Forums › Nd:YAG lasers › General Nd:YAG Forum › Parathesia Reversal
- This topic is empty.
-
AuthorPosts
-
kmarshallSpectatorone of the contra-indications of biostim is steroids.
I don’t know how long you would have to wait for it to clear.
I’d call Millenium for the nearest laser user and then it’s up to the pt.Keith
SwpmnSpectatorThanks for the thoughts Keith.
Why is steroid therapy a contraindication for biostimulation?
Al
Robert Gregg DDSSpectatorEmperical evidence suggests they block the very mechanisms at the cellular level that allows biostim to work in the first place–even makes pain worse in muscular-tendon injuries.
Bob
SwpmnSpectatorQUOTEEmperical evidence suggests they block the very mechanisms at the cellular level that allows biostim to work in the first place–even makes pain worse in muscular-tendon injuries.Bob
Thanks Bob. Like Keith had mentioned, any idea on how long after steroid therapy the biostimulation could be initiated?
Al
JanetCenturySpectatorHey Bob – another paresthesia question.
I started treating a patient who lost feeling after implant placement 6 years ago. She started getting feeling back after the first biostim and was delighted. Today was her 4th time. She says that after the last one, she started getting a burning sensation in the lip. I am running with – that means it’s helping since there is more feeling, but obviously burning isn’t desirable. We did more treatment today. Is my thinking ok or flawed? Should we keep going?
Thanks
Janet
Robert Gregg DDSSpectatorKeep going, both proximal and distal aspects.
Bob
jkimSpectatorCould y'all give me a 2 year status report of your patients' parasthesia.
AnonymousGuestI can offer an almost 4 year followup on mine.
Still same as last time we treated. Area of parasthesia had decreased greatly with treatment. Not 100% but enought to be able to eat and drink w/o difficulty.
Tooth8kdocSpectatorHi Ron-
I am a four year user of the periolase. I just had my first parathesia case after a particularly bad lower molar endo. She has numbness on the left tip of the tongue, a triangular area of 2.5 X 2.5 X 3.0 cm. At what setting are you reccommending the biostim? For how long? Should we try to aim for the area of injection mainly, or more diffuse. Extraoral, intraoral or both. What kind of informed consent should we use? ANy forms around here that would work? Thanks for the help getting me logged on. Lastly, this patient was never treated with the laser prior to this incident. Thanks, Forrest
adminSpectatorForrest, the very first post of this thread has the parameters listed in between the pix. You can use the parameters and calculate the time needed e.g. 3.6W= 3.6J/sec so that = 216 J/minute and if you want to put in 4000J then 4000J/216=roughly 19 minutes.
I didn’t use any informed consent and don’t know of any. I doubt that it would do any good even if you do find one as this is what I’d consider ‘really off label’ use.
I don’t think I’ve heard as many successes with tongues as I have with lips when it comes to reversing parathesia.
Check at the bottom at the page when viewing this thread. You will see a “similar thread’ section that lists 4 other threads dealing with parathesia reversal. If memory serves me correctly there is something in one of those regarding treating the tongue.
-
AuthorPosts