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LASER THERAPY |
The most advanced MR4 Super Pulsed Laser arrived Canada |
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World’s most advanced pain relieving modality Multi Radiance Technology™ is the first of its kind to combine the entire range of the therapeutic light spectrum and deliver therapeutic energy in a synergistic manner. The syncing of the therapeutic wavelengths creates an optimal environment that reinforces the effects of the individual wavelengths to create the world’s most advanced pain relieving modality.
This Health Canada cleared device provides an effective non-surgical, drug-free treatment option. Multi Radiance Medical features a unique combination of radiances that work synergistically for optimal pain relief and healing. These include: super pulsed laser, pulsed broadband infrared SLDs, pulsed red light, static magnetic field and electrical stimulation.
The MR4 includes the patented LaserSweep technology which creates a constantly changing frequency to scan the selected target tissue from superficial to deep. This prevents biological adaptation to treatment for maximum impact.
The MR4 excels where most laser devices fall short. It delivers higher peak power yet is safe without the risk of thermal damage found with class IV lasers.
There are 4 treatment modes: preset programs for typical applications, LaserShower which allows a larger area to be treated, as well as manual and patient-specific programs.
The patient-specific programs allow you to store up to 50 protocols for reoccurring patients.
• 25,000—50,000mW of super pulsed laser power more than most Class IV lasers but higher degree of safety.
• Available with LaserStim™ exclusive interactive neurostimulation/laser device helps identify probable areas of treatment
• 4 treatment modes preset, LaserSweep™, manual and patient program
• 3 ports simultaneous use of 3 laser emitters
Technological Advantage: LaserSweep™
The continual use of the same frequency, as found in continuous wave lasers, can lead ultimately to the beginning of adaptation processes and thereby can diminish the therapeutic effect. The Multi Radiance MR4™ is capable of creating unique and exclusive, patented "sweep" laser programs.
With each laser impulse of a Sweep Program, the "frequency" is changed, varying between end points of pre-selected frequencies. This effectively change the laser's target depth of penetration, in essence, "scanning" the target tissue from superficial to deep, while preventing biological adaptation to the treatment.
MR4™ Super Pulsed Laser comes with 6 LaserSweep™ Programs.
Super Pulsed Infrared Laser (905 nm) is the essential component of Multi Radiance Technology™. Multi Radiance Medical’s super pulsed laser is the fastest in the world, delivering a pulse at billionths of a second. Combined with 25,000 mW or 50,000 mW of peak power, the result is a higher concentration of light energy, or photons, driven deeper into the target tissue, without the risk of burning the tissue.
Super pulsing allows for deeper penetration than a laser of the same wavelength that is not super pulsed but has the same average output power. This is because ultimately short pulses allow for quick absorption at the cellular level. And the period between pulses promotes a better environment for enhanced cell communication, leading to an optimum pain relief and accelerated healing
When comparing technology, some laser devices may offer pulsed mode. Do not confuse them with super pulsed lasers. Unlike super pulsed lasers, pulsed lasers are created by “chopping the beam”-mechanically turning the laser on and off, much like duty cycle. Their depth is limited in comparison to super pulsed technology due to the decreased power created by the duty cycle of the device.
Advantages of Super Pulsed Laser:
1. More Power = More Photonic Energy
Advanced Semi-Conductor laser diode delivers higher power pulses of Photonic Energy in thousands of milliwatts without burning tissue
2. Increases in peak power improve depth penetration of energy into tissue
3. Breakthrough in Thermal Barrier
Super Pulsed Laser produces a high peak impulse of intense light for a fraction of a second. Thus, there are no damaging thermal effects in the tissue because the pulses are of very short duration.
4. Maximum Photonic Density
The power density during these very high pulses yields an extremely high photon flux and saturation, further delivering a stronger therapeutic effect into the tissue.
5. Safety
The Super Pulsed Laser Technology provides more energy and penetrates deeper than comparable non-super pulsed lasers but does not generate excessive damaging heat.
