Is it time for a new pain-relieving algorithm?

 
 
 

Millions of American thankfully maintain reduced pain through on-going medications and interventions.

What happens to people with pain that resists treatment of any kind?

 

Has First-Principles thinking broken the treatment-resistant pain barrier?

Elon Musk discovered Aristotle’s way of thinking. He applied that way of thinking to making companies that implement Silicon Valley’s First-Principle:

  • Make everything faster and cheaper

 

Increasing computing power enables deep-learning algorithms to improve medical interventions.

Medicine’s First-Principle:

  • ‘Primum Non Nocere’, ‘First, do no harm’ (Hippocrates)

 

Physiologist’s First Principle:

  • Living organisms strive to return to normal functions

 

Since ancient times, practitioners of light-based therapies applied those First-Principles for the benefit of their patients. One person was specially recognized.  

 
 
 

In 1903, Danish Dr. Finsen was awarded a Nobel Prize in Medicine

Niels Finsen researched the curative properties of different colors.

Dr. Finsen found that no single wavelength worked for every disorder, just like medications. Finsen lacked the tools for testing each wavelength for what it might accomplish.

 
Figure 1  - Niels Finsen was awarded the 1903 Nobel Prize in Medicine.

Figure 1 - Niels Finsen was awarded the 1903 Nobel Prize in Medicine.



What can an updated algorithm achieve?

PhotoMed’s team of nerdy engineers developed tools that would fascinate Dr. Finsen. He would delight in seeing the rapid responses in people with treatment-resistant pain. It would take more than a century to answer one of Finsen’s basic questions.

Does it take one, two, or a sequence of wavelengths to help individual patients?

PhotoMed’s tools enable the first comparisons of the effects of different wavelengths in the same person during each visit.

 

PhotoMed’s Instant Feedback System™ provides one more tool for pain specialists to help their patients. In studies, anesthesiologists and neurologists welcomed the tool’s low risk to the patient. They were excited by the outcomes. We don’t have a clue how the body manages its return towards normal functions.

 
 
Figure 2  - The Instant Feedback System™ provides relief for patients with treatment-resistant pain. Recordings in real time document the treatments, responses, and outcomes. Thermal imaging provides feedback to the operator to adjust the therapy during the visit. Researchers can revisit events that would traditionally be overlooked.

Figure 2 - The Instant Feedback System™ provides relief for patients with treatment-resistant pain. Recordings in real time document the treatments, responses, and outcomes. Thermal imaging provides feedback to the operator to adjust the therapy during the visit. Researchers can revisit events that would traditionally be overlooked.

 

The Instant Feedback System™ recordings connect-the-dots among:

  • Disorders

  • Wavelengths

  • Responses

  • Outcomes.

 

Who will be the next Niels Finsen?

 

Don’t need electronic feedback? You can use the Vari-Chrome® Pro by itself.

 

PhotoMed’s therapy doesn’t work for everyone

Nothing does.

The current understanding of treatment-resistant pain is that nothing works. The pain specialist considers the escalating risk to the patient while planning the next intervention.

Unfortunately, testing interventions for possible relief leaves many with side effects that are worse than the pain. Now they have two, or more, problems that won’t quit.

 

We thank the 400+ people who volunteered to help develop PhotoMed’s algorithm. Volunteers typically arrived with multiple impaired functions. Each person participated with the hope, but not the expectation, of relieved pain. However, many were astounded by their improved functions and pain relief. See Figure 2.

 
Figure 3  - PhotoMed's algorithm aims to help people for whom Nothing Works to relied pain or improve functions despite trying the best interventions available.

Figure 3 - PhotoMed's algorithm aims to help people for whom Nothing Works to relied pain or improve functions despite trying the best interventions available.

 

Back to First Principles:

  • Besides disappointment, there are no side effects when the therapy doesn’t work

  • The return of normal function relieves the need for pain

  • Learn if it works, or not, in 2 visits for 2 cents worth of electricity.




Is there is more to this story?


Research in neuroscience, pain, physiology, and other fields. Exemplary cases suggest new areas for research and patient care.

During the first or second visit, observe, in real time, the:

  • Return of sensation lost to diabetes

  • Restart of wound healing

  • Return toward normal sensory, motor, vascular functions

  • Improved functions persist after therapy ends.

Of course, the patient or volunteer can still report their subjective pain level. However, that information typically arrives too late to make during-visit adjustment to therapy.

