Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com TM TM Your Choice of Several Models CPTCodes Infrared Therapy That Works !! Temporomandibular Joint Pain Carpal Tunnel Discomfort Arthritis Foot Pain Sprains Knee Pain Back Pain Tennis Elbow Neck and
Shoulder Pain Sinusitis Headaches Medi-Light Non Invasive Therapy Relieves patients pain
and Inflammation using the latest technology with no side effects. Model 3800 HP
38 Diodes 3 or 5 frequencies NASA proved the Light Frequencies
used in the to be safe and effective. MEDI-Light Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com Infrared Meeting Special A 1 Model 3800 Head Phones $ 1095.50 1 Model 185 PAD a/c Power $ 1095.50 1 Model 1900 Home Unit $ 399.50 Receive Model 500 ($ 179.50) FREE PLUS AN EXTRA 5% DISCOUNT All 4 Units---$2,407.26 Add $100.00 For Each Switchable to Blue Units Infrared Meeting Special B 1 Model 185 PAD a/c Power $1095.50 1 Model 1900 Home Unit $ 399.50 Receive Model 500 ($ 179.50) FREE ALL 3 UNITS ---$1495.00 Infrared Meeting Special C 1 Model 3800 a/c Clinical Unit $995.50 1 Model 1900 Home Unit $399.50 Receive Model 500 ($ 179.50) FREE All 3 Units---$1,395.00 Model 3800 JP Model 185 PAD Model 3800 Model 1900 LandMark Medical,Inc 371WeatherstonePlace ~Woodstock,GA30188 800-334-5618~770-785-7359~FAX. 770-785-7495 www.landmarkmedical.com E-Mailinfo@landmarkmedical.com AMA CPT. CODES
97026 FOR OFFICE TREATMENT OF EACH
PAIN SITE-Normally 2 to 4 sites treated per visit 97026-BR--HOME RENTAL OF UNIT 97026-BP SALE OF UNIT TO PATIENT E-0200/E-0202-BlueCross/BlueShield--Medicare Model 500 Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com HEALING LIGHT I can see the healing light!" might be quite a common exclamation in
hospital wards of the future. It will be particularly familiar from the
ulcerated mouths of patients suffering from oral sores.or perhaps
even astronaut colonists building a habitat on Mars. You see, with a
little help from the Space Shuttle, doctors at the Medical College of
Wisconsin have been probing the curative power of light. Using
powerful light-emitting diodes, or LED's, originally designed for
commercial plant growth research in space, the scientists have found a
way to help patients down here on Earth. Dr. Harry Whelan, professor of pediatric neurology and director of hyperbaric medicine at the Medical
College of Wisconsin claims that the research has already turned up some remarkable results involving
LED's being used to promote healing of painful cancer therapy-related mouth ulcers. The treatment is quick
and painless In the trial, the wound-healing device is a small, 9 by 11-centimeter array of LED's, arranged in rows on the
top of a small box. A nurse simply places the package of LED's on the outside of the patient's cheek for
about one minute each day. The Infrared and red light penetrates to the inside of the oral cavity,
where it seems to promote wound healing and prevent further sores from developing WOUND HEALING Doctors are examining how the one-time "gro-lights" help wounds that are normally very difficult to heal.