Download: Price & Product Description
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17-9201 Acupuncture Probes (optional)
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17-9211 MR4 Laser with SE25 Emitter
Comprehensive package with everything you need, right out of the box, to start treating patients. This system includes the SE25 standard emitter. The ability to attach probes to the SE25 makes this emitter extremely versatile.
The SE25 synergistically combines red light, infrared red light, static magnetic field and the fastest super pulsed laser in the world to provide complete spectral irradiance. The most versatile and powerful of the single laser diode emitters, the super pulsed laser produces 25W of peak laser power.
Standard Emitter for TerraQuant and MR4 devices
• Combines light types for maximum impact
• Coverage area 4 cm2 (1.5”)
• 1 GaA super pulsed laser (905nm)
• 4 infrared emitting diodes (875nm)
• 4 red light emitting diodes (660nm)
• Static magnetic field
• 25,000 mW of Super Pulsed Laser Power
The MR4 Laser package includes:
1. MR4™ Controle Unit
2. SE25 Emitter (25,000mW)
3. 2-pair of laser goggles
4. Soft Sided Case
5. Operating Manual & User's Guide
6. Protocol Manual
7. 2 year limited warranty
Additional 3 Year Limited Warranty-Optional
SE25 Emitter
• The SE25 is our standard emitter.
• It covers a 4 cm2 treatment area quickly and efficiently.
• The SE25 is threaded for the attachment of probes to assist in various treatments thus making it the most versatile emitter in the MR4™ product line.
Health Canada Device# 565217, 565219
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17-9212 MR4 Laser Shower LS50
The LS50 package is ideal for treating the spine or large muscle groups. The LS50 emitter incorporates four (4) super pulsed GaAs diodes, the 20cm2 area can cover 5 times more area than the standard emitter.
LS50 Emitter for MR4 devices
• Combines light types for maximum impact
• Coverage area 20 cm2 (1.5”)
• 4 GaA super pulsed laser (905nm)
• 4 infrared emitting diodes (875nm)
• 4 red light emitting diodes (660nm)
• Static magnetic field
• 50,000 mW of Super Pulsed Laser Power
The Laser Shower package includes:
1. MR4™ Controle Unit
2. LS50 Emitter
3. 2-pair of laser goggles
4. Soft Sided Case
5. Operating Manual & User's Guide
6. Protocol Manual
7. 2 year limited warranty
Additional 3 Year Limited Warranty-Optional
The LS50 emitter is an emitter that completes any MR4™ system. Incorporating four (4) super pulsed GaAs diodes, the 20cm2 area can cover 5 times more area than the standard SE25 emitter. This emitter is ideal for stimulating greater systemic effects and treating the spine or large muscle groups.
Health Canada Device# 565217, 565220
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17-9213 MR4 Laser Stim with Target Technology
The new LaserStim™ emitter is the first of its kind, a hybrid probe that provides both light therapy and electrical stimulation. The Health Canada approved LaserStim™ combination probe can provide simultaneous or independent light and electrical stimulation applications for superior clinical applications and outcomes. Based on the SE25 emitter, the single super pulsed diode produces 25W of peak power as well as incorporating Red LEDs, Infrared emitting diodes and the static magnetic field.
A must-have for any practice, the LaserStim™ combination is HEALTH CANADA approved.
Laser Stim Emitter
• Combines light types for maximum impact
• Coverage area 4 cm2 (1.5”)
• 1 GaA super pulsed laser (905nm)
• 4 infrared emitting diodes (875nm)
• 4 red light emitting diodes (660nm)
• Static magnetic field
• 25,000 mW of Super Pulsed Laser Power
Requires physician's RX prescription.
The MR4 LaserStim package includes:
1. MR4™ Controle Unit
2. LaserStim Emitter (25,000mW)
3. 2-pair of laser goggles
4. Soft Sided Case
5. Operating Manual & User's Guide
6. Protocol Manual
7. 2 year limited warranty
Additional 3 Year Limited Warranty-Optional
The new Laser-Stim™ accessory is the first of its kind, a hybrid probe that provides both light therapy and electrical stimulation. The HEALTH CANADA approved Laser-Stim™ combination probe can provide simultaneous or independent light and electrical stimulation applications for superior clinical applications and outcomes. Based on the SE25 emitter, the single super pulsed diode produces 25 W of peak power as well as incorporating Red LEDs, Infrared emitting diodes and the static magnetic field.
