Pain Management Protocol Manual

PAIN MANAGEMENT
PROTOCOL MANUAL
TLC-‐1000 THERAPEUTIC MEDICAL LASER
Table of Contents

CLINICAL INFORMATION .......................................................................................................................................... 3
Practical Advice for the Use of Low Level Laser Therapy .............................................................................................................. 3
Treatment Basics .......................................................................................................................................................................... 3
Caution ....................................................................................................................................................................................................... 3
General Protocols ....................................................................................................................................................................................... 3
Acute Cases: ................................................................................................................................................................................................ 4
Sub-‐Acute Cases: ......................................................................................................................................................................................... 4
Chronic Cases: ............................................................................................................................................................................................. 4
Treatment Protocol Patient Optimization .................................................................................................................................... 5
Chronicity: ................................................................................................................................................................................................... 5
Darker Skin Colouration: ............................................................................................................................................................................. 5
Body Mass Index: ........................................................................................................................................................................................ 5
Age: ............................................................................................................................................................................................................. 5
Fitness level: ................................................................................................................................................................................................ 5
Athletes: ...................................................................................................................................................................................................... 5
Indications .................................................................................................................................................................................... 5
Contraindications .......................................................................................................................................................................... 6

PROTOCOL INFORMATION
001 Acne Vulgaris ......................................................................................................................................................................... 7
002 Hairloss .................................................................................................................................................................................. 8
003 Herpes Simplex 1, 2 ............................................................................................................................................................... 9
004 Labyrinthitis /Meniere’s ....................................................................................................................................................... 10
005 Migraine/ Cephalea ............................................................................................................................................................. 11
006 Otitis .................................................................................................................................................................................... 12
007 Sinusitis ................................................................................................................................................................................ 13
008 Stomatitis ............................................................................................................................................................................. 14
009 TMJ ....................................................................................................................................................................................... 15
010 Trigeminal Neuralgia ............................................................................................................................................................ 16
011 Wrinkles ............................................................................................................................................................................... 17
012 Gingival Flap ......................................................................................................................................................................... 18
013 Gum Hypersensitivity ........................................................................................................................................................... 19
014 Gum Inflammation ............................................................................................................................................................... 20
015 Oral Ulcer ............................................................................................................................................................................. 21
016 Post Dental Muscle Soreness ............................................................................................................................................... 22
017 Post Dental tooth Extraction ................................................................................................................................................ 23
018 Post Dental Tooth Implant ................................................................................................................................................... 24
019 Trismus ................................................................................................................................................................................. 25
020 Cervical Arthrosis ................................................................................................................................................................. 26
021 Torticolis .............................................................................................................................................................................. 27
022 Thoracic Outlet Syndrome ................................................................................................................................................... 28
023 Intercostalic Pain ................................................................................................................................................................. 29
024 Tietze ................................................................................................................................................................................... 30
025 Dorsal Arthrosis ................................................................................................................................................................... 31
026 Lumbar Disc Herniation ....................................................................................................................................................... 32
027 Lumbar Spine Stenosis ......................................................................................................................................................... 33
028 Lumbar Arthrosis ................................................................................................................................................................. 34
029 Post Herpatic Pain ................................................................................................................................................................ 35
030 Sacroiliac Joint pain ............................................................................................................................................................. 36
031 Frozen Shoulder ................................................................................................................................................................... 37
032 Rotator Cuff ......................................................................................................................................................................... 38
Copyright © 2012, Theralase™ Inc. Pain Management Protocol Manual Rev 1.3 July 4, 2012 Page 1
033 Shoulder Pain ....................................................................................................................................................................... 39

034 Lipedema ............................................................................................................................................................................. 40
035Lymphedema ........................................................................................................................................................................ 41
036 Raynaud’s Syndrome ........................................................................................................................................................... 42
037 Tendinitis Strains ................................................................................................................................................................. 43
038 Tennis Golfer’s Elbow .......................................................................................................................................................... 44
039 Carpal Tunnel ...................................................................................................................................................................... 45
040 Dupuytrens Contracture ...................................................................................................................................................... 46
041 Finger Arthritis ..................................................................................................................................................................... 47
042 Thumb Sprain ....................................................................................................................................................................... 48
043 Hip Bursitis ........................................................................................................................................................................... 49
044 Piriformis Strain ................................................................................................................................................................... 50
045 Groin Pull ............................................................................................................................................................................. 51
046 Hemorrhoids ........................................................................................................................................................................ 52
047 Pelvic Floor pain ................................................................................................................................................................... 53
048 Prostatitis ............................................................................................................................................................................. 54
049 Sciatica ................................................................................................................................................................................. 55
050 Shin Splints ........................................................................................................................................................................... 56
051 Iliotibial Band Friction .......................................................................................................................................................... 57
052 Knee Pain ............................................................................................................................................................................. 58
053 Anterior And Posterior Cruciate .......................................................................................................................................... 59
054 Osgood Schlatter .................................................................................................................................................................. 60
055 Patellofemoral Pain ............................................................................................................................................................. 61
056 Achilles Tendonitis ............................................................................................................................................................... 62
057 Ankle Sprain ........................................................................................................................................................................ 63
058 Calcaneal Heel Spurs ............................................................................................................................................................ 64
059 Diabetic Neuropathy ............................................................................................................................................................ 65
060 Morton’s Neuroma .............................................................................................................................................................. 66
061 Plantar Fasciitis .................................................................................................................................................................... 67
062 Sesamoiditis ......................................................................................................................................................................... 68
063 Acupuncture Shallow ........................................................................................................................................................... 69
064 Acupuncture Mid ................................................................................................................................................................. 70
065 Acupuncture Deep ............................................................................................................................................................... 71
066 Eczema ................................................................................................................................................................................ 72
067 Fibromyalgia ........................................................................................................................................................................ 73
068 Keloid Hypertrophic Scar ..................................................................................................................................................... 74
069 Psoriasis ............................................................................................................................................................................... 75
070 Sutures ................................................................................................................................................................................. 76
071 Synovitis ............................................................................................................................................................................... 77
072 Wounds ................................................................................................................................................................................ 78

Clinical Information
Practical Advice for the Use of Low Level Laser Therapy

Cleaning the skin with isopropyl alcohol will diminish any reflection of the laser beam by the tissue surface due to
natural oils.

In the non-‐contact method, a fairly large percentage of the laser beam may be reflected by the stratum corneum,
thus cutting down the available penetration power of the LLLT beam. The further the beam is away from the target,
the greater the divergence; thus the less light is available for treatment. Therefore, the laser should be used in the
contact method. (i.e.: laser device is placed directly on the skin surface) There are, of course, some exceptions (i.e.: in
treating burns, where the tissue surface is extremely sensitive).

In order to place the origin of the beam closer to the target tissue, the probe should be applied with some pressure
(i.e.: compression of subcutaneous fat and blood vessels, removing possible absorbers such as haemoglobin)

Start a treatment with a low dose of laser energy, and then continue with the minimal dose that will achieve a
therapeutic response. Finally, increase the dose every three (3) treatment sessions, only if the treatment is not
obtaining the desired results.

Karu and Mester stress that a treatment two (2) to three (3) times per week achieves the most positive response.
With high cumulative doses, one tends to treat less frequently than using low total energy densities. There is a
general belief that to treat too often is neither desirable nor necessary. LLLT has a cumulative effect with each
additional treatment.

Treatment Basics
Caution

The length of treatment and power settings detailed are recommendations only. The choice of all treatment variables
is ultimately the responsibility of the practitioner. The receptivity of the patient and the nature and specifics of the
ailment are always unique to each individual case. After several applications, the practitioner should begin to achieve
a working knowledge of the appropriate dose required for their specific clientele.

