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High Power Laser Medicine
          (HPLM)

A Revolutionary Advancement
    in Pain Management
Who is using Avicenna Laser?
•	
  	
  There	
  are	
  over	
  200	
  care	
  providers	
  across	
  the	
  USA	
  that	
  use	
  our	
  technology.


•	
  	
  Pain	
  Management	
  Specialists,	
  Orthopedists,	
  Neurologists,	
  IntervenAonal	
  Pain	
  	
  	
  	
  
	
  	
  	
  Management	
  Doctors,	
  Physical	
  Medicine	
  and	
  Rehab-­‐Physiatrists,	
  Internal	
  and	
  
	
  	
  	
  Family	
  PracAce	
  Physicians


• Podiatrists,	
  Naturopaths	
  and	
  DOM’s
•	
  	
  MLB,	
  NBA,	
  NFL	
  	
  and	
  College	
  Sports	
  Teams	
  
•	
  	
  Medical	
  Colleges
•	
  	
  There	
  are	
  over	
  200	
  care	
  providers	
  across	
  the	
  USA	
  that	
  use	
  our	
  technology

•	
  	
  The	
  United	
  States	
  Military	
  and	
  VA	
  Hospitals
•	
  	
  Veterinarians	
  –Equine	
  and	
  Small	
  Animal
Current Treatment for Neuropathy
•       Drug	
  Therapies—Lyrica,	
  NeuronAn,	
  and	
  Cymbalta	
  (All	
  have	
  side	
  
        effects)

    •     ModaliAes—Medical	
  devices	
  like	
  Anodyne	
  (LED)



    •    Newer	
  ModaliAes—High	
  Power	
  Laser	
  Medicine	
  (HPLM)
Current Treatment for
             Neuro-Musculoskeletal Pain
•   Drug	
  Therapies	
  /	
  Steroidal	
  and	
  Non-­‐steroidal	
  anA	
  inflammatory	
  
    medicaAon,	
  anAdepressants,	
  anAconvulsants

•   InjecAons	
  

•   Physical	
  Medicine	
  -­‐	
  ChiropracAc,	
  Massage	
  ,	
  Physical	
  	
  Therapy

•   Surgery
•   Non-­‐Surgical	
  Spinal	
  Decompression	
  (computerized	
  tracAon)


•   HPLT	
  –	
  The	
  Only	
  Treatment	
  That	
  Actually	
  bio-­‐SAmulates	
  the	
  
    Healing	
  of	
  Living	
  Tissue	
  !
LASER— An Acronym:

	
  Light	
  
       Amplifica,on	
  by	
  	
  	
  
              S,mulated	
  
                 Emission	
  of
                    Radia,on	
  
Introducing the AVI HPLL-12




The World’s Most Powerful Therapeutic Laser.
Lasers in Medicine
•	
  	
  TherapeuAc	
  Lasers	
  are	
  used	
  	
  for	
  the	
  sAmulaAon	
  of	
  cell	
  funcAon.	
  	
  
The	
  biological	
  effect	
  is	
  photochemical	
  not	
  thermal	
  (heat),	
  as	
  is	
  the	
  
case	
  with	
  surgical	
  lasers.	
  

•	
  	
  Even	
  though	
  the	
  majority	
  of	
  our	
  paAents	
  have	
  failed	
  everything	
  
that	
  tradiAonal	
  insurance-­‐based	
  medicine
offers,	
  our	
  success	
  rate	
  approches	
  80-­‐90%.

•In	
  (7)	
  years	
  of	
  operaAon,	
  there	
  has	
  never	
  
been	
  a	
  reported	
  side	
  effect.
Biological Effects of Therapeutic Lasers

•	
  	
  Laser	
  therapy	
  aims	
  to	
  bio-­‐sAmulate	
  injured	
  and	
  dysfuncAonal	
  
Assues.	
  It	
  works	
  at	
  the	
  cellular	
  level	
  to	
  accelerate	
  the	
  bodies	
  
natural	
  ability	
  to	
  heal.	
  

•	
  	
  The	
  laser	
  beam	
  will	
  sAmulate	
  healing	
  of	
  any	
  Assue	
  it	
  comes	
  in	
  
contact	
  with.

