Forms of Light Therapy
The sun is the basic source of full-spectrum
light. It contains all possible wavelengths of light, from
infrared to ultraviolet (UV).
The natural sunlight is the oldest form of light therapy. Numerous forms of light therapy are
now also available, including full-spectrum light therapy, bright
light therapy, various forms of UV light therapy, syntonic optometry,
cold laser therapy, and colored light therapy. Electro-magnetic
devices such as the Light Beam Generator and the MORA also use
specific light frequencies in treatment.
Full-Spectrum Light Therapy
Sunlight and full-spectrum light can be applied
to the skin in order to relieve hypertension, depression, insomnia,
premenstrual syndrome, migraines, and carbohydrate
cravings associated with metabolic imbalances.
A ten-year epidemiological study conducted at Johns Hopkins
University Medical School in Baltimore, Maryland, showed that
exposure to full-spectrum light (including the ultraviolet frequency)
is positively related to the prevention of breast, colon, and rectal
cancers.
In Russia, a full-spectrum lighting system was
installed in factories where colds and sore throats had become
commonplace among workers. This lowered the bacterial contamination
of the air by 40 to 70 percent. Workers who did not receive the
full-spectrum light were absent twice as many days as those who did.
Dr. Ott and his
associates, Lewis Mayron, Ph.D., Rick Nations, Ph.D., and Ellen L.
Mayron, M.S., recently conducted the study, which has shown the effect of full-spectrum lighting in the classroom
was tested on first grade students in Sarasota, Florida. Using four
classrooms, two as a control with standard fluorescent lighting, and
two outfitted with full-spectrum lights, the researchers tracked the
students behavior levels for a full semester, using a hidden camera.
As the result, they noted that the students exposed to
the full-spectrum lighting had a marked diminishment of
hyperactivity, whereas those in the control classrooms actually
became more hyperactive.
The same study in Wetaskiwin, Alberta, Canada,
clearly showed that students in classrooms with full-spectrum light
also had less absenteeism and a higher academic achievement record
when compared with classes conducted under ordinary fluorescent
lighting.
SAD: Full-spectrum light and bright white
light (often preferred because the additional UV light found in
full-spectrum light is not necessary to achieve the antidepressant
effect of the therapy, and can be harmful with protracted direct
exposure to the eyes) are effective treatments for seasonal
affective disorder (SAD), also known as the "winter blues."
The symptoms of SAD are depression, excess sleeping and eating, a
withdrawn feeling, and lowered sex drive. Today, it is being
investigated by Charmane Eastman, Ph.D., Director of the Biological
Rhythms Research Laboratory at Rush Presbyterian St. Luke's Medical
Center in Chicago.
Melatonin levels are found to be very high in
patients with SAD. Daily exposure to sunlight or to full-spectrum
light has been known to eliminate SAD symptoms.
In one study, SAD patients who took morning walks and received a
minimum one hour of sunlight showed positive results.
Light boxes are used in the majority of SAD
cases. They measure two feet by two feet and enclose a full-spectrum
light or bright white light that is angled toward the face. The
patient sits about eighteen inches from the box, and without looking
directly at the light, keeps the head and eyes toward the light
while reading or doing other tasks. Most studies find that early
morning sessions ranging from thirty minutes to two hours using
varying intensities of light bring improvement within a week.
Jaundice: Light therapy is used to treat
jaundice in newborn babies. In 1956 Sister Ward of Rochford General
Hospital in England accidentally discovered the treatment. On warm
summer days she would wheel the premature infants into the courtyard.
One day a doctor came into the ward and noticed that an unclothed
infant was pale yellow except for a bright yellow (heavily jaundiced)
triangle across the abdomen. A few days later, laboratory tests on a
blood specimen left on a windowsill showed a lower bilirubin (the
pigment responsible for jaundice) level than when previously tested.
These two events led to the discovery that sunlight was an effective
therapy against jaundice. Today, newborns with jaundice are placed
near a brightly lit window or, in extreme cases, under intense
lights to correct the condition. Often an intense blue light is used
since it has a higher luminosity than full-spectrum light.