General Protocols

a) Degrease the surface of the skin with isopropyl alcohol to reduce surface skin reflection if the surface is oily
or greasy.

b) Clean the surface of the laser probe tip with isopropyl alcohol to sterilize it. Always disinfect the probes after
each treatment using isopropyl alcohol. Use a swab to clean the area around the laser diode but please take
care when doing so as the laser diode lens is fragile.

c) Always protect the patient's eyes with laser glasses from direct or indirect contact with the laser while
treating around the proximity of the face.

d) Always treat joints by irradiating deep in the joints.
e) Avoid letting the laser probe contact an open wound. Cover the wound with saran wrap, plastic film or a
sterile bandage to protect the laser probe during treatment and help to prevent cross contamination.

f) For wounds always treat the periphery of the wound first and then the surface area of the wound (wound
bed).

g) In some cases, pain may increase for the first couple of treatments, or 4 or 5 hours after the treatment but
will regress progressively with each subsequent treatment. This phenomenon may be a result of the laser
energy “re-‐awakening” the nerve endings in the wounded area.

h) If one or several painful points still persist after treatment completion, you may retreat these regions as
previously described.

i) Due to the sensitivity of burns, hold lightly on the wound or scan at a distance of 2 to 3 mm from the affected
tissue.

j) Laser therapy can be used by itself or in conjunction with any other pharmaceutical, modality or other
treatments.

Note:

• Certain pharmaceuticals are light sensitive and laser irradiation may increase or decrease their effectiveness
in the body.
• Ask your patients about the sensations they experience during and after treatments. It will provide you with
valuable knowledge of treatment protocols and treatment efficacy to apply in future treatments.

Acute Cases:

• Treat daily for the first three to five days and then treat 3 times per week until the condition is resolved.
Conditions are typically resolved in ~ 6 treatments
• The more recent the injury the more effective the laser therapy will be in reducing inflammation and
increasing mobility

Sub-‐Acute Cases:

• Treat 3 times per week for 3 weeks, then 2 times per week until the condition is resolved
• Conditions are typically resolved in ~12 to 15 treatments
• If there is no perceivable improvement after the third treatment, increase the energy density by increasing
the length of treatment

Chronic Cases:

• Treat 2 times per week until the condition is resolved
• Don't expect results too quickly, continue treatments until the 20th to 30th session for maximum results
• Commence treatment with the most painful areas first
• Each successive treatment should demonstrate an improvement over the previous treatment
Treatment Protocol Patient Optimization

Chronicity:

• Acute Condition: 4 to 6 treatments
• Sub-‐Acute Condition: 12 to 15 treatments
• Chronic Condition: 20 to 30 treatments

Darker Skin Colouration:

• Decrease average power by 50%. Increase treatment time by 100%. Therefore, energy remains constant.

Body Mass Index:

• Normal protocol settings for normal BMI.
• Low BMI, reduce protocol settings by 50% (reduce average power by 50%)
• High BMI, increase protocol settings by 100% (increase average power by 100%)

Age:

• Patients less than 50 years of age, use normal protocol settings.
• Patients greater than 60 years of age, reduce protocol settings by 50% (reduce average power by 50%) for first 3
to 6 treatments.

Fitness level:

• Patients, who are fit, use normal protocol settings.
• Patients who are out of shape, reduce protocol settings by 50% (reduce average power by 50%) for first 3 to 6
treatments.

Athletes:

• Use normal settings for first 3 to 6 treatments, increase protocol settings by 100% (increase average power by
100%) for subsequent treatments.

Indications

1) All tissue structures: epidermis, dermis, subcutaneous fat, muscle, tendon, bone and ligaments may be treated
with a therapeutic laser for bio-‐stimulative rehabilitative purposes.
2) Metal pins, metal plates, plastics and pacemakers are not contraindicated.
3) Use clear plastic wrap, cellophane or translucent / transparent bandage types to protect a wound site prior to
laser treatment.
4) Many factors contribute to laser protocol selection. Use the basic laser protocol settings outlined in this manual,
prior to developing more sophisticated laser protocols.
Contraindications

1) Do not treat the abdomen of a pregnant woman.
2) Do not treat any types of neoplasia, cancer or cancerous lesions, (benign or malignant).

Cautions in the use of Laser Therapy

1) Within ½ inch of the eye structure. Never point the laser in the direction of any person’s eyes.
2) Do not treat endocrine glands such as the pancreas and the thyroid.
3) For a new patient or a patient who may be light sensitive, spot test the laser on an area of tissue to determine if
they are adversely sensitive to laser treatment.
4) If a patient is currently prescribed photosensitive medicine, NSAIDS, steroids or corticosteroid medicine, try to
allow 2 weeks as a wash out period prior to laser treatment. If a wash out period is not possible, reduce the laser
power to ½ of the recommended power indicated and increase with each treatment as the patient reliance on
photosensitive medicine, NSAIDS, steroids or corticosteroid medicine reduces.
5) Start treatment at the most painful area first and follow the treatment specifics. Treat surrounding tissue next.
6) Under no circumstances should the patient feel anything more than a slight warming effect. If the patient feels
hot sensations, pain or burning, STOP LASER TREATMENT IMMEDIATELY and check laser equipment. If laser
probe head is hot to the touch, call Theralase Inc. immediately for service. Detailed contact information is
provided in Section 6 – Maintenance and Service, of this manual.
7) Under no circumstances over-‐treat an individual as over-‐treatment may lead to bio-‐inhibition of tissue
structures.

Treatment Specification: 001 ACNE VULGAR

Acne Vulgaris

Treatment Protocol:

Treatment Program:
Recommended Treatment Probe Multiple Acute Sub-‐Acute Chronic
TLC-‐1000 Treatment Record 001 ACNE VULGAR Frequency 2-‐3/week 2-‐3/week 2-‐3/week
Number of Treatment Points 2 Total Visits 4 to 6 8-‐12 15-‐25

Treatment Optimization:

Standard Low BMI & Sports & Darker

Geriatric High BMI Skin
Power 27 14 27 14
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.24 1.68 3.24 3.36

Treatment Details:

Select the TLC-‐1000 laser 001 ACNE protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe depending on the surface area
to be treated. Ensure that the patient wears safety glasses during treatment. Protect the probes with clear plastic film prior to
treatment. For the treatment of acne vulgaris, the location varies from the chest, back, neck and/or face. For the attached diagram,
12 locations were chosen at a treatment time of 2 minutes per point. For each treatment, choose the configuration of laser probes
that best optimizes the surface area to be irrigated and treat for 2 minutes per point. Ensure that the probes remain perpendicular to
the area of treatment.

Treatment Specification: 002 HAIR LOSS

Hair Loss

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 002 HAIR LOSS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 30 15 30 15
Time 3:00 3:00 3:00 6:00
Energy (Joules) 5.40 2.70 5.40 5.40

Treatment Details:

Select the TLC-‐1000 laser 002 HAIR LOSS protocol. Set-‐up the TLC-‐1000 laser multiple probe depending on the surface area to be
treated. Ensure that the patient wears safety glasses during treatment. Protect the probes with clear plastic film prior to treatment.
Apply directly to the scalp in the area of hairloss.


Treatment Specification: 003 HERPES

Herpes Simplex Virus HSV1 & HSV2

Treatment Protocol:

Treatment Program:
Recommended Treatment Probe Triple Acute Sub-‐Acute Chronic
TLC-‐1000 Treatment Record 003 HERPES Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 30 15 30 15
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.60 1.80 3.60 3.60

Treatment Details:

Select the TLC-‐1000 laser 003 HERPES protocol. Set-‐up the TLC-‐1000 laser as a triple probe. Ensure that the patient wears laser
safety glasses during treatment. Protect the probe with clear plastic film prior to treatment. Treat for 3 minutes per point. Ensure
that the probe remains perpendicular to the area of treatment.

Treatment Specification: 004 LABYRINTH

Labyrinthitis / Meniere’s

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 004 LABYRINTH Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 2:00 2:00 2:00 4:00
Energy (Joules) 6.00 3.00 12.00 6.00

Treatment Details:

Select the TLC-‐1000 laser 004 LABYRINTH protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated

treatment path. Ensure that the patient wears laser safety glasses during treatment. Treat as shown in the attached diagram for 2

minutes
th
per point, bilaterally. The diminishment of the symptoms range, but normal relief commences around the 7 session.

Ensure
that the probes remain perpendicular to the area of treatment.

