This episode directly follows-up episode 31 on opioid addiction and light therapy. The study being reviewed today was done by the same group of researchers and was published in August of 2021. Medication management of opioid use disorders tends to have problems like relapse and dropout, but photobiomodulation used on only one hemisphere of the brain, with or without buprenorphine, was found to be superior to sham in reducing opioid cravings. Listen to find out how they conducted this study and the factors they took into account.Episode mentioned in this episodeEpisode 31 - STUDY: Laser Treatment for Opioid AddictionStudies mentioned in this episodeAn effective and safe novel treatment of opioid use disorder: unilateral transcranial photobiomodulationFurther Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

Laser Therapy Institute Podcast

PBM for Opioid Use Disorder

In this interview, Dr. Rountree and Dr. Hedeya discuss neuropsychiatry, and how hyperbaric oxygen, laser therapy and neural exercise can be used for psychiatry and brain recovery. Dr. Robert Hedaya is board certified by the American Board of Psychiatry and Neurology, a Distinguished Fellow of American Psychiatric Association, and is certified as proficient in psychopharmacology by The American Society of Clinical Psychopharmacology.  He has specialized training in psychiatry at the National Institute of Mental Health and is a Clinical Professor of Psychiatry at Georgetown University Medical Center.Dr. Hedaya is a faculty member at the Institute for Functional Medicine, and has taught at The Walsh Research Institute and Georgetown University School of Medicine as well as through his own training programs. He teaches about Mood disorders, PTSD, Precision Medicine, Genetics, Methylation, Functional Gastroenterology, Endocrinology and Endocrine Disrupting Chemicals, Infectious Medicine and Toxicology, as applied to Neuropsychiatric disorders.Dr. Hedaya has published three books and actively sees patients at The Whole Psychiatry and Brain Recovery Center in Maryland, where he and his team work with patients that struggle with anxiety, DM2, PTSD, fibromyalgia, fatigue disorders, cognitive decline, and traumatic brain injury using functional medicine and his proprietary HYLANE Program.Mentioned in this episodeThe Whole Psychiatry & Brain Recovery CenterFurther Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

INTERVIEW: Neuropsychiatry with Dr. Robert Hedeya

A 2021 study takes a look at rotator cuff tears of post-stroke patients with hemiplegic shoulder pain. Surprisingly, this shoulder pain issue can occur in 16-84% of post-stroke patients. For many rotator cuff patients, surgery or conservative care may yield good results. In this episode, Dr. Rountree reviews the study methods, evaluation process, and how laser therapy was used to improve pain and tendon tear size. Is your exercise care plan enough? Or can you  improve patient recovery with laser therapy? Studies mentioned in this episodeThe effectiveness of high intensity laser therapy in the treatment of post-stroke patients with hemiplegic shoulder pain, a prospective randomized controlled study. Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

STUDY: Rotator Cuff Tears in Stroke Patients

Can photo biomodulation therapy have results equal to RF or lidocaine nerve blocks? In this look at a 2016 study on lidocaine injections and radio frequency nerve blocks, versus laser nerve blocks, results showed that laser nerve blocks had better results for pain relief mid to long term. Hear about the procedure and parameters used for this study. Studies mentioned in this episodePhotobiomodulation of the dorsal root ganglion for treatment of low back pain: a pilot studyFurther Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

STUDY: Laser Nerve Blocks

Chances are you have treated a patient with neuropathy. What methods did you use? Were you confident in your examination and diagnosis process? Have you considered building a practice plan conducive specifically for neuropathy patients?In this excerpt, Dr. Rountree goes into detail on how laser therapy works, reviews studies that look at the effectiveness of photobiomodulation, and summarizes what the research says about using light to treat neuropathy pain.This webinar contains information that you can use in our patient education process. View the entire webinar here.Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

Neuropathy Webinar (Excerpt)

Dr. Rountree reviews a carpal tunnel study from 2016 on how skin reflection can impact laser treatments. Factors that affect delivery of light therapy to target tissues include skin tone, melanin absorption, light scatter, and skin reflection of various wavelengths of light. Does this affect your light therapy results? Can you ensure you’re getting the proper dose delivered?  Mentioned in this episode·       Low-power laser therapy for carpal tunnel syndrome: effective optical power.·       STUDY: Carpal Tunnel SurgeryFurther Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

STUDY: How Much Laser is Lost to Skin Reflection?

Surgery for Carpal Tunnel Syndrome is very common, and research does show it is effective for severe cases. But should we look deeper at mild and moderate cases for non-surgical intervention? Dr Rountree summarizes a study on TENS vs Laser Therapy for mild to moderate carpal tunnel cases as well as the side effects of carpal tunnel surgery. How you can ensure that your patient is informed and getting the best possible care for their case?   Studies mentioned in this episodeThe relationship of trigger finger and flexor tendon volar migration after carpal tunnel release.Pain and electrophysiological parameters are improved by combined 830-1064 high-intensity LASER in symptomatic carpal tunnel syndrome versus Transcutaneous Electrical Nerve Stimulation.Biomechanical alterations in the carpal arch and hand muscles after carpal tunnel release: a further approach towards understanding the function of the flexor retinaculum and the cause of postoperative grip weakness Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

