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Q-Laser Low Level Laser Therapy Tools

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Safety

Not all "therapeutic" lasers are "low level" lasers. There are several products in the market that output significantly higher power levels than the Q-Laser products. In general, clinical studies have not shown that higher power levels are any more effective. In addition, higher power devices typically require special care and safety precautions.

In the U.S. lasers are regulated by the FDA's Center for Devices and Radiological Health. Lasers are classified accord to their power density; that is, the extent of their ability to damage living tissue.


 



The Classifications of Q-Laser Products

Q1000 Multi-Wavelength Multi-Frequency Resonating Laser

Registered with the FDA as a Class I device. Class I lasers as non-significant risk (NSR) devices. No safety precautions are required.

Q10 Multi-Wavelength Multi-Frequency Resonating Laser

Registered with the FDA as a Class I device. The FDA classifies Class I lasers as non-significant risk (NSR) devices. No safety precautions are required.

660 Enhancer Laser Probe

Registered with the FDA as a Class IIIA device. Class III lasers can cause eye damage if viewed directly or in a highly reflective mirror. Other viewing such as looking at the laser beam shining on the skin is not dangerous. Care must be taken to ensure that the Probe is not shined in the therapist's or the client's eyes.

If you are concerned about your ability to prevent accidental viewing, you can purchase safety goggles specially designed for lasers.

808 Enhancer Laser Probe

Registered with the FDA as a Class IIIB device. Class III lasers can cause eye damage if viewed directly or in a highly reflective mirror. Other viewing such as looking at the laser beam shining on the skin is not dangerous. Care must be taken to ensure that the Probe is not shone in the therapist's or the client's eyes. Special care must be taken with the 808 Enhancer as its light output is in the near-infrared region which is not visible to the eye.

If you are concerned about your ability to prevent accidental viewing, you can purchase safety goggles specially designed for lasers.

For more information...

 

Do I need safety goggles?

The key issue regarding eye safety and lasers is the potential for damage to the retina as a result of a laser beam being focused by the lens of the eye onto a spot on the retina. The focused beam can then damage the ability of the affected retinal spot to detect light. Photons propagating through tissue near the eye cannot cause this ocular damage. As a result, it is sufficient to simply close the eye when working near this area to prevent accidental exposure.

Protective goggles are “tuned” for a specific wavelength of light (defined by a laser’s chemical makeup). Therefore, it is not possible to get effective goggles for Q-Laser Resonators with multiple devices operating at different wavelengths. The exception to this is eyecups similar to those used in tanning beds, but made of stainless steel that will block all light to the eye. One source for these is Rockwell Laser Industries.

Lasers have safety classifications based on the potential of eye damage. For example a Class 2 laser is what you typically find in scanners in grocery stores. Class 2 lasers are considered safe because the natural blink response of the eye is sufficient to protect the viewer from eye damage. Class 1 lasers like the Q10 and Q1000 Resonators are of sufficiently low power density that no eye protection is required. The eye itself does not detect a threatening condition and does not blink. That said, I still do not recommend looking into or at direct reflections of these laser devices.

Be aware that it is not just a laser’s power output that is the deciding factor. An inexpensive laser pointer uses laser diodes with the same low power output of the devices in the Resonators, but the beam is focused and collimated so that its power density is much higher. These are often classified as Class 4 lasers which can cause retinal damage.

 

Contraindications

Low level lasers are very safe for a wide variety of conditions. However, due to insufficient research studies, there are some cautionary practices that are recommended. As always, every individual is unique and must apply available information to his or her own situation. Unless you have been specifically advised to do otherwise, here are the situations where low level laser use is not recommended:

Thyroid Gland

Iodine, which is a light-sensitive substance, is produced in the thyroid. Due to this sensitivity we do not recommend use of Q-Lasers directly over the thyroid.

Eyes

Laser light can damage the retina in the eye. With the Q-Laser system, it is especially important not to look into the 808nm Enhancer infrared beam. Even though the light emitted is not visible, it can still harm the eye.

Pregnancy

Similar to recommendations for bodywork and other modalities, avoid shining a laser over a fetus in utero. While there is no evidence that the laser treatment elsewhere on the body would affect the pregnancy, due to liability reasons the current recommendation is that lasers should not be used at all on women during pregnancy.

Cancer

Don't use the laser over known cancer sites. While no evidence has been found implicating lasers in causing cancer, or spreading cancer in living tissues, laser light has been found to cause cancer cells to multiply in the laboratory setting. Some studies have shown that lasers reduce or eliminate small tumors in living tissue. Scientists believe that this effect is the result of an increased immune response with laser light. The laser increases immune cell activity and the immune system attacks the cancer cells.

That said, low level laser applications for cancer treatment is the subject of several on-going research progress, some of which are showing potential promise for the future. We have also found that several clients have had success using Q-Lasers to treat the side-effects of cancer treatments including chemotherapy and radiation.

Light Sensitivity and Light Sensitive Medications

Some medications including some antibiotics, Retin-A, some thyroid medications, St. John's Wort and any medication with a warning to avoid direct sunlight is a relative contraindication since some of these medications cause sensitivity to ultraviolet light which is not present with any of the Q-lasers. To be safe, however, a skin patch test is recommended:

  1. Apply one three-minute cycle on the Q1000 (7.5 joules of photonic energy) to a single spot on the arm or leg and wait five minutes. If you do not experience a reaction, proceed to the next step.
  2. Apply an additional three-minute cycles on the Q1000 (15 joules energy) to the same spot on the arm or leg and wait an additional five minutes. If you do not see a reaction, it is usually safe to continue with treatment.
  3. In extreme cases of photosensitivity or reactions to medication, wait 24 hours after the patch test before proceeding.

The Q10 Resonating Laser emits 1.26 joules per three-minute cycle and is unlikely to cause a reaction in all but the most sensitive individuals. The 660 Enhancer Laser Probe emits 6.6 joules of energy in three minutes, so the above test is sufficient.

The 808 Enhancer, however, emits significantly more energy than any other Q-Laser devices — 54 joules of near-infrared light per three-minute interval. Even though these are infrared emissions, not ultraviolet emissions (hence, not typically an issue for light sensitivity), if you are at all concerned, you should perform a short one-minute sensitivity test before proceeding.

 

 

 

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The Many "Indications"

In their pioneering book The Laser Therapy Handbook, Jan Tuner and Lars Hode cite more than 400 clinical and laboratory studies on the effects and applications of therapeutic lasers. Tuner, a Swedish dentist and Hode, a biophysicist, discuss in detail how lasers are used and they provide supporting published research for each application.

A few of the many musculoskeletal indications cited include:

  • pain
  • fibromyalgia
  • ligament and muscle strain
  • bone, muscle and nerve regeneration
  • arthritis
  • epicondylitis
  • plantar fasciitis

Medical indications include blood pressure, menstrual problems, tinnitus, and vertigo.

 

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