Treatment Specification: 005 MIGRAINE

Migraine, Cephalea

Treatment Protocol:

Treatment Program:
Recommended Treatment Probe Triple & Multiple Acute Sub-‐Acute Chronic
TLC-‐1000 Treatment Record 005 MIGRAINE Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 40 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 2.40 4.80 4.80

Treatment Details:

Select the TLC-‐1000 laser 005 MIGRAINE protocol. Set-‐up the TLC-‐1000 triple or multiple laser probe and follow the indicated

treatment path. Ensure that the patient wears laser safety glasses during treatment. Treat patient by following attached diagram,

treating the most painful areas from the centre of the forehead to the back of the ear in 2 minute intervals. Treat behind the ear for
minutes. If the patient exhibits stiffness of the neck, treat the cervical vertebrae for 2 minutes. Treat the patient everyday for the
2
first three days then 3 times a week, thereafter. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 006 OTITIS

Otitis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 006 OTITIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 40 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 2.40 4.80 4.80

Treatment Details:

Select the TLC-‐1000 laser 006 OTITIS protocol. Set-‐up the TLC-‐1000 laser as a triple probe. Ensure that the patient wears laser safety

glasses during treatment. Protect the probe with clear plastic film prior to entering the ear. Be gentle not to injure the inner ear. For

each treatment treat the patient as shown in the attached diagram per ear. Ensure that the probe remains perpendicular to the area
of treatment.

Treatment Specification: 007 SINUSITIS

Sinusitis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 007 SINUSITIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 45 23 50 25
Time 2:00 2:00 2:00 4:00
Energy (Joules) 5.40 2.76 6.00 6.00

Treatment Details:

Select the TLC-‐1000 laser 007 SINUSITIS protocol. Set up the TLC-‐1000 laser for a triple probe. Ensure that the patient wears laser

safety glasses during treatment. For the first treatment, treat patient as shown in the attached diagram for 2 minutes per point.

Ensure
that the probes remain perpendicular to the area of treatment.

Treatment Specification: 008 STOMATITIS

Stomatitis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 008 STOMATITIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 30 15 30 15
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.60 1.80 3.60 3.60

Treatment Details:

Select the TLC-‐1000 laser 008 STOMATITIS protocol. Set up the TLC-‐1000 laser for a triple probe. Ensure that the patient wears laser

safety glasses during treatment. For the first treatment, treat patient as shown in the attached diagram for 2 minutes per point.
Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 009 TMJ

Temporomandibular Joint Syndrome

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 009 TMJ Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 30 15 60 15
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.60 1.80 7.20 3.60

Treatment Details:

Select
the TLC-‐1000 laser 009 TMJ protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple laser probe. Ensure that the patient
wears laser safety glasses during treatment. For the first treatment, treat patient as shown in the attached diagram for 15mts per

point over top of and surrounding the temporomandibular joint. Increase or decrease average power per patient characteristic.

Treatment Specification: 010 TRIGEMINAL

Trigeminal Neuralgia

Treatment Protocol:

Treatment Program:
010 Frequency 2-‐3/week 2-‐3/week 2-‐3/week
TLC-‐1000 Treatment Record
TRIGEMINAL



Power 24 12 24 12
Time 2:00 2:00 2:00 4:00
Energy (Joules) 2.88 1.44 2.88 2.88

Treatment Details:

Select the TLC-‐1000 laser 010 NEURALGIA protocol. Set-‐up the TLC-‐1000 laser for a multiple probe. Ensure that the patient wears

laser safety glasses during treatment. Treat the most painful zones first for 2 minutes per point. Second, follow the attached diagram
2 minutes per point. There should be a reduction in pain in the trigeminal nerve by the 3rd session. In the case of radiant facial
for
pain, treat by scanning with a multiple probe at 035 milliwatts for 3 minutes. Ensure that the probes remain perpendicular to the
area of treatment.

Treatment Specification: 011 WRINKLES

Wrinkles

Treatment Protocol:

Treatment Program:
Recommended Treatment Probe Single Acute Sub-‐Acute Chronic
TLC-‐1000 Treatment Record 011 WRINKLES Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 25 13 30 15
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.00 1.56 3.60 3.60

Treatment Details:

Select the TLC-‐1000 laser 011 WRINKLES protocol. Set-‐up the TLC-‐1000 laser as a triple single probe and follow the indicated

treatment path. Ensure that the patient wears laser safety glasses during treatment. Treat as shown in the attached diagram for 2
minutes per point, bilaterally. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 012 GINGIVAL

Gingival Flap – Front

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 012 GINGIVAL Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 30 15 40 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.60 1.80 4.80 4.80

Treatment Details:

Select the TLC-‐1000 laser 012 Gingival Dental protocol. Set-‐up the TLC-‐1000 laser as a triple probe. Ensure that the patient wears

laser safety glasses during treatment. Ensure that the area is as dry as possible prior to treatment. Protect the probe with clear

plastic film. If treating through packing material increase setting by 25 mW. Treat skin flap 1 minute per point around the periphery
1 minute per point in one centimeter
and increments across the surface of the flap. Ensure that the probe remains perpendicular to

Treatment Specification: 013 GUM HYPER

Gum Hypersensitivity

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 013 GUM HYPER Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 15 8 20 10
Time 1:00 1:00 1:00 2:00
Energy (Joules) 0.90 0.48 1.20 1.20

Treatment Details:

Select the TLC-‐1000 laser 013 Gum Hypersensitivity protocol. Set-‐up the TLC-‐1000 laser as a triple probe. Ensure that the patient

wears laser safety glasses during treatment. Ensure that the area is as dry as possible prior to treatment. Protect the probe with

clear plastic film. If treating through packing material increase setting by 25 mW. Treat gums 1 minute per point around the sensitive

area. perpendicular to the area of treatment.
Ensure that the probe remains

Treatment Specification: 014 GUM INFLAM

Gum Inflammation

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 014 GUM INFLAM Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 18 9 25 12
Time 1:30 1:30 1:30 3:00
Energy (Joules) 1.62 0.81 2.25 2.16

Treatment Details:

Select the TLC-‐1000 laser 014 Dental protocol. Set-‐up the TLC-‐1000 laser as a triple probe. Ensure that the patient wears laser safety

glasses during treatment. Ensure that the area is as dry as possible prior to treatment. Protect the probe with clear plastic film. If

treating through bandage material increase setting to 025 mW. Treat inflammation for 1 minute per point. Ensure that the probes
remain perpendicular to the area of treatment.

Treatment Specification: 015 ORAL ULCER

Oral Ulcers

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 015 ORAL ULCER Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 40 30
Time 1:30 1:30 1:30 3:00
Energy (Joules) 3.60 1.80 3.60 5.40

Treatment Details:

Select the TLC-‐1000 laser 015 ORAL ULCER protocol. Set up the TLC-‐1000 laser for a multi probe. Ensure that the patient wears laser

safety glasses during treatment. For the first treatment, treat patient as shown in the attached diagram for 1:30 minutes per point.
Ensure that the probes remain perpendicular to the area of treatment
Treatment Specification: 016 DENTAL MUSCL

Post Dental Muscle Soreness

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 016 DENTAL MUSCL Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 2:00 2:00 2:00 4:00
Energy (Joules) 6.00 3.00 12.00 6.00

Treatment Details:

Select the TLC-‐1000 laser 016 DENTAL MUSCLE protocol. Set-‐up the TLC-‐1000 laser for a multiple probe. Ensure that the patient

wears laser safety glasses during treatment. Treat the most painful zones first for 2 minutes per point. Second, follow the attached

diagram for 2 minutes per point. In the case of radiant facial pain, treat by scanning with a multiple probe at 035 milliwatts for 3
minutes. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 017 DENTAL EXTRA

Post Dental Tooth Extraction

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 017 DENTAL EXTRA Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 75 38 75 38
Time 2:00 2:00 2:00 4:00
Energy (Joules) 9.00 4.56 9.00 9.12

Treatment Details:

Select the TLC-‐1000 laser 017 DENTAL EXTRA protocol. Set-‐up the TLC-‐1000 laser for a multiple probe. Ensure that the patient wears

laser safety glasses during treatment. Treat the most painful zone first for 2 minutes per point. Second, follow the attached diagram
for 2 minutes per point. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 018 DENTAL IMPLA

Post Dental Tooth Implant

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 018 DENTAL IMPLA Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 75 38 75 38
Time 2:00 2:00 2:00 4:00
Energy (Joules) 9.00 4.56 9.00 9.12