•	
  	
  With	
  over	
  3,000	
  studies	
  done,	
  the	
  following	
  are	
  the	
  beneficial	
  
effects	
  of	
  light	
  therapy	
  on	
  Assues	
  and	
  cells.
Summary of LT Biological Effects
•	
  Accelerated	
  Tissue	
  Repair	
  and	
  Cell	
  Growth
•	
  Faster	
  wound	
  Healing
•	
  Reduced	
  Fibrous(Scar)	
  Tissue	
  FormaAon
•	
  AnA-­‐Inflammatory	
  effect
•	
  Analgesic	
  effect	
  (pain	
  relief)
•	
  Improved	
  Vascular	
  AcAvity/	
  lymphaAc	
  drainage
•	
  Increased	
  Metabolic	
  AcAvity
•	
  Improved	
  Nerve	
  FuncAon
Clinical Research
Assessment	
  of	
  Laser	
  Therapy	
  for	
  Late	
  PostoperaAve	
  Pain	
  
 ader	
  Lumbar	
  Fusion	
  Surgery	
  and	
  For	
  Pain	
  And	
  Wound	
  
           Healing	
  Ader	
  Acute	
  TraumaAc	
  Injury	
  -­‐
                       Preliminary	
  Results

                        Ashok	
  Biyani,	
  MD
                         Mar0n	
  Skie,	
  MD
                       Despina	
  Ciocanel,	
  MD
Other Research Studies
• Cornell	
  University	
  –	
  Weill	
  College	
  of	
  Medicine	
  


• InvesAgaAng	
  the	
  Effect	
  of	
  the	
  AVI-­‐HP	
  7.5	
  
  TherapeuAc	
  Laser	
  on	
  Post	
  Thoracotomy	
  Pain	
  
  Syndrome
0on
                                                                                              ser
                                                                                              ula
                                                                         MODALITIES




                                                                                           0m
                                                                                       	
  La
                                                                                 le	
  S
                                                                              u0c
                                                                             usc




                                                                            ent
                                                                            py
                                                             e




                                                                            d
                                                                            y
                                                                      c	
  M




                                                                      urr

                                                                     oun
                                                                      era
                                                          rap


                                                                     cks




                                                                      rm
                                                                     ge




                                                                 roc
                                                                the
                                                                ctri



                                                               oth
                                                              t	
  Pa


                                                               ssa




                                                               ras
                                                         The
AFFECTS




                                                                S
                                                           Mic
                                                           TEN
                                                           Dia
                                                            Ele



                                                           Cr y

                                                           Ma




                                                           Ult
                                                           Ho
Accelerated	
  bone	
  regenera0on                       ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘
Accelerated	
  car0lage	
  repair                        ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘
Accelerated	
  car0lage	
  repair                        ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘
Increased	
  strength	
  of	
  tendon	
  repair          ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘
Penetra0on	
  into	
  large	
  joint	
  structures       ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘
	
  Penetra0on	
  through	
  large	
  muscle	
  groups   ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘

                     Laser	
  vs.	
  Standard	
  Modali0es
Clinical Translation
         “How HPLT Affects Your Back Pain”
•	
  Decreased	
  inflammaAon	
  of	
  the	
  spine	
  and	
  nerve	
  roots	
  and	
  all	
  
pain	
  receptors
•	
  Increased	
  microcirculaAon	
  of	
  structures	
  leading	
  to	
  reducAon	
  
of	
  swelling	
  around	
  joints	
  and	
  other	
  structures	
  

•	
  Accelerated	
  healing	
  of	
  bone,	
  carAlage,	
  tendon,	
  ligaments,	
  
muscle,	
  and	
  skin

•	
  Decreased	
  formaAon	
  of	
  scar	
  Assue
•	
  Decreased	
  or	
  even	
  eliminated	
  need	
  for	
  invasive	
  	
  	
  procedures
Affect of HPLT on Neuropathy “Pain”
•   SAmulates	
  blood	
  flow	
  and	
  new	
  capillary	
  formaAon	
  thus	
  
    brings	
  new	
  and	
  befer	
  circulaAon	
  into	
  the	
  affected	
  Assues.

•   Relieves	
  inflammaAon	
  	
  around	
  the	
  damaged	
  nerves.


•   Provides	
  an	
  analgesic	
  effect	
  to	
  area.

•   SAmulates	
  repair	
  of	
  damaged	
  nerves.

•   Heals	
  open	
  wounds	
  –	
  diabeAc	
  ulcers.
Why is HPLT so Effective?

