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Opioids are a commonly prescribed to patients in Australia with chronic knee, hip or lower back pain. A recent study looking into the effects of opioid medication for elderly people with muscle and joint pain. The finding of the study raises serious concerns about the effects and risks of using opioids, specifically for people aged 60 and older.

The study revealed that opioids have little effect on muscle and joint pains experienced by older patients: there is little pain relief and limited increase in function. At the same time, serious risks are involved for this group of people because there is a higher chance of adverse events, which are serious enough to lead patients to discontinue their opioid medication.

Read more about this meta-analysis of 23 clinical trials here:http://www.jpain.org/article/S1526-5900(17)30800-3/fulltext

Opioids work on the brain, not the source of the pain. Opioid pain medications interfere with the transmission of pain messages from the part of the body that hurts to the brain. They do not heal or repair the source of the pain. In addition long-term opioid users will experience adverse side effects. The common side effects are 1) Constipation or gastrointestinal issues. This is one of the most prevalent side effects, which is called “opioid-induced bowel dysfunction”. Symptoms include abdominal cramping, spasm and bloating. 2) Increased risk of fractures. Because opioid affects the central nervous system resulting in symptoms as dizziness and reduced alertness causing falls especially in the elderly. 3) Hormone imbalance. Opioids have an impact on the endocrine system in both men and women. 4) Breathing problems. Abnormal, irregular breathing or apnea is concerned especially on high dose during asleep. 5) Depression. As opioid works on central nervous system, it causes imbalance in neurotransmitters and function of neurons. These are a few of side effects. Lon-term opioid use also causes physical, mental and emotional dependence.

To treat pain in muscles (https://www.ncbi.nlm.nih.gov/pubmed/29090398) and joints (https://www.ncbi.nlm.nih.gov/pubmed/27330707) effectively and without side effects, low level laser therapy offers a safe and clinically proven alternative to regular types of pain treatments.

 Please call 02 93899699 or 0481354188 for your appointment.

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You may have noticed that from 1 February 2018, medicines containing a low dosage of codeine are no longer available without prescription in Australia (https://www.nps.org.au/medical-info/clinical-topics/over-the-counter-codeine-changes-to-supply ). Research has shown that low-dose containing products offered little relief when it came to additional pain relief. Plus, there are many known side effects such as constipation, feeling sick and feeling sleepy. Codine is an opiate, inappropriate use can also lead to addition addiction and physical dependence.

Panadeine, NurofenPlus, Codral and Demazin are just a few common medicines for cold, flu and cough, though some people misused them for pain relief, which used to be available over the counter. Now, patients seeking pain relief need to obtain a prescription from their doctors or specialists.

But don’t panic: there are other ways to help reduce pain and aches in the body. Cold laser or Low level laser therapy (LLLT), one of light therapies, is the number one method to relief pain and fight inflammation: LLLT is proved scientifically and clinically effective in treatinga range of inflammation-related conditions, such as neck or back pain, joint pain, migraine and headaches, tendinitis, bursitis, soft tissue injury, fibromyalgia and degenerative diseases. LLLT decreases inflammation, relieves pain and promotes the healing process. It is a non-invasive, painless procedure without any adverse side effects. In addition, it is suitable for patients of all ages.

In our clinic we provide LLLT, laser acupuncture and non-invasive laser blood irradiation. We help people by treating illnesses and living their lives free of pain. Please call 9389 9699 to make your booking or call 0481 354 188 to discuss your condition with an experienced consultant.

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Like many medical researchers who has spent a significant portion of life in research, I am always pleased to see innovation and breakthrough in my field of work. This news piece from Channel 7 has shown advanced laboratory methods of measuring and tracking pain. While very promising, this further stresses the worrying trend that there is increasing number of Australians suffering from debilitating pain. See the link 

https://au.news.yahoo.com/video/watch/29974736/world-first-relief-from-chronic-pain/

The new blood test looks very promising indeed. Once the technique is matured within the next 5 years, it should start to give us a better of diagnosing pain and measure the effectiveness of existing treatments. Unfortunately if you are suffering from pain right now, 5 years is a long time to wait


If your day to day life is impacted by pain and you are in search of an effective treatment option, come and see the expert team at Sydney Laser Health Solutions. We use clinically proven Low Level Laser Therapy (LLLT) to treat a range of pain conditions. 