Treatment Details:

Select the TLC-‐1000 laser 018 DENTAL IMPLA protocol. Set-‐up the TLC-‐1000 laser for a multiple probe. Ensure that the patient wears

laser safety glasses during treatment. Treat the most painful zones first for 2 minutes per point. Second, follow the attached diagram
for 2 minutes per point. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 019 TRISMUS

Trismus

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 019 TRISMUS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 3:00 3:00 3:00 6:00
Energy (Joules) 9.00 4.50 1.80 9.00

Treatment Details:

Select the TLC-‐1000 laser 019 TRISMUS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple laser probe. Ensure that the

patient wears laser safety glasses during treatment. For the first treatment, treat patient as shown in the attached diagram for 15

mins per point over top of and surrounding the temporomandibular joint. Increase or decrease average power per patient
characteristic. Ensure that the probes remain perpendicular to the area of treatment.
Treatment Specification: 020 CERVICAL

Cervical Arthrosis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 020 CERVICAL Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 60 30 100 30
Time 3:00 3:00 3:36 6:00
Energy (Joules) 10.80 5.40 21.60 10.80

Treatment Details:

Select the TLC-‐1000 laser 020 CERVICAL protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe and follow the indicated

treatment path. Treat the patient commencing with the most painful area first. (This is the best determined by light pressure applied
the area by the practitioner). Next, treat as shown in the attached diagram starting from the upper neck and moving down the
to

neck 3 minutes per point. Treat the patient every day for the first 3 days and then 3 times a week, thereafter. Ensure that the probes

remain perpendicular to the area of treatment.

Treatment Specification: 021 TORTICOLLIS

Torticollis / Wry Neck

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 021 TORTICOLLIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 3:00 3:00 3:00 6:00
Energy (Joules) 9.00 4.50 18.00 9.00
Treatment Details:

Select the TLC-‐1000 laser 021 TORTICOLLIS protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe and follow the indicated

treatment path. Seat patient with elbows gently resting on knees. Treat the patient commencing with the most painful area first.

(This is best determined by light pressure applied by the practitioner). Next, treat as shown in the attached diagram starting from the
upper neck moving down the neck for 3 minutes per point. Finally, treat the shoulders as shown for 3 minutes per point. Treat the
patient daily for the first three days and then 3 times per week, thereafter. Ensure that the probes remain perpendicular to the area
of treatment.

Treatment Specification: 022 THORACIC

Thoracic Outlet Syndrome

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 022 THORACIC Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 70 35 100 35
Time 2:00 2:00 2:48 4:00
Energy (Joules) 8.40 4.20 16.80 8.40
Treatment Details:

Select the TLC-‐1000 laser 022 THORACIC protocol. Set-‐up the TLC-‐1000 laser for a multiple probe and follow the indicated treatment

path. Seat patient with elbows gently resting on knees. Treat the patient commencing with the most painful area first. (This is best

determined by light pressure applied by the practitioner). Next, treat as shown in the attached diagram starting from the upper neck
moving down the neck for 3 minutes per point. Treat the patient daily for the first three days and then 3 times per week, thereafter.
Treatment Specification: 023 INTERCOSTAL

Intercostallic Pains

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 023 INTERCOSTALLIC Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 2.40 9.60 4.80

Treatment Details:

Select the TLC-‐1000 laser 023 INTERCOSTAL protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated

treatment path. Seat patient with hands gently placed on head. Treat the patient commencing with the most painful area first. (This
best determined by light pressure applied to the area by the practitioner). Next, treat as shown in the attached diagram starting
is

from the mid rib cage and moving towards the lower rib cage for 2 minutes per point. In the case of radiant pain, scan the area at
036 mw for 3 minutes per point. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 024 TIETZE

Tietze Syndrome

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 024 TIETZE Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 30 15 60 15
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.60 1.80 7.20 3.60

Treatment Details:

Select the TLC-‐1000 laser 024 TIETZE protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated

treatment path. Seat patient with arms placed gently behind back. Treat the patient commencing with the most painful area f irst.

Next, treat as shown in the attached diagram starting from the upper chest and moving towards the mid abdomen for 2 minutes per
point. Treat the patient every day for the first 3 days and then 3 times a week, thereafter. Ensure that the probes remain
perpendicular to the area of treatment.

Treatment Specification: 025 DORSAL

Dorsal Arthrosis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 025 DORSAL Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 60 30 100 30
Time 2:00 2:00 2:24 4:00
Energy (Joules) 7.20 3.60 14.40 7.20

Treatment Details:

Select
the TLC-‐1000 laser 025 DORSAL AR protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment
path. Seat patient with arms gently resting on knees. Treat the patient commencing with the most painful area first. (This
is best determined by light pressure applied to the area by the practitioner). Next, treat as shown in the attached diagram starting

from the upper back and moving towards the lower back for 2 minutes per point. Treat dorsal nerve root ganglion (source & Lesion).
Add or delete treatment zones based on the location of the patient’s dorsal pain. Treat the patient every day for the first 3 days and
then 3 times a week, thereafter. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 026 LUMBAR DISC

Lumbar Disc Herniation

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 026 LUMBAR DISC Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 80 40 100 40
Time 3:00 3:00 4:48 6:00
Energy (Joules) 14.40 7.20 28.80 14.40

Treatment Details:

Select the TLC-‐1000 laser 026 LUMBAR DISC protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the

indicated treatment path. Lie patient face down with arms. Treat the patient commencing with the most painful area first. (This is

best determined by light pressure applied to the area by the practitioner). Next, treat as shown in the attached diagram starting from
spine and moving towards the patient’s sides for 3 minutes per point. Add or delete treatment zones based on the location of
the
the patient’s lumbar pain. A progressive diminishment of the pain should be observed after the third treatment. Treat the p atient
every day for the first 3 days and then 3 times a week, thereafter. Ensure that the probes remain perpendicular to the area of
treatment.

Treatment Specification: 027 LUMBAR SPINE

Lumbar Spine Stenosis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 027 LUMBAR SPINE Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 75 38 100 38
Time 3:00 3:00 4:30 6:00
Energy (Joules) 13.50 6.84 27 13.68

Treatment Details:

Select the TLC-‐1000 laser 027 LUMBAR SPINE protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the

indicated treatment path. Lie patient face down with arms. Treat the patient commencing with the most painful area first. (This is

spine and moving outward for 3 minutes per point. Add or delete treatment zones based on the location of the patient’s l umbar
the
pain. A progressive diminishment of the pain should be observed after the third treatment. Treat the patient every day for the first 3
days and then 3 times a week, thereafter. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 028 LUMBAR ARTH

Lumbar Arthrosis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 028 LUMBAR ARTH Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 65 33 100 33
Time 3:00 3:00 3:54 6:00
Energy (Joules) 11.70 5.94 23.40 11.88

Treatment Details:

Select
the TLC-‐1000 laser 028 LUMBAR AR protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Lie patient face down with arms. Treat the patient commencing with the most painful area first. (This is b est

determined by light pressure applied to the area by the practitioner). Next, treat as shown in the attached diagram starting from the

spine and moving towards the patient’s sides for 3 minutes per point. Add or delete treatment zones based on the location of the

patient’s lumbar pain. A progressive diminishment of the pain should be observed after the third treatment. Treat the patient every
day for the first 3 days and then 3 times a week, thereafter. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 029 HERPETIC

Post Herpetic Pain

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 029 HERPETIC Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 35 18 70 18
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.20 2.16 8.40 4.32

Treatment Details:

Select the TLC-‐1000 laser 029 HERPETIC protocol. Set-‐up the TLc-‐1000 laser as a triple or multiple probe and follow the indicated

treatment path. Lie patient face down with arms gently at side. Treat the patient commencing with the most painful area first. Next,

treat as shown in the attached diagram starting from the center of the back and scanning toward their side for 2 minutes per point.