• Ability	
  to	
  deliver	
  large	
  amounts	
  of	
  therapeuAc	
  laser.

• Ability	
  to	
  penetrate	
  deeper	
  than	
  any	
  other	
  modality.

• Ability	
  to	
  treat	
  a	
  large	
  surface	
  area.	
  This	
  is	
  very	
  important	
  with	
  
  neuropathy,	
  back,	
  and	
  leg	
  pain	
  as	
  these	
  condiAons	
  are	
  usually	
  
  widespread.

• The	
  Avicenna	
  laser	
  is	
  the	
  most	
  powerful	
  and	
  advanced	
  
  therapeuAc	
  laser	
  in	
  the	
  world!
• It	
  is	
  also	
  the	
  safest!
Goal of Pain Management Using
      High Power Laser Therapy

•	
  	
  Relieve	
  Pain	
  and	
  Reduce	
  InflammaAon
•	
  	
  Promote	
  Tissue	
  Healing
•	
  	
  Restore	
  AcAve	
  Range	
  of	
  paAents	
  moAon	
  and	
  balance	
  	
  	
  	
  
	
  	
  	
  	
  capabiliAes
•	
  	
  Do	
  so	
  without	
  Side	
  Effects
Some of the Many Applications of
         High Power Laser Therapy
•	
  	
  Back	
  Pain,	
  Spinal	
  Stenosis,	
  Scia,ca	
  
•	
  	
  Neuropathy	
  of	
  all	
  causes	
  (Carpal	
  Tunnel	
  Syndrome,	
  Trigeminal	
  Neuralgia,	
  
Tarsal	
  Tunnel	
  Syndrome	
  	
  	
  
	
  	
  	
  	
  
•	
  	
  Accelerated	
  Post-­‐Surgical	
  healing	
  ( joint	
  replacements)
•	
  	
  Arthri,s	
  (Degenera,ve	
  Joint	
  Disease)
•	
  	
  Foot	
  and	
  Heel	
  Pain
•	
  	
  Muscle,	
  Ligament	
  and	
  Tendon	
  Injuries
•	
  	
  Ulcera,ons	
  and	
  Open	
  Wounds
Creating a Positive Environment
           for Tissue Healing


•   In	
  order	
  to	
  get	
  long	
  term,	
  if	
  not	
  permanent	
  results	
  for	
  
    condiAons	
  of	
  the	
  back,	
  hip,	
  knee,	
  and	
  feet,	
  we	
  must	
  
    address	
  and	
  correct	
  the	
  biomechanical	
  issues	
  of	
  the	
  
    paAent.	
  This	
  will	
  be	
  part	
  of	
  your	
  physical	
  exam.	
  
Musculoskeletal Symptomatic
          Locations & Pathology

With	
  only	
  17%	
  of	
  the	
  
popula,on	
  presen,ng	
  
with	
  normal	
  gait,	
  these	
  
condi,ons	
  are	
  prevalent	
  
in	
  the	
  general	
  
popula,on.	
  




                                       Copyright	
  Footmaxx™
The Effects of a Common
            Gait Abnormality (Over-Pronation)
• Achilles	
  TendoniAs
• Plantar	
  FasciiAs
• Tarsal	
  Tunnel	
  Syndrome
• Bunions,	
  Neuroma
• Patella	
  Femoral	
  Syndrome
• ITB	
  Syndrome
• Low	
  Back	
  Pain	
  and	
  Hip	
  Pain	
  …to	
  name	
  a	
  few.	
  
• By	
  fixing	
  this	
  condiAon	
  as	
  well	
  as	
  other	
  gait	
  issues	
  	
  we	
  can	
  realign	
  
  your	
  joints	
  and	
  spine	
  and	
  create	
  the	
  “opAmal	
  environment”	
  for	
  
  the	
  laser	
  to	
  heal	
  your	
  injury	
  and	
  provide	
  long	
  term,	
  if	
  not	
  
  permanent	
  relief.
How We CanHelp You
•   Comprehensive	
  Physical	
  Exam

•   Biomechanical	
  Gait	
  Analysis

•   Fabricate	
  Custom	
  OrthoAc	
  Inserts	
  to	
  Correct	
  Your	
  
    Biomechanical	
  AbnormaliAes	
  to	
  Help	
  Relieve	
  Pressure	
  on	
  
    the	
  spine	
  and	
  joints	
  if	
  indicated

•   IniAate	
  High	
  Power	
  Laser	
  Medicine	
  treatment

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Avicenna Laser Patient Presentation

