around the age of Triton
CHELOIDS: old beach is part of the surgical wounds after surgery
STRETCH MARKS AND CHELOIDS
Signs of stress and kerosene upgrade yicheo
(Obstetrics and Gynecology: Plastic Surgery: Neurological Surgery: Orthopaedic Surgery, General Surgery)
Within six months if the recent laser treatment is effective in treating patients with care, because selection should satisfy. Kerosene-consuming prognosis is good. Immediate treatment after birth when signs of stress yicheo can obtain satisfactory results.
Mid probe laser over the surface and dips seuteuriking to treat each lesion separately.
SCANNING MID LASER: will depend on the number of lesions. If treatment is to isolate parts at the same time I will even cure.
Caused by Staphylococcus aureus-inflammatory (severe inflammation) lesions
CELLULITIS bongwa tissue salts (pus will occur).
(General Surgery)
Treatment is divided into two parts. System that covers the lower leg veins have been damaged by bongwajikyeome divided into fat tissue. First, usually mid-laser as a treatment probe is Using the following techniques of energy without failure because it can treat venous system from the inside and above the calf is up to the end.
1. Bridge over the inner surface of the skin by seuteuriking tipeurosseo seulseul Grade Noise sapae adjust vanes allow movement of the vessel
2. Femoral vein in the medial femoral sagaebuui
3. Femoral artery.
4. Width of two fingers below the femoral head points.
5. Fifth lumbar nerve root
6. The first sacral nerve root
7. Hadun heart of craft
8. Wabu set the center of
5.6 points will be treating only bongsojikyeomeseo impinging on the buttocks. If you think the amount of innings to schedule the entire surface of the femur is the treatment. Because sheep can be treated at the same time, the inner thigh because.
Schedules inning line both sides of the outer portion of the femoral deopgi need to be wide enough.
In the allocation of the femoral, please repeat the above process.
In conclusion, the rateral arcs dekubinuseu position (side) and the schedule had to lay side or intensity of innings to cover the whole of the femoral gakoe adjustment should be.
We also increased poly Crashed New Kingdom can cause seizures. Because most of the treatment of patients with these symptoms for several days to appeal. Worry about this increase in urinary disorder was. This is probably related to the increase in venous blood flow seems to be. And local swelling decreases slightly. Relative increase in the amount of the outputs of the kidney is described as poly Crashed New Kingdom Guys return to normal voiding dysfunction is preceded by.
SCANNING MID LASER: given time, before and after the femoral
I myeonbu
Of the left femur, right in front is chosen.
Sinusitis (frontal sinus salts)
Sinus SINUSITIS salt
(ENT)
Toebu and the frontal part of the nasal symptoms of unequal parts of the skin and emit above.
PROBE MID LASER: 1-2 with a laser emits mid probe.
FIXED MID LASER: 1-2 in the territory of a fixed mid-laser radiation into a spot sufficient clothing. Possible, the minimum distance should be maintained.
Venous insufficiency
VENOUS INSUFFICIENCY
(Internal Medicine)
The first patient with left ventricular insufficiency after laser treatment, but rather suffering caused by the increased return worse off Benoit number you should be aware of the fact that.
See also M. dangerous micro-circulation in order to avoid that there is no deep-vein thrombosis should be checked.
Laser and probe laser treatment schedules innings to combine with one throw any probe laser can be done.
Skegness innings before the laser alone, a vein that courses along the vertical beam can be maintained because the amount of stimulation may be undesirable because it would suggest you do not deserve. All courses in the veins of the probe slowly outward from the center of motion seutoroking touch (es) only the skin.
A matter of time before the course through the veins of the slow down is better than several times faster.
The Great sapenowooseu vein irritation (1) small four page-no mouse (2) hip femoral vein (3) can also be stimulated. It lies in the femoral artery, because the intermediate area is easily accessible.
SCANNING MID LASER: difficult to find by hand in order to stimulate critical seukalpaseuteuri angle of the femoral medial portion of pre-treatment is that it is very useful.
Pimple
Image Star acne ACNE
(Dermatology)
By default, the technique of treating lesions on the face, and so that you can depend on that.
FIXED MID LASER: neoleoseo a fixed mid-range, etc. of the laser is too limited because it is difficult rosseoneun For this reason diaphragm meters, typically a fixed mid-laser is used only for the facial.
Facial injuries at a distance of at least 15cm extra bulb being heated is far enough away to ensure that the device emits put a blank space.
4 parts (cheeks, jaw parts, divided into the frontal region) before the treatment time (anmyeonbuman) table to the table is displayed.
SCANNING MID LASER: buna face in such areas similarly as described above, each divided into 3-4 영 reverse.
Given time, facial and distributed in its entirety to be chosen.
And be aware that (the latter: distribution) of the pre-treatment time of approximately 2.3 is required.
(Introduction)
The main purpose of this book and the biological effects of lasers available for clinical application is to provide a broad and detailed uigyeong.
From the standpoint of modern scientific knowledge, in fact, a private hospital. General Hospital. Belongs to the University Hospital Clinic, etc. No matter where I specialized in general can provide all of the numerous laser therapeutic potential seems to be essential to know.
Medical technologists in the field of life offered by the high level of technology is not used have not worked quickly.
These failures in our hospitals, in part, complex and expensive instruments such as lasers and the use of the economic problems that interfere with the due date and reliable information and also in part to a lack of calibration of the source is attributed.
Therefore, the applicability of the medical doctors of the laser does not have confidence in, there is no justification for the patient, the negative attitudes often takes bad.