Treat the patient every day for the f irs 3 days and then 3 times a week, thereafter. Ensure that the probes remain perpendicular to

Treatment Specification: 030 SACROILIAC

Sacroiliac Joint Pain

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 030 SACROILIAC Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 3:00 3:00 3:00 6:00
Energy (Joules) 9.00 4.50 18.00 9.00

Treatment Details:

Select the TLC-‐1000 laser 030 SI JOINT protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated

treatment path. Lie the patient face down on table. Treat the patient as shown in the attached diagram commencing with the most

painful area first. A progressive diminishment of the pain should be observed after the third treatment. Treat the patient everyday
the first 3 days and then 3 times a week, thereafter. Ensure that the probe remains perpendicular to the area of treatment.
for

Treatment Specification: 031 FROZEN SH

Frozen Shoulder

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 031 FROZEN SH Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 65 33 100 33
Time 3:00 3:00 3:54 6:00
Energy (Joules) 11.70 5.94 23.40 11.88

Treatment Details:

Select the TLC-‐1000 laser 031 SHOULDER FR protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Seat patient with arm gently resting on knee. Treat the patient commencing with the most painful area first. (This is
the neck through to the shoulder and upper back for 3 minutes per point. Move patient’s hand to the opposite shoulder and repeat
protocol for 3 minutes. Treat the patient every day for the first 3 days and then 3 times a week, thereafter. Ensure that the probes
are perpendicular to the area of treatment

Treatment Specification: 032 ROTATOR

Rotator Cuff

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 032 ROTATOR CUFF Frequency 2-‐3/week 2-‐3/week 2-‐3/week


Power 60 30 100 30
Time 3:00 3:00 3:36 6:00
Energy (Joules) 10.80 5.40 21.60 10.80
Treatment Details:

Select the TLC-‐1000 laser 032 ROTATOR CUFF record file. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the

indicated treatment path. Treat the patient commencing with the most painful area first. (This is best determined by light pressure

applied to the area by practitioner).
1) Seat patient with hand on hip and elbow extended posterior. Treat the SITS (supraspinatus, infraspinatus, teres (major & minor)
and subscapularis) insertions on the anterior humorous.
2) Next, treat the SITS muscles on the scapula from the posterior side.
3) For treating the subscapularis, lay the patient supine with the injured arm extended behind the head to expose the subscapularis.
Treat the patient daily for the first 3 days and then 3 times a week, thereafter. Ensure that the probes remain perpendicular to the
area of treatment.

Select the TLC-‐1000 033 SHOULDER FT protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Seat patient with arm placed behind their back. Treat the patient commencing with the most painful area first. (This
from the upper shoulder and moving down the shoulder for 3 minutes per point. For the first wTLC-‐1000
eek treat dTaily, for subsequent
HERAPEUTIC weeks LASER
MEDICAL
treat 3 times per week. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 033 SHOULDER
Shoulder Pain

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 033 SHOULDER Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 60 30 100 30
Time 3:00 3:00 3:36 6:00
Energy (Joules) 10.80 5.40 21.60 10.80

Treatment Details:

Select the TLC-‐1000 laser 034 LIPEDEMA protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Seat patient with arms gently resting on thigh. Treat the patient commencing with the most painful area first. (This
from the shoulder socket and moving towards the forearm for 3 minutes per point. The individual size of tThe
TLC-‐1000 oedema will M
HERAPEUTIC determine
EDICAL LASER
the proper number of treatments. Treat the patient every day for the first 3 days and then 3 times a week, thereafter. Ensure that
the probes remain perpendicular to the area of treatment.
Treatment Specification: 034 LIPEDEMA
Lipedema

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 034 LIPEDEMA Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 3:00 3:00 3:00 6:00
Energy (Joules) 7.20 3.60 14.40 7.20

Treatment Details:

Select the TLC-‐1000 laser 035 LYMPHEDEMA protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the
indicated treatment path. Seat patient with arms gently resting on thigh. Treat the patient commencing with the most painful area
first. (This is best determined by light pressure applied to the area by the practitioner). Next, treat as shown in the attached diagram
starting from the shoulder socket and moving towards the forearm for 2 minutes per point. The individual TsHERAPEUTIC
TLC-‐1000 ize of the oedema will LASER
MEDICAL
determine the proper number of treatments. Treat the patient every day for the first 3 days and then 3 times a week, thereafter.
Treatment Specification: 035 LYMPHEDEMA
Arm Lymphedema

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 035 LMPHEDEMA Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 45 23 90 23
Time 2:00 2:00 2:00 4:00
Energy (Joules) 5.40 2.76 10.80 5.52

Treatment Details:

Select the TLC-‐1000 laser 036 RAYNAUD record file. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Seat patient with arms gently resting on table. Treat the patient commencing with the most painful area first. (This
is best determined by light pressure applied to the area by the practitioner.) Next, treat as shown in the attached diagram starting
from just above the elbow and moving down the forearm for 2 minutes per point. Repeat the sTLC-‐1000 THERAPEUTIC
ame procedure MEDICAL
on the posterior of LASER
the elbow for 2 minutes per point. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 036 RAYNAUDS
Raynaud’s Syndrome

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 036 RAYNAUDS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 30 15 60 15
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.60 1.80 7.20 3.60

Treatment Details:

Select the TLC-‐1000 laser 037 TENDINITIS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Seat patient with arms gently resting on table. Treat the patient commencing with the most painful area first. Next,
treat as shown in the attached diagram starting from the elbow and moving down the forearm for 3 minutes per point. If the radiant
pain is located above the elbow, treat by scanning the area at 060 mw for 4 minutes from the cervicular
TLC-‐1000 vertebrae to the eM
THERAPEUTIC lbow. Add LASER
EDICAL
or delete treatment zones based on the locations of the patient’s pain. Ensure that the probes remain perpendicular to the area of
treatment
Treatment Specification: 037 TENDINITIS
Tendinitis, Strains and Pains

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 037 TENDINITIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 3:00 3:00 3:00 6:00
Energy (Joules) 7.20 3.60 14.40 7.20

Treatment Details:

elect the TLC-‐1000 laser 038 ELBOW TENNIS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the
ndicated treatment path. Seat patient with arm gently resting inverted on table. Treat the patient commencing with the most
ainful area first. (This is best determined by light pressure applied to the area by the practitioner.) Next, treat as shown in the
ttached diagram starting from just above the elbow and moving towards the forearm for 2 minutes 30 seconds
TLC-‐1000 per point. MEDICAL LASER
THERAPEUTIC
rd th th th
mprovement of mobility will commence with the 3 and 4 treatment. Pain will be greatly reduced by the 6 to 7 treatment and
th th
y the 8 to 10 treatment, the pain should be eliminated. Ensure that the probes remain perpendicular to the area of treatment.
Treatment Specification: 038 TENNIS ELBOW
Tennis Elbow, Golfer’s Elbow

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 038 TENNIS ELBOW Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 60 30 100 30
Time 2:30 2:30 3:00 5:00
Energy (Joules) 9.00 4.50 18.00 9.00

Treatment Details:

Select the TLC-‐1000 laser 039 CARPAL TUNNEL protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the
indicated treatment path. Seat patient with arm gently resting palm on table. Treat as shown in the attached diagram staring from
the wrist and moving towards the fingers for 2 minutes per point. Next, treat the dorsal root in the cervical process (C5/C6/C7).
Treat the patient everyday for the first 3 days and then 3 times a week, thereafter. Improvement of movement
TLC-‐1000 will commence
THERAPEUTIC with LASER
MEDICAL
rd th th th th th
the 3 to 4 treatment. Pain should be greatly reduced by the 6 to 7 treatment and by the 8 to 10 treatment, the pain should
be eliminated. Ensure that the probes remain perpendicular to the area of treatment.
Treatment Specification: 039 CARPAL TUNN
Carpal Tunnel Syndrome

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 039 CARPAL TUNN Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 4.80 9.60 4.80

Treatment Details:

Select the TLC-‐1000 laser 040 DUPUYTRENS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Seat patient with arm gently resting palm up on table. Treat as shown in the attached diagram running along the
affected tendons Treat the patient everyday for the first 3 days and then 3 times a week, thereafter. Improvement of movement will
rd th th th th th
commence with the 3 to 4 treatment. Pain should be greatly reduced by the 6 to 7 treatment and by TtHERAPEUTIC
TLC-‐1000 he 8 to 10 treatment,
MEDICAL LASER
the pain should be eliminated. Ensure that the probes remain perpendicular to the area of treatment
Treatment Specification: 040 DUPUYTRENS