These include problems such as diabetic skin ulcers, serious burns and severe oral sores caused by
chemotherapy and radiation. Their investigation takes in laboratory and human trials, approved by the
U.S. Food and Drug Administration and funded by a NASA Small Business Innovation Research contract "Some children who probably would have had to be fed intravenously because of the severe sores in their
mouths have been able to eat solid food, " reports Dr. David Margolis, an oncologist whose pediatric cancer
patients are participating in the study. "Preventing oral mucositis improves the patients' ability to eat
and drink and also may reduce the risk of infections in patients with compromised immune systems." INCREASING CELLULAR ENERGY "So far, what we've seen in patients and what we've seen in laboratory cell
cultures, all point to one conclusion," says Dr. Whelan "The near-infrared
light emitted by these LED's seems to be perfect for increasing energy
inside cells. This means whether you're on Earth in a hospital, working in a
submarine under the sea or on your way to Mars inside a spaceship, the LED's
boost energy to the cells and accelerate healing." In the laboratory, Whelan and his team have shown that skin and muscle cells matured in cultures
grow 150 to 200 percent faster when they're exposed to the LED's. Other scientists are trying to learn
how cells convert the light into energy, and identify which wavelengths are most effective at stimulating
growth in different kinds of cells. Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com Using light to cure illness is an age-old technique. Even our great, great
cave grandparents knew that getting out into the sunshine was good for
them. Our skins need certain types of light and without it we start to
sicken. What the Wisconsin team is doing is taking this natural benefit and
looking at ways to accelerate it. MUSCULO-SKELETAL HEALING To expand the wound healing study, Whelan, (who happens to be a commander
and diving medical officer in the U.S. Navy reserve) is working with doctors at
Navy Special Warfare Command centers. They reported a 40 percent
improvement in patients who had musculo-skeletal training injuries treated
with the light-emitting diodes. In the field, a wound-healing device was placed on the attack submarine USS
Salt Lake City Doctors on board described that crewmembers' lacerations doubled their healing rate when
exposed to the LED light. Some injuries treated with the LED's healed in just seven days, compared to
the unexposed injuries, which took two weeks. SPACE TECHNOLOGY HELPS HEAL WOUNDS Wire report--Daytona Beach News Milwaukee Doctors at the Medical College of Wisconsin have discovered the healing power of light with
the help of technology developed for NASA space shuttle Doctors are finding that using powerful light-emitting diodes, or LEDs. Designed for commercial plant
growth research in space, help hard-to-heal wounds, such as diabetic skin ulcers, serious burns and
severe oral sores caused by chemotherapy and radiation "The near-infrared light emitted by these LEDs seem to be perfect for increasing energy inside cells" said
Dr. Harry Whelan. The wound healing device is a small, 3.5-by-4.5 inch, portable flat array of LEDs on a small box
placed outside a patient's cheek about one minute each day. The painless red light penetrates to the
inside of the mouth, boosting the energy of the cells and accelerates healing. Navy Doctors, working in Norfolk, VA. And San Diego have reported a 40 percent improvement patients
with musculoskeletal training injuries Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com " " S S e e v v e e r r e e H H e e r r p p e e s s S S i i m m p p l l e e x x L L e e s s i i o o n n s s " " R R e e s s o o l l v v e e d d U U s s i i n n g g D D i i o o M M e e d d i i c c s s ' ' P P o o l l y y c c h h r r o o m m a a t t i i c c T T h h e e r r a a p p y y Please note---1 st photo taken during first treatment date--- 4/19/99---only 1 treatment was given
---NO other medications or procedures were applied. Lesion resolution date---- 2 nd photograph 4/22/99---lesions of this severity normally would require an extended treatment and healing period. The above severe skin lesions were treated with DioMedics'
patented Polychromatic Infared equipment. No other treatment
or medications were used to produce these results. These photos are another example of DioMedics Infared therapy
ability to promote tissue healing. Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com U.S.Pat.9,173,022 This bruise resulted from striking the edge of a table.
The bruise was slightly larger in diameter than the diameter of the
DioMedics polychromatic treatment unit. Only the center of the bruise was treated once a day for three days to determine if the treated area would respond more readily with photo therapy. After three treatment days the photograph below was taken. Note the area of tissue is back to a normal appearance while
the untreated outer circle forms a ring around the treated area. The patient noted that the pain and swelling were substantially
reduced/releived after the first treatment. DioMedics, Inc. Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com Overview of Research and Literature Light therapy has been shown in over 40 years of independent research worldwide to deliver powerful
therapeutic benefits to living tissues and organisms. Both visible red and infrared light have been shown to
effect at least 24 different positive changes at a cellular level. Light radiation must be absorbed to produce a
biological response. All biological systems have a unique absorption spectrum, which determines which
wavelengths of radiation will be absorbed to produce a given therapeutic effect. The visible red and
infrared portions of the spectrum have been shown to be highly absorbent and produce unique therapeutic
effects in living tissues. LELT ---Low Energy Laser Therapy or Phototherapy Light therapy has also been given the name " phototherapy". A study done by the Mayo Clinic in 1989
suggests that the results of light therapy are a direct effect of light itself, generated at specific wavelengths,
and are not necessarily a function of the characteristics of coherency and polarization associated with
lasers. In a study entitled Low-Energy Laser Therapy: Controversies and New Research Findings, Jeffrey
R. Basford, M.D. of the Mayo Clinics Department of Physical Medicine and Rehabilitation, suggests that
the coherent aspect of laser may not be the source of its therapeutic effect. He states "firstly, the stimulating
effects (from therapeutic light) are reported following irradiation with non-laser sources and secondly,
tissue scattering, as well as fiber optic delivery systems used in many experiments rapidly degrade
coherency . . Thus any effects produced by low-energy lasers may be due to the effects of light in general
and not to the unique properties of lasers. This view is not difficult to accept when it is remembered that
wave-length dependent photobiochemical reactions occur throughout nature and are involved in such things
as vision, photosynthesis, tanning and Vitamin D metabolism. In this view, laser therapy is really a form of
light therapy, and lasers are important in that they are convenient sources of intense light at wavelengths
that stimulate specific physiological functions (Lasers in Surgery and Medicine 9:1-5, Mayo Clinic, Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com Rochester, Minnesota, 1989). ACUTE PAIN THERAPY Acute trauma is invariably associated with a degree of soft tissue injury rising swelling, hematoma, pain, reduced
mobility and in the lower limbs impaired weight bearing. Sporting injuries and domestic accidents usually involve
damage to muscles, joint ligaments and tendons. Examples include a sprained ankle or wrist or a twisted knee.
