Sunday, March 10, 2024

2024 PAIN MANAGEMENT SOLUTIONS (Part 1): LASER MODULATION THERAPY

Dr. Bard presents "Microvascular Image Guided Treatment of Arthritis" at the 2024 UltraCon AIUM Expo in Austin TX.



WHAT IS PAIN?  It is a subjective experience with two complementary aspects: one is a localized sensation in a particular body part; the other is an unpleasant quality of varying severity commonly associated with behaviors directed at relieving or terminating the experience. (NIH)


Bard Diagnostics has recently partnered with HealthTech Reporter to offer a public test drive of the ASPEN LASER Near Infrared Laser therapy.  Join our test drive of this FDA approved innovation and explore its potential healing capacity alongside our many patients who have found significant transformative advantages.  What's more, you may qualify for our SCAN & TREAT program where Dr. Bard's imaging team can monitor your therapeutic response with before-and-after scans of your target injury.

Laser light holds its intensity until it is absorbed by a medium; in the case of laser therapy, the medium is the body. The photon energy of laser light can effectively penetrate the skin and underlying structures, which accelerates the body’s natural healing process. Laser therapy utilizes the wavelengths and frequencies of visible red and near infrared (NIR) light to treat a variety of conditions at their source within the body through safe, non-invasive, and painless procedures.



CASE STUDY #5: RHEUMATOID ARTHRITIS / FIBROMYALGIA - KNEE

PHYSICIAN’S REPORT: Inflammatory disease involves the skin, joints, tendons, arteries and many solid organ systems.

BASE LINE: Before the induction of PBMT, subject was scanned to capture current pathology. Ultrasound report indicated a thickening of the epidermis from 200-900 microns.

(R TEMP- DOPPLER BLOOD FLOW) Left patella tendon. The insertion of the quadriceps tendon onto the superior patella surface shows dark edema at the attachment and it shows white echogenic fibrosis two centimeters proximal

Top image of the temporal area to measure arterial and autonomic nervous system response to the energy input shows that the upper 1mm of the 2 mm dermis is dark (single arrow) and the inflamed area has measurable inflammatory vessels (double arrow)

(ELASTOGRAM) Bottom image of the patella and patellar tendon demonstrates widening of the mid tendon (arrow) and elastographic confirmation of early fibrosis in the orange (color scale in elastogram: blue=soft, red=hard) 


Early detection of inflammatory disease allows for prompt treatment to avoid disabling chronicity.  This is particularly important since many diseased areas of tendons (tendinopathy) are asymptomatic until a minor stress ruptures the structure requiring corrective surgery as is the case of non-professional athletes.

PATIENT INTERIVEW 1:  7/5 12:30pm (One time Scan & Treat)  "Well, the problem was pain. I do have rheumatoid arthritis and I do have something that's called fibromyalgia as well. Wow. So sometimes it's a little confusing as to what's doing what to do different areas. Perfect. I agreed to try this on your knee because I was complaining about it to him at that time. So I sat down and the treatment was not for a long-- the treatment itself lasted only (I think) several minutes. It wasn't a long process. At first, I wasn't sure about what the effect was going to be- but even an hour later I was feeling so much better. And basically the pain that I had was pretty much eliminated-- in five minutes! I find it truly remarkable. (Upon getting an ultrasound scan,) Dr. Bard was able to show me the area of inflammation. (From a pain measure scale of 1-10,) I started out somewhere around I would say six and after the laser, an hour later- it became a ONE. I drove home after the treatment and it's difficult to notice if I had the pain or not. It's really mostly when I'm standing. But by the time I got home, I was really able to walk up the steps and without any pain. Today (3 weeks after treatment) I'm kind of pretty much at ONE most of the time." 

THE SCIENCE & PHILOSOPHY BEHIND RED LASER THERAPY: Photobiomodulation is what we're actually doing when we look at red and near infrared light.  (it’s different from far infrared-that's a sauna creating deep heating in the tissue and sweating out toxins). Photobiomodulation is the application of red and near infrared light to tissue where there is disease or dysfunction.  The mechanism of action of light is very simple. It doesn't treat any specific disease or diagnosis, but it treats the underlying cause of all dysfunction in the body (all disease) and that is cellular health and wellness.

Within the cell, oxygen is supposed to flow into the mitochondria, which is the powerhouse of the cell, and that's supposed to produce adenosine triphosphate or ATP.  This is what every cell in the body uses for energy.  Due to exposure to via environmental toxins, lack of sleep, stress, injury and disease, lack of exercise, too much exercise, not enough sunlight, poor nutrition etc. oxygen flows in the cell and then it's bound by nitric oxide. That binding of nitric oxide with oxygen forms a deadly particle called a free radical.  This causes two problems: #1- that oxygen is now not free to go into the mitochondria- so our ATP production in the body drops.  #2- there's the abundance of free radicals is the root of every disease. It's the gene expression for things like cancer, heart disease and diabetes.  So what light does very simply is when we shine light in and we can get light into the cell at the right wavelength, dosage and power density, it simply unbinds the oxygen particle and the nitric oxide particle and the free radical is dissipated into the blood vessel walls. So now we have removed free radicals and inflammation inside the cell. Also, the oxygen respiratory chain starts up again and that oxygen particle is allowed to flow into the mitochondria, and the ATP now goes through the roof and rises again the body. So now you have a perfectly operating cell, which then does its job of treating disease, treating tissue repair, treating dysfunction in the body, 