  • 1. High Power Laser Medicine (HPLM) A Revolutionary Advancement in Pain Management
  • 2. Who is using Avicenna Laser? •    There  are  over  200  care  providers  across  the  USA  that  use  our  technology. •    Pain  Management  Specialists,  Orthopedists,  Neurologists,  IntervenAonal  Pain              Management  Doctors,  Physical  Medicine  and  Rehab-­‐Physiatrists,  Internal  and        Family  PracAce  Physicians • Podiatrists,  Naturopaths  and  DOM’s •    MLB,  NBA,  NFL    and  College  Sports  Teams   •    Medical  Colleges •    There  are  over  200  care  providers  across  the  USA  that  use  our  technology •    The  United  States  Military  and  VA  Hospitals •    Veterinarians  –Equine  and  Small  Animal
  • 3. Current Treatment for Neuropathy • Drug  Therapies—Lyrica,  NeuronAn,  and  Cymbalta  (All  have  side   effects) • ModaliAes—Medical  devices  like  Anodyne  (LED) • Newer  ModaliAes—High  Power  Laser  Medicine  (HPLM)
  • 4. Current Treatment for Neuro-Musculoskeletal Pain • Drug  Therapies  /  Steroidal  and  Non-­‐steroidal  anA  inflammatory   medicaAon,  anAdepressants,  anAconvulsants • InjecAons   • Physical  Medicine  -­‐  ChiropracAc,  Massage  ,  Physical    Therapy • Surgery • Non-­‐Surgical  Spinal  Decompression  (computerized  tracAon) • HPLT  –  The  Only  Treatment  That  Actually  bio-­‐SAmulates  the   Healing  of  Living  Tissue  !
  • 5. LASER— An Acronym:  Light   Amplifica,on  by       S,mulated   Emission  of Radia,on  
  • 6. Introducing the AVI HPLL-12 The World’s Most Powerful Therapeutic Laser.
  • 7. Lasers in Medicine •    TherapeuAc  Lasers  are  used    for  the  sAmulaAon  of  cell  funcAon.     The  biological  effect  is  photochemical  not  thermal  (heat),  as  is  the   case  with  surgical  lasers.   •    Even  though  the  majority  of  our  paAents  have  failed  everything   that  tradiAonal  insurance-­‐based  medicine offers,  our  success  rate  approches  80-­‐90%. •In  (7)  years  of  operaAon,  there  has  never   been  a  reported  side  effect.
  • 8. Biological Effects of Therapeutic Lasers •    Laser  therapy  aims  to  bio-­‐sAmulate  injured  and  dysfuncAonal   Assues.  It  works  at  the  cellular  level  to  accelerate  the  bodies   natural  ability  to  heal.   •    The  laser  beam  will  sAmulate  healing  of  any  Assue  it  comes  in   contact  with. •    With  over  3,000  studies  done,  the  following  are  the  beneficial   effects  of  light  therapy  on  Assues  and  cells.
  • 9. Summary of LT Biological Effects •  Accelerated  Tissue  Repair  and  Cell  Growth •  Faster  wound  Healing •  Reduced  Fibrous(Scar)  Tissue  FormaAon •  AnA-­‐Inflammatory  effect •  Analgesic  effect  (pain  relief) •  Improved  Vascular  AcAvity/  lymphaAc  drainage •  Increased  Metabolic  AcAvity •  Improved  Nerve  FuncAon
  • 10. Clinical Research Assessment  of  Laser  Therapy  for  Late  PostoperaAve  Pain   ader  Lumbar  Fusion  Surgery  and  For  Pain  And  Wound   Healing  Ader  Acute  TraumaAc  Injury  -­‐ Preliminary  Results Ashok  Biyani,  MD Mar0n  Skie,  MD Despina  Ciocanel,  MD
  • 11. Other Research Studies • Cornell  University  –  Weill  College  of  Medicine   • InvesAgaAng  the  Effect  of  the  AVI-­‐HP  7.5   TherapeuAc  Laser  on  Post  Thoracotomy  Pain   Syndrome
  • 12. 0on ser ula MODALITIES 0m  La le  S u0c usc ent py e d y c  M urr oun era rap cks rm ge roc the ctri oth t  Pa ssa ras The AFFECTS S Mic TEN Dia Ele Cr y Ma Ult Ho Accelerated  bone  regenera0on ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘ Accelerated  car0lage  repair ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘ Accelerated  car0lage  repair ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘ Increased  strength  of  tendon  repair ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘ Penetra0on  into  large  joint  structures ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘  Penetra0on  through  large  muscle  groups ✔ ✘ ✘ ✘ ✘ ✘ ✘ ✘ ✘ Laser  vs.  Standard  Modali0es