LaserStim™ is designed for pain and rehabilitation specialists to treat a wide range of injuries and conditions, as well as the management of chronic and acute pain.
In addition to being the most advanced laser emitter cleared by the Health Canada, the LaserStim™ will assist clinicians in identifying the optimal treatment locations. This is done through our TARGET technology (Treatment Area Recognition and Guidance Enhanced Technology).
Simply move the electrodes in a scanning motion to reveal areas of optimal treatment. Information is provided on the changes in the physiology of the tissue for fast, accurate and effective care. This feedback is provided in a number of ways: readings on the screen, audible beeps and changes to fluidity as you scan.
LaserStim™ is the world’s most advanced pain relieving modality. Multi Radiance Medical is the first to combine the entire range of therapeutic light spectrum and deliver therapeutic energy in a synergistic manner. The synchronization of the therapeutic wavelengths creates an optimal environment that reinforces the effects of the individual wavelengths to create the world’s most advanced pain relieving modality.
Advantages of MR4 and LaserStim™ with TARGET™
• Wider list of applications than traditional modalities
• Synergistic Effect of MRM therapy provides benefits of light therapy and neurostimulation, identifying optimal treatment sites, and provides highly targeted treatment where photons need to be delivered and electro-stimulation needs to be applied.
• Faster Pain Relief and reduction in recovery time
• Constantly changing impulses, preventing accommodation of tissue to neurostimulation
• Deepest tissue penetration of photonic energy due to 25W Super Pulsed Laser
• Preset frequencies allow clinician to control depth of therapeutic energy from the surface up to 13 cm (5 inches)
• Insurance Reimbursement. Simultaneous usage of light and neurostimulation therapies allows for insurance reimbursement for the time applied for electro stimulation
• Patient can feel the treatment
• Can also target acupuncture points
Quick ROI — Insurance Reimbursement
MR4™ with LaserStim™ device allows for a third party reimbursement making accomplishing Return On Investment much faster than any other therapeutic laser.
World's First FDA cleared device that combines Laser/Light therapy mode and Electrical Neurostimulation.
Multi Radiance Medical offers the LaserStim™ emitter for use with the MR4 and TerraQuant laser therapy devices. The LaserStim is specifically designed for pain and rehabilitation specialists to treat a wide range of injuries and conditions, management of chronic and acute pain.
LaserStim™ is a dynamic and interactive therapy. LaserStim™ provides feedback on changes in the physiology of the tissue to provide highly targeted treatments. The LaserStim™ provides feedback with a color change of LED indicator on the device control panel of the emitter and audible beeps showing optimal treatment areas.
This identification of treatment areas is accomplished through the exclusive TARGET technology: Treatment Area Recognition and Guidance Enhanced Technology.
With the LaserStim, you have a super pulsed laser with 25,000mW of power with is more than most class IV lasers, yet has the safety of a class II laser.
All of these emitters can be applied with hands-free treatments with the use of armature and a cart.
Multi Radiance Medical laser therapy provides:
• Accelerated pain relief and healing
• Increases joint flexibility
• Drug-free pain relief
• No known side effects
• Is safe and non-invasive
Advantages of MR4 and LaserStim™ with TARGET™
• Multi Radiance Medical’s MR4 with LaserStim is the clinican’s dream. It is easy-to-use, helps identify areas for targeted treatments, allows for insurance reimbursement, and is safe. This technology offers a wider list of applications than traditional modalities
• Synergistic effect of Multi Radiance Medical laser therapy provides benefits of light therapy and neurostimulation, identifying optimal treatment sites, and provides highly targeted treatment where photons need to be delivered and electro-stimulation needs to be applied.