An example, Robert (not his real name) had persistently uncomfortably cold hands for 30 years before his first test of PhotoMed’s algorithm. His hands warmed during each of three visits and remained comfortable for more than a year.

Figure 1  - Thermal imaging shows a warming response over a 10-minute period to a single stimulation by PhotoMed’s therapy. The body, not the therapy, determines the timing and magnitude of the return toward normal function. Lighter gray is warmer.

Figure 1 - Thermal imaging shows a warming response over a 10-minute period to a single stimulation by PhotoMed’s therapy. The body, not the therapy, determines the timing and magnitude of the return toward normal function. Lighter gray is warmer.

Robert’s hands remained comfortable for more than a year in the absence of therapy. Credit for maintaining benefit goes to the body and not the therapy.

Click here for a partial list of disorders that responded to PhotoMed’s algorithm.


Who might benefit?

PhotoMed’s algorithm aims to restore innate functions;

  • Sensation

  • Movement,

  • Thermoregulation

  • To restart wound healing.

Your patients can show you their functional improvements during the visit.

Caution: restoring sensation in feet lost to diabetes doesn’t affect the disease. Hopefully, your patient can safely get more exercise. Non-invasive physical therapy devices only prompt the body to do what it should have done before.


Here is a link to a partial list of disorders that responded to PhotoMed’s algorithm.

 

Does PhotoMed’s algorithm work for every type of pain or impairment?

Of course not.

But helping 1-in-3 real-world people with treatment-resistant pain is a whole lot better than zero. That’s where PhotoMed’s algorithm shines. (Pardon the pun.)

 
Figure 2  - PhotoMed’s algorithm works after previous attempt failed. A physiological response marks precisely when the body responds.

Figure 2 - PhotoMed’s algorithm works after previous attempt failed. A physiological response marks precisely when the body responds.

 

When the therapy doesn’t work, besides disappointment, there are no side effects.

What’s more, you’ll know that the therapy fails:

  • Within two visits

  • For 2 cents worth of electricity.



Is the algorithm easy to learn?

The algorithm’s “try something different” logic is the same as for invasive interventions, but a 1000x faster. Objective feedback, in seconds to minutes, lets the operator converge on relief for the individual patient.

Figure 3  - With single wavelength devices, there is only one wavelength to try and try again. With the  Vari-Chrome® Pro , the operator has 282 wavelengths to choose from. Pre-programmed settings can automatically vary the wavelength to efficiently find ones that work for the patient.

Figure 3 - With single wavelength devices, there is only one wavelength to try and try again. With the Vari-Chrome® Pro, the operator has 282 wavelengths to choose from. Pre-programmed settings can automatically vary the wavelength to efficiently find ones that work for the patient.

 

Want to record events that others think impossible?

Silicon Valley thinking focuses on gathering detailed data that will bring future value. (Let’s not think about how many ways…)

The Instant Feedback System™ brings value to your clinic when:

  • Running PhotoMed’s algorithm

  • Patients share their own story with recorded imaging

  • Patients allow researchers to examine new phenomena



Figure 2  - The  Instant Feedback System ™ enables small clinics to achieve outcomes previously thought impossible. Thermal imaging provides feedback for restoring normal skin temperatures. monochrome camera for documenting fresh exudates entering wounds, and a USB camera (not shown) for recording improving sensory and motor functions. Semi-automated questionnaires and narrative collection let the operator focus on the patient.

Figure 2 - The Instant Feedback System™ enables small clinics to achieve outcomes previously thought impossible. Thermal imaging provides feedback for restoring normal skin temperatures. monochrome camera for documenting fresh exudates entering wounds, and a USB camera (not shown) for recording improving sensory and motor functions. Semi-automated questionnaires and narrative collection let the operator focus on the patient.

 
 
 
 

Why didn’t someone think of this before?

For 150 years, practitioners used different wavelenths to benefit their patient’s different disorders.

Today, red and IR dominate. That’s a loss for patients with disorders that resolve with other colors.

Does the patient care which wavelength prompted their relief or restored function?

 

PhotoMed’s team wondered, is it one, two, or a sequence of wavelengths that might prompt the body to resume homeostasis?

Silicon Valley’s quest for speed inspired PhotoMed’s algorithm. Why not vary the wavelength during therapy?

Only the Vari-Chrome® Pro varies the wavelength during therapy.

 
 
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You can rent or purchase a Vari-Chrome® Pro or Instant Feedback System™.

People in pain are waiting.


More information?