Take advantage of our Clinical Review of the latest in non-invasive therapeutic technology. This is your opportunity to learn firsthand about the science of cellular regeneration and Photobiomodulation (PBM). Until April 22, 2024, qualified patients of Dr. Bard may receive Aspen Laser treatments FREE OF CHARGE as part of our clinical review.  For more information on this clinical performance study, call: 212.355.7017



HOW TO HANDLE ON-THE-JOB INJURIES AND MINIMIZE HEALTH RISKS   

Work related injuries take a toll on the employees as well as the company. With reduced productivity and health insurance payments, the company can suffer heavy financial setbacks. This is why most companies have realized the importance of increasing awareness when it comes to the workplace. Injuries at the workplace are more common than ever. Although manual handling is the most common cause of workplace injuries, sedentary jobs may also put employees at risk of Repetitive strain injuries (RSIs) and lung issues.

AWARENESS: When it comes to sedentary jobs, posture and height may be doing most of the damage. Educate employees of the best posture and height of their chair in order to minimize the strain and reduce chances of an injury (Cornelio, 2010).

POLICY CREATION: The very first thing that employers need to do is create a health and safety policy. This policy should be included and presented to employees along with all other contracts and policies in the workplace. This will let your employees know that safety and health are a primary objective.

HEALTH & SAFETY PROGRAM: The health and safety of employees is the responsibility of the employer. A health and safety program is mandatory for any company employing more than 20 individuals (CDC, n.d.)

CONTROL HAZARDS: Many hazards may be unavoidable depending on the nature of work and the product being created. Some occupations entail more risks than others. If an employee is putting themselves at risk, then it is the employer’s responsibility to identify all hazards and minimize the risks.

*** SEE COMPLETE ARTICLE ***



REVIEW: MUSCLE STRAINS CAN CAUSE PERMANENT PHYSICAL DAMAGE
By: Dr. Robert L. Bard

Muscle pain is something that is easy to overlook. Since it’s usually a mild dull pain and does not hinder daily activities unless at an extreme stage, people tend to wait too long before consulting a physician. There may be two kinds of a muscle injury.  You many have a sprain (which is the stretching or tearing of the muscle and the tendon) or a strain (which is the stretching or tearing of the ligament). Also known as Rhabdomyolysis, muscle injury is caused by a breakdown of the fibers in the muscle. This breakdown triggers the release of myoglobin into the blood which can even cause kidney damage.  A muscular strain can be identified by other common household names such as a spasm, cramp or a pulled muscle. These pains are usually associated with the neck, shoulders, and even pain in the lower back.

CAUSES OF MUSCLE STRAIN: Muscle strain may be caused by over stretching of the muscle which cause the muscle to tear or cramp. This over stretching can occur as a result of physical exertion. Over exertion may even lead to permanent muscle damage and may even be triggered by daily activities. This may lead to limited and painful movement (Holmes, 2011).

FIRST DEGREE strains such as those caused by a crick in your neck do not usually result in permanent muscle damage. SECOND & THIRD DEGREE strains, however, may be caused by high pressure activities such as: Running, Reaching with the arms, Climbing, Turning the head, Turning the neck & Twisting the back

*** SEE COMPLETE ARTICLE ***

ROBERT L. BARD, MD  (Diagnostic Imaging Specialist)
Having paved the way for the study of various cancers both clinically and academically, Dr. Robert Bard co-founded the 9/11 CancerScan program to bring additional diagnostic support to all first responders from Ground Zero. His main practice in midtown, NYC (Bard Diagnostic Imaging- www.CancerScan.com) uses the latest in digital Imaging technology has been also used to help guide biopsies and in many cases, even replicate much of the same reports of a clinical invasive biopsy. His most recent program is dedicated to the reporting of mental health diagnostic and innovative solutions including the use of modern neuromagnetic technologies and protocols in his MEDTECH REVIEWS program. 



Friday, March 1, 2024

ULTRASOUND DIAGNOSTICS OF ENDOMETRIOMA

 

ENDOMETRIOSIS REVIEW 2023: FROM ESSENTIALS TO ADVANCEMENTS- By Dr. Robert L. Bard

According to the World Health Organization, Endometriosis affects roughly 10% (190 million) of reproductive age women and girls globally.  It is a chronic disorder that can result in life-disrupting pain during menstrual periods, sexual activity and urination.  Currently, there remains no known cure for endometriosis, whereby treatment is usually aimed at managing its known symptoms.  One objective of the medical community is to conduct early diagnosis and research continues to pursue effective treatments.