 

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Sydney had experienced some of the coldest days of recent years this winter. It just happens as I have noticed an increased number of patients coming to my clinic lately for back pain. Does cold weather cause more pain? What’s the relationship between temperature drops and flare ups of old injuries? With more winter to come still what can we do to keep pain away?

Like many with arthritis can “predict” changing of weathers accurately due to change in atmospheric pressure, it is believed that changing atmospheric condition can also cause pain. Atmospheric pressure, or barometric pressure, is the “weight” that surrounds our bodies, constantly “pushing” against it, keeping its shape and alignment. As seasons change, atmospheric conditions alter. Subtle changes happen inside our bodies too, for example, tissues could expand, pushing against nerve terminals, these then send distress signals to our brains known as pain. This is further compounded for people with chronic pain, as nerves can be particularly sensitised due to injury, tissue damage – inflammation. In addition, it is no secret that one tends to coil up and shiver in the cold, when muscles around aforementioned sensitive nerve endings contract and tense up, pushing against them, causing sites of old injury to flare up.

Cold nights, clear sky, any seasoned Sydneysiders will predict that it is going to be followed by a beautiful sunny day next up. While we get to make the most of the warmth in the sun, we will have to be alerted that big temperature swings usually catch a lot of people out cold, literally. As more of the population gets sick or simply carries illness, it is easier to contract pathogen. Many actually don’t get into full blown sickness immediately, if at all – introducing the unsung hero, our immune system. In addition to actively identify and eliminate threats, the immune system does a lot more, such as removing metabolic waste, ensuring essential biochemical reactions, such as ATP (energy) synthesis to take place efficiently to maintain cells healthy. Conversely, injured cells that already require a lot of attention from the immune system to heal, in a body that is struck with sickness would be even harder to heal.

So what can you do about preventing/ alleviate back pain during the cold of winter? Well, the first thing you can do is to keep warm. Make sure you wear appropriate clothing for the weather such as thick coats, gloves, and hats. Warm up before exercising, and tone it down gradually after you fininsh. It is also an good idead to always keep an extra layer handy, pull a jacket on after activities in the sun even though you still feel a bit warm. Keep home heated, take a minute to warm up the car in the morning before breakfast so when you actually drives, you step into a warm environment.

It is typical that when pain flares up, people often feel anxious and depressed. Learning how to improve your mood then, is important. It helpful to divide things into bite size pieces, learn how to pace yourself, and figure out how to improve your sleep. If distraction works for you, always have something to keep your mind occupied. Keep telling yourself winter will pass, and the pain is temporary.

Like many of my patients who walk out of my clinic with a smile on their faces, you may try Low Level Laser Therapy. As LLLT is getting more and more recognised, more and more people understand that it helps to manage pain through introducing photochemical reactions, actively helps to modulate ATP synthesis process to break the vicious cycle of cellular energy deficiency; consolidates immune system, helping it to protect you; and last but not the least helps to improve mood through Laser Acupuncture.

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the-brain-s-way-of-healingDr Norman Doidge is currently in Sydney to promote his new book at Sydney Writer’s Festival - The Brain’s Way of Healing, which chronicles the amazing journeys of men and women who battled and "trained" their brains to stop processing chronic pain signals in the relatively new field of science called neuroplastisity. I’ve had a number of new patients who have found my website through Dr Doidge’s book.

In Chapter 4 of the book, Dr Doidge discussed and presented cases where Low Level Laser Therapy (LLLT) had helped patients with pain and other chronic conditions. If you missed the talks in Sydney, please listen to Dr Doidge's interview with ABC at the following link.http://mpegmedia.abc.net.au/rn/podcast/2015/04/aim_20150419.mp3

In my clinic and through my past research, evidence shows that LLLT is effective for patients with chronic conditions in terms of pain reduction and initiation of tissue healing process. My patient V.B. has been suffering severe headache for years and went to hospital 4 times recently without any significant improvements. When she read the book, she visited my clinic. Following a careful assessment she has been offered a combination of LLLT and laser acupuncture treatments. She has reported that feels great after 5 sessions of the treatment.

Many of my other patients have benefited from LLLT treatment across a range of pain related conditions, for example, D.H. (Back pain), L.M. (Knee and feet pain), D. M. (Achilles tendon injury and neck pain), C. B. (Post surgical pain), M.D. (Neck pain), A.S. (Shoulder/hip & groin pain), and N.T. (Neck pain and Pins and needle in hand).

