Editorial

Simon Hayhoe

doi:10.1136/aim.11.1.1

Editorial

Hayhoe, Simon

1993-05-01 00:00:00

Acupuncture in Medicine power part Why low lasers have become of the OF THE BRITISH MEDICAL JOURNAL acupuncturist's armamentarium is not clear. lt f.ay ACUPUNCTURE SOCIETY give point originally have been an atlempt to stin-iulation without the trauma of needling. But it MAY 1993 VOL Xl No,1 has resulted in an expectation for laser treatment to have similar analgesic effects to acupuncture. lt has taken a long time to shake this assLrmption. pulsed The wide variety of waveJengths, frequencies and modes of application have made trials difficult to assess. However, Baldry's literature (bage review 2) cleafly shows that laser tfeatment probable has no difect analgesic action. lt seems pajn that any relieving effects are secondary to the tissue healing which is now fairly well documented, pain published although, as in the field of relief, few papers are based on adequate clinical trials and the lack of consensus on wavelengths and application Idilorial Board (Crairman) again makes interpretation of results difficult. Dr Simon Hayhoe Dr Pel€r Baldry, Dr Fihhie, Dr Alan Grant, Dr Adam ward Nonetheless, we must cease to look on laser lacky therapy as a non-invasive method of acupuncture Prod!ction and regard it as a totally sepafate form of treatment Aallne Elstree, he.ts Conrm!nication Craphics, quite with a different field of therapeutic efficacy. Printed by There wilJ be some aTeas of overlap, such as post Caprin Printers, St. Albars, H€rts, (page herpeiic neuralgia as points Clennie-Smith out y, paper. on environnrenta ly ifiend chlorine iree 11), but essentially, low powel laser treatment must icer Admin;stf ative Off regarded as a rnethod of promoting heaiing, be Newlon Lane, Lower Whii ey, BN1AS, Newton HoLrse, pafticularly effective at tissue repair beinS speeding Watrington, \ryA4 4JA Cheshire. the inflammatory phase, thus reducing during the Tel:0925 73A727 Fax:0925 730492 in phase the period time spenl this and consequently for patient. of discornfoft lhe Information for Conlributors (pag€ jo!rnal Dyson 17) The is published in May and Novenrber. Material Young and suggest that a coherent pafticu intended for inc !slon in a ar issue rhould be may not necessary for promotion light source be the s!bmitted at least two nronths lr advafce. F! I innructions for repair that light of tissue and a brilliant diode of a!thofs appear on page 53 ofthis lournal. wavelength is Biologically suitable sufficient. this laser is makes sense, since light not available Advertising rates availabie while (except, Advertisements ot any size are welcomed naturally, sunlight is omnipresent from the BMAS Administrative Officer perhaps, winterl). durinB the British The healinB has effect of sunlight been acknowledged since Circulalion prehistory, so some body mechanism for utilising The circulation of the is to a I membe6 ofthe B.ltish Journal likely. This Medical Acupunct!re Society in the UK and abroad, light energy seems is not apparently membe6 of the British Veterinary Acupuncture Society, endorphinergic, so a local rather than a centra postgraduaie m€dical c€ntre ibraries, university niedical response is to be expected. Indeed, macrophage and school libraries and any othef interested bodies. mast cell responses to light, enhancing the release oi Approximately 2000 copies oi rhe distributed. Journalare wound mediators and encouraging fibroblast subscription Rat€s proliferation, have been noted. Non members nray take the by subscripnon : lo!rna So we are left with the hypothesis that application I Yeaf (2 issuet .........115 promote of strong light will healing and, as a (6 Yeau issuet ........t,l2 provide pain consequent effect, relief in inflamed (10 5 Y-"a6 i*uet .-....t65 and damaged tissues. The importance of this has sins e copies of back numbe6 rnay be purchased, subj,"ct to "sofi" been recognised in Europe, where iaser avai ability, price I7.50 practised. treatment for tissue healing is widely ln payment Subscription applications wiih in ster ing sho!ld be Britain, light treatment of wounds could make a post major impact on surgery recovery and The EMAS Admininrative Officer, particuJarly hospitalisation, if ihe cheaper and safer Newton House, Ne$/ton L.ane, Lower Whilley, proves non-coherent Ji8h1 effective. ,UA \\/.trington, WA4 Cheshire Simon Hayhoe Mav 1993 Vol ll Na.l Acupuncturc in Medicine