More extensive soft tissue damage tends to result from industrial crush injuries or road traffic accidents. In the
absence of bone fracture or other injury demanding priority treatment laser therapy should be instituted at the
earliest opportunity. K-umar (3) reported a comparative study in 50 patients with inversion injuries of the ankle.
He found that compared to conventional physiotherapy the laser treated patients showed a more rapid resolution of
symptoms and an earlier return to full weight bearing. Patients were treated with a GaAlAs diode laser (830n-m:
6OmW) at 48 hour intervals on a maximum of 3 occasions. A similar therapeutic regime has been described for
whiplash injuries of the cervical spine (4). Ben Hatit and Lammens (5) used a defocused co laser to treat a variety
of acute musculoskeletal -problems. The energy density varied between 40 70J/cm2. Patients were treated twice a
week for up to 10 sessions. Pain was reduced by 70-90%. Beneficial effects of laser therapy in acute small joint inflammation in rheumatoid arthritis have been
described by Asada et al (6). Multiple joint irradiation using a GaAlAs diode (830nm: 6OmW) was applied
for 15 seconds to each point. Pain was reduced by up to 66% together with an improvement in the
measured range of movement (ROM). In a similar report involving 938 patients with osteoarticular pain Soriano (7) found pain attenuation of
88% when treating a variety of acute conditions such as tenosynovitis, lumbago and cervical pain. He used
a GaAs diode (940nm. pulsed 10,000 Hz: average power 40'mW) to treat patients twice weekly for a
maximum of 10 sessions. The energy density delivered was 6-IOJ/cm2 per irradiated point. Laser therapy has also proved helpful in reducing the severity and duration of postoperative pain. In a
comparative study involving 20 patients undergoing elective choleecystectomy Moore et al (9) reported a
50 % reduction in postoperative pain experienced by the laser treated patients together with a concomitant
reduction in analgesic requirements. CHRONIC PAIN SYNDROMES Chronic pain as the name implies, may last for months or years. Pain may arise as a result of damage
caused by trauma or surgery or be manifest as a symptom of a system-dc disease process. In later life pain
due to musculoskeletal "wear and tear" is very common. Finally neuralgic pain such as postherpetic or
trigeminal neuralgia can cause prolonged problems to sufferers. A high percentage of patients referred for
laser therapy will have already shown tittle or no response to conventional methods of treatment. In rheumatoid arthritis (RA) laser therapy can benefit not only the pain of acute small joint inflammation
but also the more established chronic pain of the disease. Gartner (9) in an excellent review article on
rheumatology considered some 18 papers published over a 10-year period. All involved double blind trials
of therapy with 5 having a crossover element. In considering the effect of laser therapy in chronic
rheumatoid and associated musculoskeletal conditions all but one of the reports noted a significant
improvement in pain. In his own work Gartner used a 904nm infrared laser to treat a variety of Tendinopathies with a better than 80% success rate in relieving pain. He compared this to a similar rate of
pain attenuation using anti inflammatory drugs (NSAIDS) but noted that whilst laser therapy was s free of Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com side effect' some 20% of patients treated with NSAIDs suffering unacceptable side effects of medication.