STUDY: Carpal Tunnel Surgery

Dr. Rountree dives into a study on laser therapy for post-herpetic neuralgia (shingles pain) patients who had no relief from medications. This podcast goes over what wavelength was used, length of study, and the results along with the flaws in this study. When treating post-herpetic neuralgia patients, what factors should be considered for effective pain management? Studies mentioned in this episode·       Role of low-level laser therapy in post-herpetic neuralgia: a pilot study.Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

STUDY: Post Herpetic Neuralgia (Shingles Pain)

While focused on dental applications like TMJ pain, xerostomia, and oral mucositis, this systematic review makes some very good points for light practitioners of any discipline. The researchers provide a look at the need to view deep tissue targeted laser therapy in tissue volume, rather than surface area. Dr. Rountree goes over the additional recommendations for proper spot size, energy dosing, and laser handpieces to achieve optimal tissue healing, whether the target is superficial or deep. Studies mentioned in this episode Photobiomodulation Dose Parameters in Dentistry: A Systematic Review and Meta-Analysis Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

REVIEW: PMB for Dentistry

This is Part 2 of a two-part LTI provider discussion, where we look at the latest research and commentaries on laser therapy for low back pain. The discussion is expanded to include discussion on medical research and what it can or cannot tell us about medicine in general. Why does the medical field demand more and more extensive research for a clearly safe intervention like laser therapy while commonly performing irreversible surgeries with almost no evidence for efficacy? Are there medical practices and procedures that happen every day, without the proper research to back them?   Studies mentioned in this episodeAmerica performs far more CT and MRI scans than other countries. There’s ‘virtually no evidence’ that’s helpful, researchers say.A Randomized, Controlled Trial of Total Knee ReplacementThe Evidence Supporting Common Orthopedic Surgeries Is AWFULLumbar fusion versus nonoperative management for treatment of discogenic low back pain: a systematic review and meta-analysis of randomized controlled trialsThe Case for Being a Medical ConservativeThe Impact of the Covid-19 Pandemic and Policy Responses on Excess Mortality Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

DISCUSSION: “Evidence based practice” may not mean what we think it means

This is Part 1 of a two-part LTI provider discussion, where we look at the latest research and commentaries on laser therapy for low back pain. We will discuss what makes this study great, but also why the conclusion is misleading, and what we can learn from it. Studies mentioned in this episodePhotobiomodulation therapy does not decrease pain and disability in people with non-specific low back pain: a systematic review. Photobiomodulation therapy for chronic low back pain: time to move on.Photobiomodulation therapy is not better than placebo in patients with chronic non-specific low back pain: a randomized placebo-controlled trial.Low-Level Light/Laser Therapy Versus Photobiomodulation Therapy Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

DISCUSSION: Laser Therapy does NOT work for low back pain... or does it?

This episode brings you highlights of a review on chronic joint pain and how proper laser therapy dosing can make light therapy effective. Research from almost 20 years ago demonstrates the need for proper dosing in order for laser therapy to be an effective solution for chronic pain instead of cortisone, pain medications, and surgery. Want to know more about Laser Therapy basics including dosing? New FREE courses coming soon!Mentioned in this episodeA systematic review of low-level laser therapy with location-specific doses for pain from chronic joint disordersNew LTI Basics courses coming soon Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

REVIEW: Osteoarthritis Pain and Laser Dosing

This is the third part of the Business Considerations Podcast Series. We will be looking at another common question- how do I choose a laser unit for my clinic? There are multiple factors that need to be considered when looking into purchasing a laser unit, whether it is used or new. Those factors include ease of use, training support, clinical support, power, wavelength, as well as laser unit warranty and service packages. Ensure a good return on investment on your laser with our latest FREE tool!Resource mentioned in this episodeLTI ROI CalculatorLaser ComparisonFurther Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

Business Considerations Part 3

This episode takes a deeper look at what diabetic neuropathy symptoms are and how this condition affects the quality of life of older patients. Dr. Rountree will be going over the latest research behind the benefits of laser therapy versus standard drug treatment of diabetic peripheral neuropathy symptoms, and how laser therapy can improve function, relieve pain, and increase quality of life for others vulnerable patients. Studies mentioned in this episodeEffect of deep tissue laser therapy treatment on peripheral neuropathic pain in older adults with type 2 diabetes: a pilot randomized clinical trial. Further Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

STUDY: Diabetic Neuropathy-Drugs or Laser?

This is the second part of the Business Considerations Podcast Series. We will be answering one of the most asked questions, "How much should I charge for laser therapy?" To determine the appropriate price point, we will be looking at the variables used in the LTI Return on Investment Calculator to balance the two main factors when considering pricing: profitability and value. These variables include cash outflows and the cash inflows, the expenses, and the income to determine the net present value today, as well as an internal rate of return and profit index.Resource mentioned in this episode:LTI's ROI CalculatorFurther Resources:Success with Laser Therapy Flowchart & Checklist InfographicCheck out these FREE Provider ResourcesLearn more about what we offer on the LTI websiteFind out how you can Customize your LTI experienceRelated Podcast for PatientsHealing at the Speed of Light

Business Considerations Part 2: Profit and Value

The world's first podcast about medical laser therapy for healthcare providers, discussing the latest research, interviews with experts and how laser therapy can enhance your practice.