Dupuytren’s Contracture

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 040 DUPUYTRENS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 35 18 70 18
Time 3:00 3:00 3:00 6:00
Energy (Joules) 6.30 3.24 12.60 6.48

Treatment Details:

Select the TLC-‐1000 laser 041 FINGER AR protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Seat patient with hand gently resting palm down on table. Treat as shown in the attached diagram for 2 minutes per
point. Invert hand and repeat above protocol for 2 minutes per point. Treat the patient everyday for the first 3 days and then 3
times a week, thereafter. A great reduction of pain is felt directly after the first treatment and aTLC-‐1000
greater return of sensitivity
THERAPEUTIC MiEDICAL
s felt LASER
rd th
after the 3 or 4 treatment. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 041 FINGER ARTH
Arthritis / Arthrosis of the Fingers

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 041 FINGER ARTH Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 36 18 72 18
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.32 2.16 8.64 4.32

Treatment Details:

Select the TLC-‐1000 laser 042 THUMB SPRAIN protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the
indicated treatment path. Seat patient with hand gently resting palm up on the table. Treat as shown in the attached diagram with
probe aligned along the life line on the hand for 3 minutes per point. Invert hand and repeat the above protocol for 3 minutes per
point. Treat the patient every day for the first 3 days and then 3 times a week, thereafter. The TLC-‐1000
swelling will decrease the fM
THERAPEUTIC irst
EDICAL LASER
rd th
treatment and mobility will begin to return by the 3 or 4 treatment. Mobility will continue to increase with each subsequent
treatment. Ensure that the probes remain perpendicular to the area of treatment
Treatment Specification: 042 THUMB SPRAIN
Sprain of the Thumb

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 042 THUMB SPRAIN Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 3:00 3:00 3:00 6:00
Energy (Joules) 7.20 3.60 14.40 7.20

Treatment Details:

Select the TLC-‐1000 laser 043 HIP BURSITIS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and treat the hip joint
bursa on both the anterior and posterior side of the body. Adjust treatment protocol based on patient characteristics. Treat the
patient everyday for the first 3 days and then 3 times per week, thereafter. Mobility will continue to increase with each subsequent
treatment. Ensure that the probes remain perpendicular to the area of treatment TLC-‐1000 THERAPEUTIC MEDICAL LASER
Treatment Specification: 043 HIP BURSITIS

Hip Bursitis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 043 HIP BURSITIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 80 40 100 40
Time 5:00 5:00 8:00 10:00
Energy (Joules) 24.00 12.00 48.00 24.00

Treatment Details:

\
Select the TLC-‐1000 laser 044 PIRIFORMIS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
location. Lie patient face down on table for the treatment. Treat as shown in the first diagram deep into the gluteus maximus for 3
minutes per point. Treat the patient every day for the first 3 days and then 3 times a week, thereafter. Mobility will continue to
increase with each subsequent treatment. Ensure that the probes remain perpendicular to the TLC-‐1000 THERAPEUTIC MEDICAL LASER
area of treatment.

Treatment Specification: 044 PIRIFORMIS

Piriformis Strain

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 044 PIRIFORMIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 75 38 100 38
Time 3:00 3:00 4:30 6:00
Energy (Joules) 13.50 6.84 27.00 13.68

Treatment Details:

Select the TLC-‐1000 laser 045 GROIN STRAIN protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the
indicated location. Lie patient face up on table for the treatment. Treat as shown in the first diagram deep into the abductor muscles
for 3 minutes per point. Treat the patient every day for the first 3 days and then 3 times a week, thereafter. Mobility will continue to
increase with each subsequent treatment. Ensure that the probes remain perpendicular to the TLC-‐1000 area of treatment.
THERAPEUTIC MEDICAL LASER

Treatment Specification: 045 GROIN PULL

Groin Pull

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 045 GROIN PULL Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 70 35 100 35
Time 3:00 3:00 4:12 6:00
Energy (Joules) 12.60 6.30 25.20 12.60

Treatment Details:

Select the TLC-‐1000 laser 046 HEMORRHOIDS protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe depending on the
surface area to be treated. Ensure that the patient wears safety glasses during treatment. Protect the probes with clear plastic film
prior to treatment. Treat as shown in the first diagram
Treatment Specification: 046 HEMORRHOIDS

Hemorrhoids

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 046 HEMORRHOIDS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 40 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 2.40 4.80 4.80

Treatment Details:

Select the TLC-‐1000 laser 047 PELVIC FLOOR protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe depending on the
Treatment Specification: 047 PELVIC FLOOR

Pelvic Floor Pain

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 047 PELVIC FLOOR Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 2:00 2:00 2:00 4:00
Energy (Joules) 6.00 3.00 12.00 6.00

Treatment Details:

Select the TLC-‐1000 laser 048 PROSTATITIS protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe depending on the
Treatment Specification: 048 PROSTATITIS

Prostatis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 048 PROSTATIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 75 38 100 38
Time 3:00 3:00 4:30 6:00
Energy (Joules) 13.50 6.84 27.00 13.68

Treatment Details:

Select the TLC-‐1000 laser 049 SCIATICA protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe and follow the indicated
treatment path. Lie patient face down on the table and treat as shown in the piriform / sacral area for 4 minutes per point,
bilaterally, if required. Treat the patient every day for the first 3 days and then 3 times a week, thereafter. Mobility will continue to
increase with each subsequent treatment. Ensure that the probes remain perpendicular to the TLC-‐1000 THERAPEUTIC MEDICAL LASER
area of treatment

Treatment Specification: 049 SCIATICA

Sciatica

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 049 SCIATICA Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 70 35 100 35
Time 3:00 3:00 4:12 6:00
Energy (Joules) 12.60 6.30 25.20 12.60

Treatment Details:

Select the TLC-‐1000 laser 050 SHIN protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and treat the indicated locations.
Lie the patient face up on table for treatment. Treat as shown in diagram for 2 minutes. Treat the patient everyday for the first 3
days and then 3 times per week, thereafter. Mobility will continue to increase with each subsequent treatment. Ensure that the
probes remain perpendicular to the area of treatment. TLC-‐1000 THERAPEUTIC MEDICAL LASER

Treatment Specification: 050 SHIN SPLINTS

Shin Splints

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 050 SHIN SPLINTS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 2.40 9.60 4.80

Treatment Details:

Select the TLC-‐1000 laser 051 ILIOTIBIAL protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and treat the indicated
locations. Seat patient with leg on foot stool elevated at 30 degrees from the vertical. Treat as shown in the first and second diagram
above and lateral to the knee joint for 2 minutes per point. Treat the patient every day for the first 3 days and then 3 times a week,
thereafter. Mobility will continue to increase with each subsequent treatment. Ensure that the TLC-‐1000 THERAPEUTIC
probes remain MEDICAL
perpendicular to the LASER
area of treatment.

Treatment Specification: 051 ILIOTIBAL
Iliotibial Band Friction Syndrome

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 051 ILIOTIBIAL Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 2.40 9.60 4.80

Treatment Details:

Select the TLC-‐1000 laser 052 KNEE PAIN protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Seat patient with leg on footstool elevated at 30 degrees from the vertical. Treat as shown in the first d iagram along
the front and side of the knee joint for 3 minutes per point. Finally, treat as shown in the second diagram deep into the cartilage of
the knee joint for 3 minutes per point. Treat the patient every day for the first 3 days and then TLC-‐1000
3 times a wTeek, thereafter. M
HERAPEUTIC MEDICAL
obility LASER
will continue to increase with each subsequent treatment. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 052 KNEE PAIN
Knee Pain

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 052 KNEE PAIN Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 3:00 3:00 3:00 6:00
Energy (Joules) 6.00 3.00 12.00 6.00

Treatment Details:

Select the TLC-‐1000 laser 053 CRUCIATE protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and treat the indicated
locations. Seat patient with leg on footstool elevated at 30 degrees from the vertical. Treat as shown in the first and second diagram
lateral or medial to the knee joint for 2 minutes, 30 seconds per point. Treat the patient everyday for the first 3 days and then 3
times per week, thereafter. Mobility will continue to increase with each subsequent treatment. TLC-‐1000 Ensure that the probes remain
perpendicular to the area of treatment.