• Faster pain relief and reduction in recovery time
• Constantly changing impulses, preventing accommodation of tissue to neurostimulation
• Deepest tissue penetration of photonic energy due to 25W Super Pulsed Laser
• Preset frequencies allow clinician to control depth of therapeutic energy from the surface up to 13 cm (5 inches)
• Insurance Reimbursement: Simultaneous usage of light and neurostimulation therapies allows for insurance reimbursement for the time applied for electro stimulation
• Can also target acupuncture points
Health Canada Device# 565217, 565218
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17-9214 MR4 ULTRA Package Laser
ULTRA package includes the new Laser-Stim™ emitter and the LS50 emitter. The LS50 emitter completes any MR4™ system. Incorporating four (4) super pulsed GaAs diodes, the 20cm2 area can cover 5 times more area than the standard SE25 emitter. This emitter is ideal for stimulating greater systemic effects and treating the spine or large muscle groups.
A must-have for any practice, the LaserStim™ combination is FDA approved and reimbursable by insurance providers.
Requires physician's RX prescription.
Laser-Stim™ Emitter
The new Laser-Stim™ accessory is the first of its kind, a hybrid probe that provides both light therapy and electrical stimulation. The FDA approved Laser-Stim™ combination probe can provide simultaneous or independent light and electrical stimulation applications for superior clinical applications and outcomes. Based on the SE25 emitter, the single super pulsed diode produces 25 W of peak power as well as incorporating Red LEDs, Infrared emitting diodes and the static magnetic field.
LS50 (Laser Shower)
• The Laser Shower houses 4 GaAs super pulsed lasers.
• Laser Shower has twice the coverage (20cm2) and 4 times the peak power (50,000mW).
• Laser Shower has a total of 12 diodes: 4 super pulsed lasers, 4 infrared SLD's and 4 red light LED's.
• The Laser Shower is a must have for the clinician who desires the most technologically advanced equipment
LS50 (Laser Shower) Specifications:
Laser Peak Power: 50W (50,000mw)
Coverage Area: 20cm2
Super Pulsed Laser: 4 GaAs Super Pulsed Laser
Infrared Light: 4 Infrared Emitting Diodes
Red Light: 4 Red Light Emitting Diodes
The MR4 ULTRA LaserStim package includes:
1. MR4™ Controle Unit
2. LaserStim Emitter (25,000mW)
3. LS50 LaserShower (50,000mW)
4. 2-pair of laser goggles
5. Soft Sided Case
6. Operating Manual & User's Guide
7. Protocol Manual
8. 2 year limited warranty
Additional 3 Year Limited Warranty-Optional
Health Canada Device# 565217, 565218, 565220 |
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17-9210 TQ Solo Portable Laser
TQ Solo is HEALTH CANADA cleared pain-relieving battery operating device. This compact portable device gives you the power to relieve both chronic and acute pain.
The TQ Solo is the only handheld portable device with exclusive Multi Radiance Technology™.
Multi Radiance Technology™ utilizes 4 proven radiances to give your body the ultimate environment for relieving pain: a super pulsed laser, infrared light, red light, and a static magnetic field.
Administering effective light therapy is simple with three preset frequencies and an easy to use pain-relieving guide. Talk to your doctor today to learn more about TQ Solo.
You now have portable pain relief. TQ Solo is compact and lightweight. The rechargeable lithium battery lasts up to 18 hours so pain relief is always there, when you need it!
TQ Solo is easy as 1 2 3
1. Locate your treatment area indicated in the pain-relieving guide.
2. Turn on TQ Solo and select the frequency recommended by the pain-relieving guide.
3. Press the start button and press TQ Solo over the treatment area, as illustrated by the pain-relieving guide.
TQ Solo Specifications:
Laser Peak Power: 15W (15,000mw)
Infrared LED's: 60mW
Red LED's: 7.5mW
Wavelength
1 x Laser: 905 nm
4 x Infrared: 875 nm
4 x Red: 660 nm
Health Canada Device# 565221 |
 17-9206 Basic Cart
 17-9207 DX Cart |
17-9206 Basic Cart With Single Armature
Single Armature
Standard Arm is designed to provide the doctor with a hands-free environment while working with MR4 Laser Emitter.