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$Acupuncture in Medicine power part Why low lasers have become of the OF THE BRITISH MEDICAL JOURNAL acupuncturist's armamentarium is not clear. lt f.ay ACUPUNCTURE SOCIETY give point originally have been an atlempt to stin-iulation without the trauma of needling. But it MAY 1993 VOL Xl No,1 has resulted in an expectation for laser treatment to have similar analgesic effects to acupuncture. lt has taken a long time to shake this assLrmption. pulsed The wide variety of waveJengths, frequencies and modes of application have made trials difficult to assess. However, Baldry's literature (bage review 2) cleafly shows that laser tfeatment probable has no difect analgesic action. lt seems pajn that any relieving effects are secondary to the tissue healing which is now fairly well documented, pain published although, as in the field of relief, few papers are based on adequate clinical trials and the lack of consensus on wavelengths and application Idilorial Board (Crairman) again makes interpretation of results difficult. Dr Simon Hayhoe Dr Pel€r Baldry, Dr Fihhie, Dr Alan Grant, Dr Adam ward Nonetheless, we must cease to look on laser lacky therapy as a non-invasive method of acupuncture Prod!ction and regard it as a totally sepafate form of treatment Aallne Elstree, he.ts Conrm!nication Craphics, quite with a different field of therapeutic efficacy. Printed by There wilJ be some aTeas of overlap, such as post Caprin Printers, St. Albars, H€rts, (page herpeiic neuralgia as points Clennie-Smith out y, paper. on environnrenta ly ifiend chlorine iree 11), but essentially, low powel laser treatment must icer Admin;stf ative Off regarded as a rnethod of promoting heaiing, be Newlon Lane, Lower Whii ey, BN1AS, Newton HoLrse, pafticularly effective at tissue repair beinS speeding Watrington, \ryA4 4JA Cheshire. the inflammatory phase, thus reducing during the Tel:0925 73A727 Fax:0925 730492 in phase the period time spenl this and consequently for patient. of discornfoft lhe Information for Conlributors (pag€ jo!rnal Dyson 17) The is published in May and Novenrber. Material Young and suggest that a coherent pafticu intended for inc !slon in a ar issue rhould be may not necessary for promotion light source be the s!bmitted at least two nronths lr advafce. F! I innructions for repair that light of tissue and a brilliant diode of a!thofs appear on page 53 ofthis lournal. wavelength is Biologically suitable sufficient. this laser is makes sense, since light not available Advertising rates availabie while (except, Advertisements ot any size are welcomed naturally, sunlight is omnipresent from the BMAS Administrative Officer perhaps, winterl). durinB the British The healinB has effect of sunlight been acknowledged since Circulalion prehistory, so some body mechanism for utilising The circulation of the is to a I membe6 ofthe B.ltish Journal likely. This Medical Acupunct!re Society in the UK and abroad, light energy seems is not apparently membe6 of the British Veterinary Acupuncture Society, endorphinergic, so a local rather than a centra postgraduaie m€dical c€ntre ibraries, university niedical response is to be expected. Indeed, macrophage and school libraries and any othef interested bodies. mast cell responses to light, enhancing the release oi Approximately 2000 copies oi rhe distributed. Journalare wound mediators and encouraging fibroblast subscription Rat€s proliferation, have been noted. Non members nray take the by subscripnon : lo!rna So we are left with the hypothesis that application I Yeaf (2 issuet .........115 promote of strong light will healing and, as a (6 Yeau issuet ........t,l2 provide pain consequent effect, relief in inflamed (10 5 Y-"a6 i*uet .-....t65 and damaged tissues. The importance of this has sins e copies of back numbe6 rnay be purchased, subj,"ct to "sofi" been recognised in Europe, where iaser avai ability, price I7.50 practised. treatment for tissue healing is widely ln payment Subscription applications wiih in ster ing sho!ld be Britain, light treatment of wounds could make a post major impact on surgery recovery and The EMAS Admininrative Officer, particuJarly hospitalisation, if ihe cheaper and safer Newton House, Ne$/ton L.ane, Lower Whilley, proves non-coherent Ji8h1 effective. ,UA \\/.trington, WA4 Cheshire Simon Hayhoe Mav 1993 Vol ll Na.l Acupuncturc in Medicine$

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Editorial

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