Laser for Chiropractic Physicians: What doctors should know about laser therapy
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Laser for Chiropractic Physicians focuses on the most common reason that therapeutic laser is used today - that of treating inflammation and pain almost anywhere within the musculoskeletal system. Based on four decades of the author's clinical chiropractic experience and ongoing research, this book offers a clear and straightforward approach to using laser in the chiropractic office setting. One of the challenges to writing this book was the wide variation existing in laser technology itself, from minimal 5mW devices to those of 25W or more - which in terms of power is a ratio of 1 to 5,000. Nevertheless, all these widely varied devices still fall under the classification of "therapeutic" laser. At the same time, the diversity of this technology offers a valuable opportunity to provide a reference for various practitioners who may not necessarily have the same equipment or expertise.The text is supported by nearly 70 images, as well as various tables, all of which help to easily depict and utilize recommended ways of addressing various conditions and regions of the body. The 3-dimensionality of the photographic images provides a true-to-life effect that supports a more realistic and accurate grasp of the body's anatomy, compared to simply using the more traditional 2-dimensional drawings. First, we begin with a brief summary of the history and science of lasers, including the foundations of their design, mechanisms of action, and precautions to be aware of during their application. We briefly mention the optical window, spontaneous emission, light coherence and monochromaticity, wavelength and depth of penetration. An explanation is then given on the foundations of laser power output, dosage and treatment time. We also define the classification of various lasers, which is currently based on their output power - reflecting their potential risk to the eyes, and then finish with pulsed vs continuous-wave devices used in common practice. This provides the necessary understanding of how and why laser therapy is not only safe but easy to use, and can be essential for benefitting a wide range of conditions.Second, we proceed with general practical recommendations for using laser therapy in clinical settings. This includes a description of the types of popular lasers most commonly in use today, treating normal vs sensitive patients, and detailing the particular precautions needed when applying laser therapy. Included are suggestions on both specific dosage and treatment time using various types of lasers, including both class 3 (cold) and class 4 (high-power) devices.Third, we address the musculoskeletal system, according to individual regions of the body. This section may thus speak to other practitioners, such as orthopedists and physiotherapists, for example, including those unfamiliar with laser therapy.In summary, this book is offered as a comprehensive practical guide to develop proficiency in understanding and applying laser therapy in clinical practice, found predominately within (but not limited to) chiropractic clinical settings. This offers an opportunity to not only more effectively address a wide range of musculoskeletal conditions involving inflammation and pain, but furthermore to open new possibilities in promoting the growth and regeneration of healthy new tissue as well, leading to more rapid and complete recovery - all indispensable in both acute and chronic conditions.
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