Asada and his colleagues' (10) in a further study of some 170 patients with rheumatoid arthritis used similar
laser parameters and treatment protocols to their earlier reported work. The group achieved pain attenuation
of up to 90% and improvement in ROM of up to 56 %. CHRONIC PAIN --CONTINUED In a report of some 1000 treatments using a GaAlAs diode laser (830nm 60mw) for a wide variety of
chronic pain syndromes Moore (11) noted an overall reduction in pain levels of some 70%.' Trelles et al
(12) used a similar diode laser to treat 40 patients with degenerative joint disease of the knee. They
delivered 18j/cm2 to each of 4 points round the knee twice a week for 8 weeks and reported a significant
pain reduction in 82% with improved joint mobility. Li (13) used a 25mW-combined C02/HeNe laser to
treat 90 patients with cervical spondylosis. Laser therapy was administered to a variety of acupuncture
points for 10 minutes daily-for 2 periods each of 10 days with an intervening rest period of 10 days.' 90%
of patients showed symptom improvement with an excellent result in 43%. Fender and Di fee (14) reported an interesting trial involving patients suffering with chronic generalized
musculoskeletal pain. They irradiated the stelf-ate ganglion using a HeNe laser with an initial exposure of 6
n-dnutes (36j/cm2) gradually increasing over 4-6 weeks to a maximum of 15 minutes (90j/cm2). They
postulated a mechanism of reduced sympathetic irritability causing a stabilization of the response loop and
a breaking of the pain cycle. In resistant cases they also treated segmental dermatomes and site specific
trigger points. Patients suffering from postherpetic neuralgia (PHN) have shown a good response to laser therapy. In a
double blind crossover trial Moore et al (15) reported a mean reduction in pain levels of 74%. Patients were
radiated with a GaAlAs diode (830nm: 6OmW) with the laser applied in contact mode to the centre of each
2cm2 grid over the affected are giving 24-30j/cm2 to each point. Treatment was given twice a week for 4
weeks. Using an identical treatment protocol but an extended regime of some 12 weeks Kemmotsu et al
(16) reported an end of treatment pain attenuation of 89%. Otsuka and colleagues (17) used an 8.5mW
HeNe scanner to treat the acute rash of herpes zoster. Once the skin rash had subsided treatment was
continued using a CaAlAs laser (830nm: 6OmW). Within I month pain had been reduced by 76% with a
final end treatment improvement of 97%. The early introduction of laser therapy produced a rapid
resolution of acute herpes zoster rash and a reduced incidence of PHN. LASERS Vs. SUPER LUMINESCENT LIGHT EMITTING DIODES" A QUESTION OF CHOICE! Keywords: LASER; SLD; coherent light; collimated light; energy densities; Photo-Biological Reactions Although the basic principle of laser devices was developed at the turn of the century, rapid development in
laser technology did not occur until the 1960's. In 1961, work began to assess the potential surgical
applications of lasers, with the first successful surgical use being in the field of ophthalmology. The CO2 Laser developed to overcome the early problems of high power machines became popular in the early
1970's, remaining the prime system in neurosurgery, dermatology and plastic surgery. Research into the
development of and use of low energy lasers was begun almost a decade later by Professor Endre Mester in
Budapest and simultaneously by Dr. Friedrich Plog in Canada. Since then, extensive research has been
carried out in Russia and Eastern Europe, leading to the acceptance and clinical use of low intensity laser
therapy. Later in the 1980's, reports began to be produced in Western Europe on the clinical use of low
power lasers. Many of these reports tend to base on semi-conductor lasers and superluminous diodes. Infrared Therapy Landmark Medical Inc. 1-800-334-5618 ~ 770-785-7359 ~ Fax. 770-785-7495 www.landmarkmedical.com E-mail info@landmarkmedical.com Debate has arisen among many therapists regarding the use of semi-conductor lasers and superluminous
diodes, referred to hereafter as SLD's, rather than true lasers. We need to answer a number of questions. Do
they have different properties? Do they have different biological effects? Are there different safety A QUESTION OF CHOICE--CONTINUED parameters? Can they be used to treat the same conditions? Looking first at some basic properties, both true
lasers and SLD's produce monochromatic light, however, the true laser beam is also collimated. This means
that it produces beams that are close to parallel. The small spot size produced by the beam is still
maintained if the head is held away from the treatment area. The beams from SLD's have a greater level of
divergence. In terms of beam size, the true laser has a smaller spot size of around 3mm