Treatment Specification: 053 AP CRUCIATE
Anterior / Posterior Cruciate

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 053 AP CRUCIATE Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 75 38 100 38
Time 2:30 2:30 3:45 5:00
Energy (Joules) 11.25 5.70 22.50 11.40

Treatment Details:

Select the TLC-‐1000 laser 054 OSGOOD protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
locations. Seat the patient with leg on stool elevated at 30 degrees from the vertical. Treat as shown in the first and second diagram
below the knee joint for 2 minutes 30 seconds per point. Treat the patient everyday for the first 3 days and then 3 times a week,
thereafter. Mobility will continue to increase with each subsequent treatment. Ensure that the probes remain
TLC-‐1000 perpendicular
THERAPEUTIC to the LASER
MEDICAL
area of treatment.

Treatment Specification: 054 OSGOOD
Osgood-‐Schlatter Disease

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 054 OSGOOD Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 2:30 2:30 2:30 5:00
Energy (Joules) 6.00 3.00 12.00 6.00

Treatment Details:

Select the TLC-‐1000 laser 055 PATELLOFEM protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and treat the indicated
locations. Seat patient with leg on foot stool elevated at 30 degrees from the vertical. Treat as shown in the first and second diagram
above the knee joint for 2 minutes per point. Treat the patient everyday for the first 3 days and then 3 times a week, thereafter.
Mobility will continue to increase with each subsequent treatment. Ensure that the probes remain perpendicular
TLC-‐1000 to the area
THERAPEUTIC of
MEDICAL LASER
treatment.

Treatment Specification: 055 PATELLOFEM
Patellofemoral Pain

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 055 PATELLOFEM Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 3:00 3:00 3:00 6:00
Energy (Joules) 9.00 4.50 18.00 9.00

Treatment Details:

Select the TLC-‐1000 laser 056 ACHILLES protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe and follow the indicated
treatment path. Have the patient kneel on a soft surface for the leg to be treated. Treat as shown in the above diagram starting from
the ankle and working up to the upper calf muscle for 2 minutes per point. Treat the patient 3 times a week for each treatment.
Mobility should increase with each subsequent treatment. Ensure that the probes remain perpendicular TLC-‐1000 to the area of treatment.

Treatment Specification: 056 ACHILLES

Achilles’ Tendonitis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 056 ACHILLES Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 2.40 9.60 4.80

Treatment Details:

Select the TLC-‐1000 laser 057 ANKLE SPRAIN record file. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the
indicated treatment path. Elevate the patient’s ankle by placing foot on a small step. Treat as shown in the above diagram, treating
the ankle joint on both sides for 2 minutes 30 seconds per point. The mobility of the joint is very subjective to the pathological
nature of the sprain. Treat the patient 3 times per week. Mobility should increase with each subsequent
TLC-‐1000 tTreatment.
HERAPEUTIC Ensure
MtEDICAL
hat the LASER
probes remain perpendicular to the area of treatment.

Treatment Specification: 057 ANKLE SPRAIN
Sprain of The Ankle Joint

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 057 ANKLE SPRAIN Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 45 23 90 23
Time 2:30 2:30 2:30 5:00
Energy (Joules) 6.75 3.45 13.50 6.90

Treatment Details:

Select the TLC-‐1000 laser 058 HEEL SPURS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Lie the patient face down on the table. Treat as shown in the above diagram treating the heel of the foot f or 3
minutes per point. Treat the patient three times per week. Absorption of the heel spur should increase with each subsequent
treatment. Ensure that the probes remain perpendicular to the area of treatment. TLC-‐1000 THERAPEUTIC MEDICAL LASER

Treatment Specification: 058 HEEL SPURS

Calcaneal Heel Spurs

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 058 HEEL SPURS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 3:00 3:00 3:00 6:00
Energy (Joules) 7.20 3.60 14.40 7.20

Treatment Details:

Select the TLC-‐1000 laser 059 NEUROPATHY protocol. Set-‐up the TLC-‐1000 laser for the multiple probe. Ensure that the patient
wears safety glasses during treatment. Protect the probes with clear plastic film prior to treatment. Treat tender points first and
then where treatment is indicated. Treat the patient three times per week. Ensure that the probes remain perpendicular to the area
of treatment. TLC-‐1000 THERAPEUTIC MEDICAL LASER

Treatment Specification: 059 NEUROPATHY
Diabetic Neuropathy -‐ Foot

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 059 NEUROPATHY Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 45 23 90 23
Time 2:00 2:00 2:00 4:00
Energy (Joules) 5.40 2.76 10.80 5.52

Treatment Details:

Select the TLC-‐1000 laser 060 MORTON’s NEUROMA protocol. Set-‐up the TLC-‐1000 laser for the triple or multiple probe. Ensure
that the patient wears safety glasses during treatment. Protect the probes with clear plastic film prior to treatment. Treat tender
points first and then where treatment is indicated. Treat the patient three times per week. Ensure that the probes remain
perpendicular to the area of treatment TLC-‐1000 THERAPEUTIC MEDICAL LASER
Treatment Specification: 060 MORTONS

Mortons Neuroma

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 060 MORTONS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 35 18 70 18
Time 3:00 3:00 3:00 6:00
Energy (Joules) 6.30 3.24 12.60 6.48

Treatment Details:

Select the TLC-‐1000 laser 061 PLANTAR record file. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Lay the patient face down the table. Treat as shown in the above diagram treating the heel of the foot for 2 minutes
per point. Treat the patient three times per week. Mobility should increase with each subsequent treatment. Ensure that the probes
remain perpendicular to the area of treatment. TLC-‐1000 THERAPEUTIC MEDICAL LASER

Treatment Specification: 061 PLANTAR

Plantar Fasciitis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 061 PLANTAR Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 45 23 90 23
Time 2:00 2:00 2:00 4:00
Energy (Joules) 5.40 2.76 10.80 5.52

Treatment Details:

Select the TLC-‐1000 laser 062 SESAMOIDITIS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the
indicated treatment path. Lie the patient face down on the table. Treat as shown in the above diagram treating the area over the
sesamoid bone for 2 minutes. Treat the patient three times per week. Ensure that the probes remain perpendicular to the area of
treatment. TLC-‐1000 THERAPEUTIC MEDICAL LASER

Treatment Specification: 062 SESAMOIDITIS

Sesamoiditis -‐ Foot

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 062 SESAMOIDITIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 80 20
Time 2:00 2:00 2:00 4:00
Energy (Joules) 4.80 2.40 9.60 4.80

Treatment Details:

Please see Acupuncture probe protocol book
Treatment Specification: 063 ACU SHALLOW

Acupuncture -‐ Shallow

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 063 ACU SHALLOW Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 100 100 100 100
Time 0:30 0:30 0:30 0:30
Energy (Joules) 3 3 3 3

Treatment Details:


Treatment Specification: 064 ACU MID

Acupuncture -‐ Mid

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 064 ACU MID Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 100 100 100 100
Time 1:00 1:00 1:00 1:00
Energy (Joules) 6.00 6.00 6.00 6.00

Treatment Details:


Treatment Specification: 065 ACU DEEP

Acupuncture -‐ Deep

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 065 ACU DEEP Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 100 100 100 100
Time 2:00 2:00 2:00 2:00
Energy (Joules) 12.00 12.00 12.00 12.00

Treatment Details:

Select the TLC-‐1000 laser 066 ECZEMA protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe depending on the surface
area to be treated. Ensure that the patient wears safety glasses during treatment. Protect the probes with clear plastic film prior to
treatment. For the treatment of eczema, the location varies from the chest, back, neck, arms and legs. For each treatment, choose
the configuration of laser probes that best optimizes the surface area to be irradiated and treat TLC-‐1000
for 3 minutes per point. Ensure
THERAPEUTIC that LASER
MEDICAL
the probes remain perpendicular to the area of treatment
Treatment Specification: 066 ECZEMA

Eczema

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 066 ECZEMA Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 10 5 10 5
Time 3:00 3:00 3:00 6:00
Energy (Joules) 1.80 0.90 1.80 1.80

Treatment Details:

Select the TLC-‐1000 laser 067 FIBROMYALGIA protocol. Set-‐up the TLC-‐1000 laser as a multiple probe. Adjust treatment protocol
based on patient characteristics. Pain on digital palpation must be present in at least 11 of 18 tender point sites. Occiput (2) – at the
suboccipital muscle insertions. Low cervical (2) – at the anterior aspects of the intertransverse spaces at C5-‐C7. Trapezius (2) – at
TLC-‐1000
origins, above the scapula spine near the medial border. Second rib (2) – upper lateral to the second THERAPEUTIC
costochondral MEDICAL
junction. Lateral LASER
epicondyle (2) – 2cm distal to the epicondyles. Gluteal (2) – in upper quadrants of buttocks in anterior fold of muscle. Greater
Treatment Specification: 067 FIBROMYALGIA

trochanter (2) – posterior to the trochanteric prominence. Knee (2) – at the medial fat pad proximal to the joint line. Digital
palpation should be performed with an approximate force of 4Kg. A tender point has to be painful at palpation, not just “tender”.