• Lightweight and easy to use
• Compatible with SE25 and LS50 Emitters
• Increased efficiency due to hands-free environment
Instead of doctors holding the emitter on the treatment area, the hands-free armature will do it for them.
Having everything you need in one place for TerraQuant laser therapy simplifies your practice.
Our basic cart is lightweight and portable. It is just the right size for the TerraQuant and effortlessly moves from room to room on a sturdy base with wheels.
17-9207 DX Cart With Dual Arms
Dual Armature Package
Arm Duo is a set of of 2 hands-free armatures. The set of 2 armatures is designed to provide the doctor with a hands-free environment while working with MR4 Laser Emitter.
• Lightweight and easy to use
• Compatible with SE25 and LS50 Emitters
• Package includes 2 armatures for hands-free operation
• Package includes 2 complimentary C-clamps to connect armatures to the cart
DX cart with dual arms is perfect for housing and operating your TerraQuant device. DX Cart has ample storage space with a drawer and cabinet. DX Cart also has wheels, making it easy to move around the clinic or office. Dual arms are designed to provide the doctor with with a hands-free environment while working with any TerraQuant emitter.
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18-1006 Medx Console + hand held 200 mW laser probe + 2 hands-free strap-on SLD clusters
MedX Laser Console Unit
The compact MedX Console powers the MedX low level laser and superluminous diode accessories. It’s easy to use - built-in guidelines prompt you through decisions related to selection of parameters, then automatically calculates and displays treatment times. Alternatively, if the treatment parameters are known, the manual mode allows for quick and easy setup.
The console displays the time and energy delivered for each port separately and automatically turns itself off once treatment is completed. Multiple sites can be treated at the same time.
- Option of 1 to 4 accessory ports: 1 hand-held low level laser and up to 3 hands-free strap-on super luminous diodes (SLD) clusters. Provide the flexibility to use any combination of accessories with either continuous or pulsed waveform.
-The MedX hand-held laser provides 200mW of total power using 3 x 785 nm infrared GaAlAs low level laser diodes, plus a visible blue guide LED.
The SLD cluster provides a total of 500 mW of energy with a combination of predominantly infrared (870nm) and visible red (633nm) diodes.
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18-1103 Medx Portable Laser (including a carrying case, treatment manual and a clinician’s laser goggles)
The MedX portable laser is ideal for off site treatments and sporting events. It is also convenient for in office treatment with multiple treatment rooms. This convenient low level laser allows you the freedom to administer MedX Phototherapy easily anywhere.
• Automatic, timed cycles with audible feedback of energy delivered
• The unit is lightweight with a built in rechargeable nickel metal hydride battery.
• The MedX Portable hand-held laser provides 200mW of total power using 3 x 785 nm infrared GaAlAs low level laser diodes, plus a visible green guide LED.
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18-1101 Medx Home System Kit (including a carrying case and one 18” strap)
The MedXHOME System offers a home care choice to patients while maintaining careful outcome evaluation by the programming clinician, allowing the monitoring of patient treatments usage and outcomes. Patients can be treated in the comfort of their home or office.
Features:
• A compact, light-weight unit with one hands-free superluminous diode (SLD)
• User friendly LCD screen with easy to read instructions and 4 operating buttons
• SLD cluster provides a total of 500mW of energy.
• Protocols are programmed by the treatment provider using the MedX Treatment Guidelines which outlines accurate protocols and settings for over 65 common ailments.
• Up to 5 different treatments can be programmed into the System at one time.
• The number of days for home use is set by the clinician to ensure the patient return to the clinic for re-evaluation.
Another feature of the MedXHOME System is the ability to gather information and responses from patients. This information allows the clinician to track the success and use of the MedXHOME System by the patient and allows the gathering of data such as increased range of motion, lessening of pain or the level of overall wellness of the patient between each or multiple treatments for a total of 8 different measures.