Light and the Internal Clock
The body's internal clock, known as the
circadian system, is regulated by the pineal gland. This gland is
controlled by the presence or absence of external light, and serves
to synchronize and coordinate the biological events of the body.
Melatonin, the chief hormone of the pineal
gland, is produced only during darkness. Its production is actually
restrained by light. Melatonin has anodyne qualities and helps
reduce anxiety, panic disorders, and migraines as well as inducing
sleep. It is also thought to be a primary regulator of the immune
system.
Researchers have found that when a person
ignores the twenty-four-hour dark-light cycle and keeps irregular
hours of work and rest, the body's internal rhythms go awry. The
number of hours one sleeps is less important than when one sleeps in
respect to daylight.
People who work in rotating shifts or at
night have been shown to experience a higher incidence of heart
disease, back pain, respiratory problems, ulcers, and sleep
disorders. These people also have a higher rate of error and
accidents and often experience a significant loss of alertness and
ability to make decisions. Nevertheless, researchers are using carefully
timed, high-intensity bright lighting (five to ten times brighter
than ordinary room level), as well as the administration of
melatonin to help shift workers adapt to their schedules.
Travel between time zones often results in
jet lag, a less serious, but often debilitating and disorienting
condition caused by the upset of the body's internal clock.
Melatonin, full-spectrum, and bright light therapies are being
explored as useful antidotes. Some airports are now considering the
installation of full-spectrum lights in their first class lounges to
help passengers adapt to their destination time zones.
Bright Light Therapy
Dr. Zimmerman
says, that bright light therapy involves the use of
bright white light ranging in intensity from 2,000 to 5,000 lux. While the intensity of this light therapy isn't
near that of sunlight (50,000 lux), it is significantly higher than
that of the average office and workspace (50 to 500 lux). Dr.
Zimmerman
adds that brighter
lights in the workplace have been shown to reduce mistakes on the
job, and drowsiness, especially among night shift workers. Bright light therapy is also used to treat SAD
and the following conditions:
Bulimia: Because of serotonin's
involvement in appetite regulation, bright light therapy has proven
helpful in cases of bulimia
(bingeing on large amounts of food, followed by self-induced purging).
Raymond W. Lam, M.D., assistant professor of
psychiatry at the University of British Columbia, Vancouver, says
that during two weeks of bright light therapy, seventeen women,
twenty to forty-five years old, experienced a 50 percent reduction
in the number of binges and purges, as well as in their feelings of
depression.
Delayed Sleep Phase Syndrome: Delayed
sleep phase syndrome (falling asleep late (2:30-3:00 A.M.)
may also be treated with bright light. Michael Terman, Ph.D.,
of the New York State Psychiatric Institute at Columbia Presbyterian
Medical Center, New York says, people who have delayed
sleep phase syndrome have seen it disappear for the first time in
their lives using light therapy. By getting a dose of bright light in the
morning, the day starts earlier and patients fall asleep earlier at
night. Bright light early in the night works similarly for those who
fall asleep early and wake early, allowing them to sleep later.
Menstrual Cycles: Researchers two decades
ago reported that a one-hundred-watt bedside light could shorten and
regulate the menstrual cycles among women with long and irregular
cycles. Daniel F. Kripke, M.D., a professor of
psychiatry at the University of California, San Diego, states that
more
recently, they repeated this experiment and achieved the same result.
This needs more research, but it offers intriguing implications for
treating infertility and improving upon contraception.
Ultraviolet Light Therapy
In the 1890s, Danish physician Niels Finsen
noticed that tubercular lesions occurred usually during the winter
but were very rare in the summer. He suspected a lack of sunlight to
be the cause of the lesions and successfully treated skin
tuberculosis with ultraviolet light. Dr. Finsen won the Nobel Prize in 1903 for his
work, and was called the "father of
photobiology". Today, ultraviolet light therapies are used to treat diseases
ranging from high cholesterol
to premenstrual syndrome and cancer.
UVA-1: According to Hugh McGrath, M.D.,
of Louisiana State University Medical Center, UVA-1 therapy isolates
part of the UV-A wavelength, and is being used in patients with
systemic lupus erythematosus, a serious autoimmune
disease known to damage the kidneys, skin, blood
vessels, nervous system, and heart. Dr. McGrath points out that
patients in one study had decreased joint pain, headaches,
rashes, sleeplessness, and need for medication with the chief
benefit being a decline in fatigue.