Fibromyalgia

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 067 FIBROMYALGIA Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 50 25 100 25
Time 1:00 1:00 1:00 2:00
Energy (Joules) 3.00 1.50 6.00 3.00
Treatment Details:

Select the TLC-‐1000 laser 068 KELOID SCAR protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe depending on the
prior to treatment. For each treatment, choose the configuration of laser probes that best optimizes the surface area to be irradiated
and treat for 2 minutes per point. Ensure that the probes remain perpendicular to the area of treatment

Treatment Specification: 068 KELOID SCAR

Keloid / Hypertrophic Scar

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 068 KELOID SCAR Frequency 2-‐3/week 2-‐3/week 2-‐3/week
Number of Treatment Points Total Visits 4 to 6 8-‐12 15-‐25



Power 30 15 30 15
Time 2:00 2:00 2:00 4:00
Energy (Joules) 3.60 1.80 3.60 3.60

Treatment Details:

Select the TLC-‐1000 laser 069 PSORIASIS protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe depending on the surface
area to be treated. Ensure that the patient wears safety glasses during treatment. Protect the probes with clear plastic film prior to
treatment. For the treatment of psoriasis, the location varies from the chest, back, neck, arms and legs. For each treatment, choose
the configuration of laser probes that best optimizes the surface area to be irradiated and treat TLC-‐1000
for 3 minutes per point. Ensure
THERAPEUTIC that LASER
MEDICAL
the probes remain perpendicular to the area of treatment

Treatment Specification: 069 PSORIASIS
Psoriasis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 069 PSORIASIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 10 5 10 5
Time 3:00 3:00 3:00 6:00
Energy (Joules) 1.80 0.90 1.80 1.80

Treatment Details:

Select the TLC-‐1000 laser 070 SUTURES protocol. Set-‐up the TLC-‐1000 laser for a triple or multiple probe, which is the most suitable
for the size of the wound. Protect the probes with clear plastic film. Treat the periphery of the wound in one centimeter increments
for three minutes per point. Next, treat the wound bed for three minutes per point. Ensure that TLC-‐1000 THERAPEUTIC
the probes MEDICAL
remain perpendicular to LASER
the area of treatment

Treatment Specification: 070 SUTURES
Sutures

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 070 SUTURES Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 30 15 60 15
Time 3:00 3:00 3:00 6:00
Energy (Joules) 5.40 2.70 10.80 5.40

Treatment Details:
Select the TLC-‐1000 laser 071 SYNOVITIS protocol. Set-‐up the TLC-‐1000 laser as a triple or multiple probe and follow the indicated
treatment path. Treat as shown in the first diagram wherever synovial joint edema is present for 3 minutes per point. Treat the
patient every day for the first 3 days and then 3 times a week, thereafter. Mobility will continue TLC-‐1000 THERAPEUTIC
to increase MEDICAL LASER
with each subsequent
treatment. Ensure that the probes remain perpendicular to the area of treatment.

Treatment Specification: 071 SYNOVITIS
Synovitis

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 071 SYNOVITIS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 60 30 100 30
Time 3:00 3:00 3:36 6:00
Energy (Joules) 10.80 5.40 21.60 10.80

Treatment Details:
Treatment Specification: 072 WOUNDS

Select the TLC-‐1000 laser 072 WOUNDS protocol. Set-‐up the TLC-‐1000 triple or multiple laser probe, which is most suitable for the
size of the wound. Protect the probes with clear plastic film prior to treatment. Treat the periphery of the wound in one centimeter
increments for three minutes per point. Next, treat the wound bed for three minutes per point. Ensure that the probes remain
perpendicular to the area of treatment. TLC-‐1000 THERAPEUTIC MEDICAL LASER

Wounds / Decubitis Ulcers

Treatment Protocol:

Treatment Program:
TLC-‐1000 Treatment Record 072 WOUNDS Frequency 2-‐3/week 2-‐3/week 2-‐3/week



Power 40 20 40 20
Time 3:00 3:00 3:00 6:00
Energy (Joules) 7.20 3.60 7.20 7.20

Treatment Details:


Pain Management Protocol Manual

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PAIN MANAGEMENT

Table of Contents

033 Shoulder Pain ....................................................................................................................................................................... 39

Treatment Protocol Patient Optimization

Treatment Specification: 001 ACNE VULGAR

Standard Low BMI & Sports & Darker

Treatment Specification: 002 HAIR LOSS

Standard Low BMI & Sports & Darker

Treatment Specification: 003 HERPES

Standard Low BMI & Sports & Darker

Treatment Specification: 004 LABYRINTH

Standard Low BMI & Sports & Darker

Treatment Specification: 005 MIGRAINE

Standard Low BMI & Sports & Darker

Treatment Specification: 006 OTITIS

Standard Low BMI & Sports & Darker

Treatment Specification: 007 SINUSITIS

Standard Low BMI & Sports & Darker

Treatment Specification: 008 STOMATITIS

Standard Low BMI & Sports & Darker

Treatment Specification: 009 TMJ

Standard Low BMI & Sports & Darker

Treatment Specification: 010 TRIGEMINAL

Standard Low BMI & Sports & Darker

Treatment Specification: 011 WRINKLES

Standard Low BMI & Sports & Darker

Treatment Specification: 012 GINGIVAL

Standard Low BMI & Sports & Darker

Treatment Specification: 013 GUM HYPER

Standard Low BMI & Sports & Darker

Treatment Specification: 014 GUM INFLAM

Standard Low BMI & Sports & Darker

Treatment Specification: 015 ORAL ULCER

Standard Low BMI & Sports & Darker

Treatment Specification: 016 DENTAL MUSCL

Standard Low BMI & Sports & Darker

Treatment Specification: 017 DENTAL EXTRA

Standard Low BMI & Sports & Darker

Treatment Specification: 018 DENTAL IMPLA

Standard Low BMI & Sports & Darker

Treatment Specification: 019 TRISMUS

Standard Low BMI & Sports & Darker

Treatment Specification: 020 CERVICAL

Standard Low BMI & Sports & Darker

Treatment Specification: 021 TORTICOLLIS

Standard Low BMI & Sports & Darker

Treatment Specification: 022 THORACIC

Standard Low BMI & Sports & Darker

Treatment Specification: 023 INTERCOSTAL

Standard Low BMI & Sports & Darker

Treatment Specification: 024 TIETZE

Standard Low BMI & Sports & Darker

Treatment Specification: 025 DORSAL

Standard Low BMI & Sports & Darker

Treatment Specification: 026 LUMBAR DISC

Standard Low BMI & Sports & Darker

Treatment Specification: 027 LUMBAR SPINE

Standard Low BMI & Sports & Darker

Treatment Specification: 028 LUMBAR ARTH

Standard Low BMI & Sports & Darker

Treatment Specification: 029 HERPETIC

Standard Low BMI & Sports & Darker

Treatment Specification: 030 SACROILIAC

TLC-‐1000 THERAPEUTIC MEDICAL LASER

TLC-‐1000 THERAPEUTIC MEDICAL LASER

TLC-‐1000 THERAPEUTIC MEDICAL LASER