feature Class IV Laser Therapy, Part 1 Setting a new standard Dr. Nusbaum performing laser therapy with a Class IV laser on Dr. Keith Quirk, MD. O Dr. Ron Nusbaum graduated from CMCC in 1989 and began practis-ing in a multidisciplinary clinic in as-sociation with Dr. Howard Vernon. He has been practising for more than 20 years and is currently the director of Back Clinics of Canada in Vaughan, Ontario. He is the de-veloper of the High Performance Healing System and Disc Renewal Plus Supplementation System. Dr. Nusbaum integrates Class IV K-Laser therapy and non-surgical spi-nal decompression therapy along with conventional chiropractic care. Learn more about Back Clinics of Canada at www.backclinicsofcana-da.ca or by calling -855-573-5433. ver the past 20 years, technology has had a profound impact on the chiropractic profession. Among emerging technologies, therapeutic lasers are increasingly taking a more prominent position in treatment of chronic back and neck pain, sports injuries, and musculoskeletal conditions. Therapeutic lasers have had a dramatic impact on chiropractors’ ability to target and accelerate healing of injured soft tissue, resulting in noteworthy outcomes. They have a place in just about every clinic. In fact, chiropractors are also seeing greater numbers of informed patients who are actively seek-ing laser therapy treatment for their pain. CLASS IV ADVANTAGES With so many different lasers available, it can be confusing to figure out which one is right for your chiropractic clinic. But the therapeutic features and benefits of Class IV lasers are so significant that a growing number of doctors are considering including them in their arsenal of therapeutic treatment tools. Compared to Class IIIa and Class IIIb therapy lasers, Class IV therapy lasers deliver more energy per unit of time, and therefore can deliver therapeutic dosages of laser light to a larger volume of tissue in a shorter period of time. Class IV lasers are most successful in treating chronic and deeper-seated soft-tissue problems. Class IV lasers also success-fully enable regeneration and help to fight infection. Deeper healing and pain relief is best achieved using Class IV lasers. CLINICAL SUCCESS The FDA in the United States approved three main indications for use of high-powered therapeutic lasers: 1) mediation of chemical inflammation; 2) an improvement in healing (the disc is largely avascular and slow to heal); and 3) an analgesic effect. 1 Recently Health Canada has approved a Class IV Laser in Canada. The Class IV laser successfully treats a spectrum of conditions. The most common applications in the chiropractic clinic include myofascial pain syndromes and arthritic joints. It is effective in treating both soft-tissue injuries and chronic debilitating condi-tions. Of importance, and as mentioned above, deep-seated stubborn soft tissue that www.canadianchiropractor.ca Ron Nusbaum, DC 26 • CANADIAN CHIROPRACTOR | FEBRUARY 2012