If like them, you wish to explore an alternative and clinically proven way of treating pain, contact my clinic. I will assess and design a personalised treatment plan to get the best outcomes for you.

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Low Level Laser Therapy (LLLT) technology has been used in Europe and USA for decades, its fantastic to see the technology getting some coverage in Australia. Check out this news piece titled "Beating backpain" by Seven News: https://www.youtube.com/watch?v=GPk5HxzF_kY#

Chronic pain is a highly individualised and insidious clinical problem. It can have major impacts on a person’s ability to live a normal life. My patients end up with long-term pain after surgery, injury, cancer treatment or childbirth, and frustratingly, sometimes without any obvious trigger. There are a lot of physical symptoms include tense muscles, limited mobility, a lack of energy, and changes in appetite. Often over looked, are the emotional effects. My patients often tell me about depression, anger and anxiety caused by living with pain. They are often fearful of re-injury.

Traditional treatment can include the extensive use of drugs and medications, and even invasive surgery, which often have limited results.

Low Level Laser Therapy (LLLT) is a drug free, non-invasive and clinically proven alternative treatment option. I've had many years of research and clinical experience in this area and LLLT is now available in Bondi Junction using the latest in medical laser technology.

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holiday2workHappy 2015! Hope everyone has had a relaxing/exciting/joyous/productive holiday. Now, whether we are still savouring memories of our vacations or eagerly anticipating new ones, as normal daily routine ensue for many people across Australia, most of us would also be feeling a little tired, some exhausted or even anxious about returning to stressful daily routines. It’s completely normal to feel like that after a long break. This anxiety will normally fade once the initial period passes, for some however, it can be difficult to smoothly merge back to a stressful working environment.

Retoring balance of diet is the first step that we can do to help.
Holidays is always the time of the year where food and drinks (often high calories) galore, at the same period there is less energy expenditure as our work load drops considerally. This sudden congestion/disruption can be quite unsettling for our internal systems and the effect can linger, and finally when call of duty comes, we often don't immediately regain our sharpness.

From the perspective of Traditional Chinese medicine and philosophies,  baked treats, food high in fat such as those usually topping our holiday dining table packs heat in our bodies, fortunately "antitode" - food of "cool" properties are easy to source, one doesn't have to look beyond the summer greens, in addition, fish (protein but lower fat content), rice (carb but not baked) among many things that grows in aquatic environment are not only "cool" in TCM but provide a welcoming alternative for the taste bud.
   
Gastric gourmet or not, it's the combination of many things that work together to make great holidays. Whether it is holiday treats or scenic spots, our brain perceives these desired destinations/objects as happiness, measurable ones too, as this corresponds with a hightened level of endorphin. Sudden void in these"happy stimuli" then due to change in lifestyle for example, can lead to lowered Endorphin level in the immediate period, which explains most cases of post holiday anxiety (it's like smoke cessation).

Fortunately at Sydney Laser Health Solutions, we know just what to do to make the transtision more smoothly,  we recommend 3-4 sessions of Low levele Laser Therapy (LLLT), which when applied to the right spots, helps to stimulate endorphin. Apart from this, LLLT also helps to energise us through a series of photochemical effects as light is absorbed by our cells. Get a fast start in 2015, call Sydney Laser Health Solutions 9389 9699 or 0481 354 188. We have a special protocol individually to help you!

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 paracetamol overdose

FDA is recommending healthcare providers to discontinue or limit prescribing medical products that contain more than 325mg of Acetaminophen (Paracetamol) per dosage unit over concerns for increased risk of liver damage due to high or prolonged doses.

In a January post under Safety Alerts For Human Medical Products, FDA states “There are no available data to show that taking more than 325 mg of acetaminophen per dosage unit provides additional benefit that outweighs the added risks for liver injury. Further, limiting the amount of acetaminophen per dosage unit will reduce the risk of severe liver injury from inadvertent acetaminophen overdose, which can lead to liver failure, liver transplant, and death.

Acetaminophen, commonly known in Australia as Paracetamol, is the main ingredient in analgesic drugs such as Panadol, which is widely available as an over the counter (OTC) drug. In addition, strong dose of Paracetamol is also present in stronger painkilling pills such as many opioid analgesics, often used in pain management and prescribed for patients with chronic pain or for those who require pain control following surgical procedures.