  • 13. Clinical Translation “How HPLT Affects Your Back Pain” •  Decreased  inflammaAon  of  the  spine  and  nerve  roots  and  all   pain  receptors •  Increased  microcirculaAon  of  structures  leading  to  reducAon   of  swelling  around  joints  and  other  structures   •  Accelerated  healing  of  bone,  carAlage,  tendon,  ligaments,   muscle,  and  skin •  Decreased  formaAon  of  scar  Assue •  Decreased  or  even  eliminated  need  for  invasive      procedures
  • 14. Affect of HPLT on Neuropathy “Pain” • SAmulates  blood  flow  and  new  capillary  formaAon  thus   brings  new  and  befer  circulaAon  into  the  affected  Assues. • Relieves  inflammaAon    around  the  damaged  nerves. • Provides  an  analgesic  effect  to  area. • SAmulates  repair  of  damaged  nerves. • Heals  open  wounds  –  diabeAc  ulcers.
  • 15. Why is HPLT so Effective? • Ability  to  deliver  large  amounts  of  therapeuAc  laser. • Ability  to  penetrate  deeper  than  any  other  modality. • Ability  to  treat  a  large  surface  area.  This  is  very  important  with   neuropathy,  back,  and  leg  pain  as  these  condiAons  are  usually   widespread. • The  Avicenna  laser  is  the  most  powerful  and  advanced   therapeuAc  laser  in  the  world! • It  is  also  the  safest!
  • 16. Goal of Pain Management Using High Power Laser Therapy •    Relieve  Pain  and  Reduce  InflammaAon •    Promote  Tissue  Healing •    Restore  AcAve  Range  of  paAents  moAon  and  balance                capabiliAes •    Do  so  without  Side  Effects
  • 17. Some of the Many Applications of High Power Laser Therapy •    Back  Pain,  Spinal  Stenosis,  Scia,ca   •    Neuropathy  of  all  causes  (Carpal  Tunnel  Syndrome,  Trigeminal  Neuralgia,   Tarsal  Tunnel  Syndrome               •    Accelerated  Post-­‐Surgical  healing  ( joint  replacements) •    Arthri,s  (Degenera,ve  Joint  Disease) •    Foot  and  Heel  Pain •    Muscle,  Ligament  and  Tendon  Injuries •    Ulcera,ons  and  Open  Wounds
  • 18. Creating a Positive Environment for Tissue Healing • In  order  to  get  long  term,  if  not  permanent  results  for   condiAons  of  the  back,  hip,  knee,  and  feet,  we  must   address  and  correct  the  biomechanical  issues  of  the   paAent.  This  will  be  part  of  your  physical  exam.  
  • 19. Musculoskeletal Symptomatic Locations & Pathology With  only  17%  of  the   popula,on  presen,ng   with  normal  gait,  these   condi,ons  are  prevalent   in  the  general   popula,on.   Copyright  Footmaxx™
  • 20. The Effects of a Common Gait Abnormality (Over-Pronation) • Achilles  TendoniAs • Plantar  FasciiAs • Tarsal  Tunnel  Syndrome • Bunions,  Neuroma • Patella  Femoral  Syndrome • ITB  Syndrome • Low  Back  Pain  and  Hip  Pain  …to  name  a  few.   • By  fixing  this  condiAon  as  well  as  other  gait  issues    we  can  realign   your  joints  and  spine  and  create  the  “opAmal  environment”  for   the  laser  to  heal  your  injury  and  provide  long  term,  if  not   permanent  relief.
  • 21. How We CanHelp You • Comprehensive  Physical  Exam • Biomechanical  Gait  Analysis • Fabricate  Custom  OrthoAc  Inserts  to  Correct  Your   Biomechanical  AbnormaliAes  to  Help  Relieve  Pressure  on   the  spine  and  joints  if  indicated • IniAate  High  Power  Laser  Medicine  treatment