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18-0540 The Laser Sys*Stim™ 540 Laser Applicator
• Wavelength: 1 x 810nm laser & 3 x 470 nm LED in 100mW
18-0541 The Laser Sys*Stim 540 SLD/LED Cluster Applicator
• Wavelength: 12 x 950nm SLD + 7 x 660nm LED in peak at 500mW
18-0542 The Laser Sys*Stim 540 Both Applicators
The Mettler Electronics Laser Sys*Stim™ comes with a 785 nm laser probe with visible blue LEDs that illuminate the treatment field. An optional SLD/LED cluster probe with 950 nm SLDs and 660 nm LEDs is also available. The Laser Sys*Stim allows the clinician to set treatment time, continuous/pulse modulation modes and laser output energy. All treatment parameters are displayed on the LED displays and controlled via the membrane keypad. There are holders integrated into the unit to store applicators when not in use. Laser output can also be adjusted via controls on the both laser and cluster applicators.
Weight: 5.5 pounds, (2.5 kg)
Dimensions: 4.7 in (H) x 9.4 in (D) x 9.4 in (W), (12 cm (H) x 24 cm (D) (24 cm (W))
Download: Brochure |
Cart & Adapter
18-1210,11,12 1-Diode
18-1213,14 9-Diode
18-1215,16 13-Diode
18-1217 33-Diode
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18-1201 Vectra® Genisys Laser
• Independent control over all parameters
• Display of dosage in joules or joules/cm²
• Fully variable pulse frequency range of 8Hz – 10000Hz and continuous
• Continuous and pulsed treatment modes
• Useful selection of clinical indications
• Choice of 8 interchangeable Laser Diode and Cluster Applicators with power ranging from 100mW-1440mW
18-1202 Vectra Genisys Laser with Cart and Adapter
18-1210 Vectra Genisys Laser Applicator
• Single Diode 100mW Total
• Wavelength: 850nm Single Laser Diode
18-1211 Vectra Genisys Laser Applicator
• Single Diode 200mW Total
• Wavelength: 850nm Single Laser Diode
18-1212 Vectra Genisys Laser Applicator
• Single Diode 300mW Total
• Wavelength: 820nm Single Laser Diode
18-1213 Vectra Genisys Laser Applicator
• Nine (9) Diode Cluster 540mW Total
• Wavelength: 4 x 670nm/10mW, 5 x 850nm/100mW
18-1214 Vectra Genisys Laser Applicator
• Nine (9) Diode Cluster 1040mW Total
• Wavelength: 4 x 670nm/10mW, 5 x 850nm/200mW
18-1215 Vectra Genisys Laser Applicator
• 13 Diode Cluster 415mW Total
• Wavelength: 7 x 670nm/10mW, 3 x 950nm/15mW,3 x 950nm/100mW
18-1216 Vectra Genisys Laser Applicator
• 13 Diode Cluster 715mW Total
• Wavelength: 7 x 670nm/10mW, 3 x 950nm/15mW,3 x 950nm/200mW
18-1217 Vectra Genisys Laser Applicator
• 33 Diode Cluster 1440mW Total
• Wavelength: 12 x 670nm/10mW, 8 x 880nm/25mW, 8 x 950nm/15mW,
5 x 850nm/200mW, 5 x 950nm/100mW
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18-5001 TheraLASE Musculoskeletal Therapeutic System TLC-1003H
Features:
Health Canada & FDA Approved
Super Pulsed for optimal depth of penetration-10 cm
Super Pulsed peak power: 50,000 mW
Average power 100 mW per diode
Dual wavelength system
Average treatment protocol time under 10 minutes
Significant pain and inflammation reduction after 1 treatment
Ergonomic & battery operated
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18-5002 TheraLASE Acupuncture Biomedical Laser System TLC-1005H
Features:
Health Canada & FDA Approved (Under IRB Only)
1-905 nm Near Infrared 100mW laser diode
Super Pulsed power: 50,000 mW
Average power 100mW
Smoking & Weight Loss treatment protocols in memory
Gold tipped probe and acupoint locator (not shown)
30 second treatment time per point
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MAIN CONDITION IN TREATING:
Laser is extremely effective in tendonitis, tendonosis, bursitis, lumbar and cervical radiculopathy, carpal tunnel, TMJ, repetitive strain injuries, headache, strains and sprains, hematoma, scar tissue, painful arthritic joints, lymphedema, wounds, burns, fractures, arthropathies, and neuromuscular dysfunction.