The use Paracetamol containing medications should not be a decision made lightly, simply because many consumers are often unaware that many products (both prescription and OTC) contain Paracetamol, let alone knowing potential adverse side effects with improper use, making it easy to accidentally take too much. This is especially a concern for the aforementioned Paracetamol containing opioid analgesics as they pose the chance of drug dependency, further increasing risk of liver failure.

Sydney Laser Health Solution would like to recommend Low Level Laser Therapy (LLLT), made available through advanced medical laser technology, and following numerous double blind, placebo controlled clinical studies, as an effective alternative therapeutic method for pain management. LLLT takes a non drug approach in pain treatment (hence minimises the possibility of adverse side effects), its mechanism instead relies on laser light irradiating and stimulating injured cells, to achieve activation of a series of physiological response to achieve the goal of pain relief, tissue healing and more efficient immune response.

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LLLT-ACALast month, LLLT was featured in a small segment of A Current Affair (ACA), giving chronic pain sufferers hope. In what was titled "Aussie first treatment could put neck pain to bed", a treatment dubbed the "Hot Spot Therapy" was introduced by Dr Mark Rogers. What is this "miracle" therapy for chronic pain? How is it effective? Is it also applicable to other conditions? What are some scientific evidence? These are just a few questions that had been asked in my clinic, not only by patients, but professionals too.

First I'd like to direct your attention to the picture above. In the apparent thermal image of a person, where a collection of contour displays different temperatures, a couple of bright white spots stand out. These are the hot spots of our interest.

Thermal cameras captures heat patterns across the skin through detecting infrared radiation as emitted from our bodies. Cells with inflammation, generally showing signs of redness, swelling and heat due to increase of flow of body fluid, which raise local temperature, can then be detected. A good infra red camera can detect temperature gradient for up to 5mm in depth, making it a very useful tool for clinicians like Dr Rogers and I because typically, the hot spots detected give strong indication of area of tender points or trigger points in the body. However, to find the exact points, careful examination through palpation by an experienced person is still absolutely important.

While the "hot spot" method assist in finding the root of chronic pain, it gets only half of the job done. To manage the condition, such as initiate healing, it is where Low Level Laser Therapy (LLLT) come to prominence. LLLT is the area that I have always had great interest in. In fact, it's being with me for almost 30 years, researching and practicing it, I have also had the chance to collaborate with Dr Rogers on many occasions, fighting off our patients' painful conditions. Currently in my clinic, I use my experience to detect both superficial and deep lying inflamed tender points. I have treated neck pain, thoracic pain, lower back pain, joint conditions fibromyalgia etc. with good results approximately 90% of my patients respond to laser, their conditions then begins improving.

And no, LLLT is no miricle treatment. Good healing really relies on the laser being delivered accurately to the area of injury, where a series of photochemical reactions ensue (Professor Hamblin summarised it best here)all the while with the laser's wavelength, time and dosage carefully managed.

 
All in all, LLLT is an excellent way to combat chronic pain, doing so in a non-invasive (therefore no chance of negative side effects),non manipulative (therefore not causing any pain in the duration of treatment) and above all, an experienced clinician would help to make the difference.

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pain sleepPeople around their 50s start to have changes, physically and physiologically. A lot may feel that sleep starts to become a problem. Some wake up in the mid of night and could not fall asleep again, while others find it difficult to sleep at all. Poor sleeping then affects their daily activities, easily fatigued, mentally tired even cognitive functions drops. Recently, a published research paper titled "Poor Sleep Predicts Musculoskeletal Pain in Older Adults" by Lara C Pullen, revealed link between poor sleep and widespread pain in the body of those aged 50 or more. Another research (McBeth, Lacey and Wilkie) yielded similar finding. When pain severely affects one's sleep, the patients usually seek medical help and take sleep pills or painkillers to maintain their conditions. Only these put them in a vicious cycle, of drug dependency or worse that the dosage must increase in order to relieve the pain, which lead to more chance of side effects hence bringing about negative impact to their daily life greatly.

In Sydney Laser health solutions, we provide low level laser therapy and laser acupuncture to modulate patients hormone level, reduce their pain and fatigue, improve their sleep and help them break the vicious cycle and boost energy in the body. Do not let pain ruin your life, we can help

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