Time for a new pain-relieving algorithm?
Patients with pain and functional impairments frequently undergo an escalation of interventions.
What happens to the people who do not respond as expected?
Did Silicon Valley thinking partially break the chronic pain barrier?
PhotoMed Technologies’ team wondered, why not end pain rather than “manage” it?
Maybe we should invent a new algorithm aimed at restarting normal functions?
You might be wondering, what would the end of chronic pain look like?
For painfully cold hands or feet, thermal imaging lets the operator monitor for a response, or not. This feedback drives the algorithm toward its conclusion; improved innate functions. (Red is warmer.)
The logic of the algorithm is the same as for medications but 1000x times quicker. Different however, for the therapeutic aim is to end rather than “manage” pain and impairments. Which would you rather experience?
Does the return of homeostasis account for improved function continuing after therapy ends?
Does “chronic” mean that homeostasis is stuck and waiting for a signal?
Does PhotoMed’s Vari-Chrome® Pro provide that signal?
What else can the the algorithm and PhotoMed’s device accomplish?
The therapy doesn’t work for everyone. It’s only about 1 in 3 real-world people. But that’s a whole lot better than zero.
PhotoMed’s new algorithm applies the same logic of tr, but quicker. Minutes instead of hours.
Encouraging, the practitioner could observe when the therapy worked for people with painfully cold limbs.
When the IR therapy worked, the patient’s cold hands or feet warmed as if on cue. The warming predicted possible later pain relief. Thermal imaging showed warming in graphic details. Feedback lets Silicon Valley operate ever faster.
The warming response frequently predicts reduced pain by people who endure complex regional pain syndrome (CRPS or RSD) or diabetic neuropathy. The therapy prompts a bilateral response that can relieve pain that has spread across limbs.
Unfortunately, they had only more of the same infrared rays if there was no warming response.
And, with the selection of 240 different wavelengths. The patient needs only one “right” wavelength to get going again. Or, is it two wavelengths? Or is it a sequence? Why would we expect everyone to respond to the same protocol after trying interventions without success.
Thermal imaging, red is warmer in Figure 1, tells the new story.
Practitioners now have new tools.
The algorithm is non-invasive and utilize the latest measuring, computing, and AI technologies.
Feedback from observed responses supports adjustment decisions 1000x quicker than existing guidelines and protocols.
How would a new algorithm work?
It would flexibly:
· Apply the latest measuring, computing, and AI technologies (quantum computing?) to terminate pain
· Provide the operator with actionable feedback - Did it work?
· Converge on improving innate functions that continue after therapy ends. - Homeostasis?
The aim is simple. Prompt the body to return to normal. With normal returned, there are fewer reasons of pain.
Does it work for real-world people?
Modern studies of pain management interventions typically exclude people not expected to get a “yes” answer for the hypothesis. Who will find solutions for the real-world people with treatment-resistant pain and functional impairments?
PhotoMed’s team developed its algorithm specifically for real-world people with a low probability of success. The team welcomed people for whom they thought the algorithm would NOT work. They were puzzled by the outcomes that frequently are not predicted in textbooks on pain or neuroscience. They recognized that “managing” pain doesn’t end it.
The team listened carefully to the comments made by people with astounding responses and outcomes. Patients with the dreaded CRPS (complex regional pain syndrome) frequently described their burning pain to be like the worst experience of holding ice. They described their responses as like “coldness leaving” before reporting that their hands or feet were warming.
Their comments led to a model that anyone can try in thought if not in actuality:
What happens when your plunge your hand into ice water?
What happens when you take it out?
What would it be like if any of the noxious experiences got stuck?
The ice water thought model let’s you experience the “symptoms” of myriad disorders. The symptoms and signs of disorders distill to innate sensory, motor, and skin temperature impairments. PhotoMed’s algorithm is that basic.
Roger (not his real name) had uncomfortably cold hands for 30 years. His co-workers complained when he upped the thermostat - in summer. After warming during 3 visits, he did not need to turn up the heat. This is what we mean by the return to normal function.
Problem: Many chronic disorders includes persistent abnormal skin temperatures
Input: The operator algorithmically selects the first treatment
Feedback: Warming acknowledges that the therapy worked
Outcome: Therapy can be stopped for the visit and may no longer be needed.
Lighter gray is warmer.
Automatically recorded data enables later examination by humans or AI.
Is the warming response normal, except for its years of delay?
Inputs, feedback, and outcomes?
PhotoMed’s algorithms adjust therapy to meet individual needs despite lack of previous beneficial outcomes. The algorithms employ iterative strategies that run 1000x faster than traditional escalation guidelines. The algorithm shares methods that are basic to many industries:
Identify problems: treatment-resistant pain and loss of normal functions
Test inputs: algorithmic adjustment of light wavelengths from PhotoMed’s device
Observe responses: a physiologic response confirms effects within 60 seconds
Measure outcomes: return of normal function - bug fixed?
Stop or iterate: if needed, test a different input.
You may be wondering, is it possible to return to normal function? No, about 2/3s of cases. We don’t know why.
The good news about the bad news is that, other than disappointment, there have been no side effects for hundreds of people.
The really good news is that 1/3 is a whole lot better than zero for people who previously endured treatment-resistant pain. Like everything in medicine, some achieve less surprising outcomes.
Why welcome hopeless cases?
Operators of PhotoMed’s new algorithm see things differently (like Schrödinger’s cat). See Example 1.
Most people do not have chronic pain.
Why does the body remain so long in an impaired state?
The different thinking leads down paths ignored by billions of research dollars. Testing aimed to learn which disorders might respond to the new algorithm. With no hypothesis, it was exciting like finding dinosaur bones before the first skeleton emerged. Today, the algorithm opens the possibility to reduce pain and impairment previously thought impossible.
PhotoMed Technologies’ team developed its Instant Feedback System™ for practitioners to prompt, observe, and collect details in Silicon Valley style.
PhotoMed’s algorithm lets computers, big data, and AI connect the dots among treatments, responses, and outcomes.
Feedback responses, if any, typically become measurable during or within 60 seconds after a therapy treatment ends.