LASER STUDY/ RESEARCH:
Lasers VS. SUPER Luminescent LIGHT
DEFINITIONS:
What is Laser?
Low Level Laser Therapy (LLLT) has been widely used in Europe for over thirty five years in addition to being the subject of numerous studies with over 3,500 scientific papers published worldwide. There have been no reported side effects to LLLT treatments, which are painless and non-toxic.
People worldwide are realizing the benefits of LLLT more than ever before and at the same time, American consumers are increasingly interested in alternative treatments. Many of LLLT is non-invasive and without any known side effects.
For a long time now, L.A.S.E.R. (Light Amplification by Stimulated Emission of Radiation) has been an acronym and today a word of common use. The word LASER is the name of a device that projects intense radiation of the light spectrum. It produces a beam of light in which high energies can be concentrated. Laser light has unique physical properties, which no ordinary light has. The unique properties of coherence and monochromaticity are the key to why laser light is so effective compared to other kinds of light in pain reduction and healing. Laser therapy, also known as phototherapy and low level laser therapy, involves the application of low power coherent light to injuries and lesions to stimulate healing and reduce pain. It is used to increase the speed, quality, and strength of tissue repair, resolve inflammation, and give pain relief.
Laser therapy has been found to offer superior healing and pain-relieving effects compared to other electrotherapeutic modalities such as ultrasound, especially in chronic problems and in the early stages of acute injuries. Laser therapy is a complete system of treating muscle, tendon, ligament, connective tissue, bone, nerve, and dermal tissues in a non-invasive, drug-free modality.
Super Pulsed Lasers:
Therapeutic lasers are relatively low power output light therapy devices that produce less than 500 milliwatts of power. Most of the devices utilize semiconductor diodes to produce the lasing effect.
A diode called a Gallium-Arsenide (GaAs) is the only diode on the market that can produce a Super Pulse effect. This laser diode is unique in that it is always operated in Super pulse mode. Super pulsing means that the laser produces very short pulses of high peak power. These peak power spikes are usually in the 25,000 milliwatt range, but last for only 100 - 200 nanoseconds while maintaining a mean power output that is usually below 100 milliwatts.
This phenomenon is similar to what happens in a camera flash. Super pulsing allows for deep penetration into body tissues without causing the unwelcome tissue effects of continuous high power output such as heat production. Super pulsing allows for deeper penetration than a laser of the same wavelength that is not super pulsed but has the same average output power. Penetration is 3 - 5 cm or more. Super Pulsing also allows for treatment times to be reduced dramatically. These lasers are extremely well suited for medium and deep tissues such as tendons, ligaments, and joints.
Photobiomodulation:
The sum of processes and mechanisms by which nonionizing radiation affects biological organisms. Phototherapy: The use of nonionizing radiation to induce therapeutic outcomes through photobiomodulation.
LLLT (Low Level Laser Therapy):
A form of phototherapy that involves the application of athermal, monochromatic, coherent, and polarized, nonionizing radiation to induce therapeutic outcomes.
LASER (Light Amplification by Stimulated Emission of Radiation):
A device that uses the principle of amplification of electromagnetic waves by stimulated emission of radiation and operates in the infrared, visible, or ultraviolet region.
LD (Laser Diode):
A semiconducting device that emits monochromatic non-ionizing radiation by a process of stimulated emission. A laser beam has a number of unique properties, such as coherence, polarization, and directionality. Beams emitted by laser diodes are not, as is often stated, "straight" and/or "parallel." Unless manipulated with additional optical devices such as lenses, a laser diode’s beam is broadly divergent along one plane and narrowly divergent along the perpendicular plane, producing an elliptical cross-section.