Endometriosis starts in the endometrium with abnormal cellular proliferation.  Through the use of 3D Ultrasound, this disorder can be measured through the monitoring of the widening or the increased tissue in the endometrium.  Another form of quantitative measure is by the study of blood flow in the endometrium. Its ability to spread can be recognized by the number of vessels in the active tissue.  The big problem with staging endometriosis (or endometriomas) are the cysts that follow it.  Because of its capacity to spread in most areas of the body, a strategic protocol for clinical management is to conduct IMAGE GUIDED treatments, whereby use of real-time scanning of or during therapeutic process helps navigate the focus the treatment area.  Imaging solutions include CT (which has radiation), MRI, or the 3D Doppler ultrasound. 

CASE REVIEWS: We recently had a case where the endometriosis had metastasized under the arm. We've seen it metastasize in post-op scars. We can see the endometrial tissue block the ureters- hence, blocking the kidneys and destroying the kidney function.  Moreover, the scars can cause bowel obstruction.

While it's not categorized as malignant, it certainly can be deadly (as well as a seriously painful and debilitating disease). Women (especially those in advanced age groups) have expressed being completely incapacitated for three out of four days during their menstrual cycle.  A vast majority of them also claimed experiencing mental health issues because of the pain and discomfort. 

The following slides are from Dr. Robert Bard's lecture presented in 2016 for the obstetrics and gynecology department at Mount Sinai Medical Center in New York City (ref: prior lecture from Harvard Medical School/the American Institute of Ultrasound in Medicine).


Use of the modern image guided treatment technologies offer non-invasive blood flow technology, which quantifies the aggression, either the aggressiveness of an inflammatory process like endometriosis or the invasive and metastatic potential of cancers such as endometrial cancer & cervical cancer.

FIG 1: Upon observation, this it is not a primary bladder cancer. This is an inflammatory mass because the vessels are smooth (cancer vessels are wrinkly)- and there is a visible difference between the two.  This is a three dimensional pelvic floor doppler study of the pelvis. If we start with scan A, we see the uterus on the bottom half and the bladder on the top, which is black, and within the black fluid is a mass. By looking below that, we see the (scan C and D) the abnormal blood vessels of the endometriosis. Hence, inflamed tissue is vascular and the same pattern of blood vessels from the abnormal endometrium is also in the bladder, indicating that the endometrial tissue has either invaded or metastasized into the base of the bladder. The two scans (B & D) show the bladder wall is intact. Hence, these are endometriosis that has metastasized or spread to the base of the bladder. 

FIG 2: In this image set, we have an endometrioma, which is (again) a large black area where the fluid is black, and within it, there's another nodule with the circle indicated by the red highlight.  We see that there's no blood flow in this- hence, it's not a primary cancer of the bladder.  In addition,  it is not particularly active inside the bladder, however, there is a stalk that is feeding blood vessels to the cystic area.  With the 3D Doppler, we can quantify the cyst in seconds, because 3D takes a dataset in 15, 20 seconds of a hundred, 150 pictures of the whole area, including the blood flow.  

Notice the 3D images on the left with the red circle (Scan A) is the endometrial cyst, which is black, and the circle shows a small nodule within the cyst. What's important with this as contrasted to the previous study is this is NOT VASCULAR, which means this is inactive or subclinical at this time. On the right (E,F,G,H), we see that the pedicle that's going to the cyst and feeding the cyst, the area has multiple blood vessels in it. Because we're using 3D volumetric technology, we are able to quantify the number of vessels in the pedicle. The more blood vessels in the pedicle, the more aggressive the disease is. So back to the cyst. The cyst, there were no vesicles, but the pedicle feeding the cyst had a 13% ratio of blood vessels to assisted tissue. 

EPILOGUE
Traditional medicine has not assisted with the mental depression, the anguish of the certainty that the pain will be monthly and the possible side effects including infertility. Since we've been using targeted therapies with lasers and focused ultrasound energies years ago, we are now globally using bioenergy treatments that is the near infrared laser and the pulse electromagnetic fields to calm down the, the inflammatory process of this inflammatory disorder.


Having paved the way for the study of various cancers both clinically and academically, Dr. Robert Bard co-founded the 9/11 CancerScan program to bring additional diagnostic support to all first responders from Ground Zero. His main practice in midtown, NYC (Bard Diagnostic Imaging- www.CancerScan.com) uses the latest in digital Imaging technology has been also used to help guide biopsies and in many cases, even replicate much of the same reports of a clinical invasive biopsy. His most recent program is dedicated to the reporting of mental health diagnostic and innovative solutions including the use of modern neuromagnetic technologies and protocols in his MEDTECH REVIEWS program. 

SPOTLIGHT: DR. MENA RAMOS & THE GLOBAL ULTRASOUND INSTITUTE

During the 2024 UltraCon (AIUM) Imaging Symposium in Austin TX, HealthTech Reporter connected with DR. MENA RAMOS, co-founder and co-CEO of ...