IRED (Infra Red Emitting Diode):
A semiconducting device that emits non-coherent, narrowband, nonionizing radiation at wavelengths from 700 nm to 1 mm by a process of spontaneous emission. Often incorrectly called infrared LEDs or SLDs, IREDs are mostly used in multiple-emitter clusters, and are sometimes combined with LEDs to produce a multiwavelength (polychromatic) device.
LED (Light Emitting Diode):
A semiconducting device that emits noncoherent, narrowband, nonionizing radiation at wavelengths from 400 nm to 700 nm by a process of spontaneous emission. LEDs are, along with IREDs, used in multiple-emitter clusters.
SLD/SLED (Super-Luminous/Superluminescent Light Emitting Diode):
Super-luminous—or superluminescent—light emitting diodes are intermediate between LEDs and laser diodes. Compared to LEDs, SLDs offer higher power output in a narrow spectral range. Radiation emitted by SLDs has a much shorter coherence length than that produced by lasers, thus they can produce speckle-free beams—a feature that is of use in sensor technologies and some imaging applications, such as optical coherence tomography. SLDs are not used in light therapy devices due to their high cost, low power (compared to laser diodes), and large package sizes, which, combined, make them a low-value, no-benefit proposition compared to standard laser diodes or LEDs/IREDs.
Power:
The rate at which energy is emitted, transferred, or received. The standard international unit of power is the watt. Radiant power, or radiant flux, is power emitted, transferred, or received in the form of radiation.
Power Density (Irradiance):
A measure of the amount of radiation being delivered to a particular area on a surface, stated in watts per square centimeter (W/cm2).
Energy (Radiant Energy):
The capacity for doing work. Calculated by multiplying power (watts) by time (seconds), and stated in joules (J).
Energy Density (Radiant Exposure, or Fluence):
A measure of the amount of energy being delivered to a particular area on a surface, stated in joules per square centimeter (J/cm2).
Wavelength:
The distance, in meters, between two successive points on a periodic wave that are in the same phase. Due to the very short wavelengths of light and infrared radiation, it is often expressed in nanometers.
Nanometer:
One billionth of a meter (1 x 10-9 m).
Infrared Radiation:
Nonionizing electromagnetic radiation within the wavelength band from 700 nanometers to 1 millimeter.
Visible Radiation:
Nonionizing electromagnetic radiation within the wavelength band from 400 to 700 nanometers, which is able to be "seen" by the human eye.
Aperture:
Any opening through which laser radiation can pass, thereby allowing human access to such radiation.
Pulsed Emission:
Energy emitted in a single pulse, or train of pulses, in which the duration of each pulse is less than 25 milliseconds. Some laser diodes, typically—but not limited to—904 nm devices, will emit only trains of pulses that are characterized by very short pulse durations but relatively high peak power. The average power of a pulsed emission is calculated by multiplying the peak power, pulse duration, and frequency of pulsation.
Continuous Wave (CW) Emission:
Energy emitted in a continuous manner for a period exceeding 25 milliseconds. In continuous wave emission, the average power is equal to the peak power.
Modulated Emission:
Both pulsed and continuous wave emissions can be modulated by superimposing a frequency over the intrinsic emission mode of the device. The power of a modulated emission is equal to the average power multiplied by the duty cycle of the modulation.
Duty Cycle:
The ratio of "ON" time to "OFF" time for a modulated emission.
Class 3B Laser:
May have an output power of up to 0.5 watts (500 mW) and capable of causing an injury to the eye from direct viewing or reflection of the beam. Class 3B lasers are widely used as therapeutic devices and are generally safe for exposure to the skin; however, some discomfort may be felt by individuals with darker skin or if areas of dark pigmentation (such as birthmarks and tattoos) are irradiated.
Class 4 Laser:
The output power exceeds 500 mW and is capable of causing injury to the eye and skin. Class 4 lasers generate heat, and so it is possible they affect a differing set of biological mechanisms than Class 3B devices when used as a therapeutic tool.
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