Hemoirradiation: Also known as
photophoresis, this therapy involves the removal of up to a pint of
blood from the body, irradiating it with ultraviolet light, and
reinjecting it. The absorbed light energy activates oxidation of the
blood. (The process of hemooxidation therapy involves
hemoirradiation of blood to which oxygen has been added.)
In his practice, William Campbell Douglass, M.D.,
of Clayton, Georgia, uses an instrument called the Photolume to
irradiate blood with ultraviolet light. Dr. Douglass, states, ultraviolet light can have the following physiological effects:
calcium metabolism
improves; body toxins become inert; bacteria are killed either
directly or indirectly (by increased systemic resistance); chemical
balances are restored; and oxygen absorption is increased. He has
successfully used ultraviolet light therapy to treat infections,
cancer, rheumatoid arthritis, bronchial asthma, and symptoms of AIDS.
His method has also been used to improve peripheral blood
circulation in the treatment of blood poisoning.
PUVA Light Therapy: In PUVA (psoralen
UV-A) light therapy, patients are first given the light sensitive
drug psoralen, and one to two hours later are exposed to full-body
UV light. This approach is used to treat vitiligo, a depigmentation
problem, and works by stimulating pigment-producing cells to come to
the skin surface.
According to Meyrick Peak, Ph.D., Senior Scientist at the Center of
Mechanistic Biology and Biotechnology at Argonne National Laboratory
in Argonne, Illinois, psoriasis (a chronic
skin disease) also responds to PUVA light therapy. The ultraviolet
light used in treatment helps stop the disease cells from dividing, and can often result in dramatic
cures.
Warwick L. Morrison, M.D.,
Associate Professor of Dermatology at Johns Hopkins University adds
that in study settings, 90 to 95 percent of psoriasis
patients respond favorably, with the treatment usually involving thirty PUVA sessions
spanning ten weeks.
Ultraviolet Light and the Sun
Ultraviolet light from the sun can be divided
into three types of rays: UV-A, UV-B, and UV-C, depending upon the
wavelength.
Although there is some difference of opinion
concerning the three types, generally UV-C is thought of as the most
harmful, but because very little of it penetrates the ozone layer,
it is not considered dangerous. UV-A penetrates the skin (responsible
for slow tanning), but because it has the longest wavelength, it is
considered the least harmful.
According to most sources, UV-B
poses the greatest danger to humans. UV-B easily penetrates the skin,
is responsible for sunburn, and can damage the eyes. Similarly, UV-B
reflected from snow can burn the cornea, causing snow blindness.
UV-B reflected from the sand and water is responsible for burning
the skin more than the direct UV-B rays from the sun. Too much
exposure of the eyes to UV-B can result in cataracts, a clouding of
the lens of the eye, so the eyes should always be protected in
strong sunlight. Chronic
exposure of the eyes to UV-B is also responsible for retinal damage,
pterygium (abnormal growths on the cornea), and activation of ocular
herpes.
Photodynamic Therapy and Cancer
Dr. Peak says that in
photodynamic therapy, dyes that absorb light are absorbed by tumors
then exposed to specific types of light. Light photons are
absorbed by the pigment of the dye, which becomes chemically
reactive and causes the cancer cells to die. This therapy has been used in China for over twenty years and
has been very successful in eliminating some types of tumors.
Nicholas J. Lowe, M.D., Clinical Professor of
Dermatology at the UCLA School of Medicine, and Director of the Skin
Research Foundation of California, mentions that today photodynamic
therapy is being tested for basal and squamous cell
cancers (skin cancers). However, the concern with some of these
treatments is unwanted phytotoxicity-some treatments are likely to
make the patient sensitive to sunlight for long periods of time.
Warren Grundfest, M.D., of Cedars-Sinai Medical
Center in Los Angeles, is using a type of photodynamic therapy
called light-activated chemotherapy to treat patients with lung and
bladder cancer.
Dr. Grundfest reports that they use light to cause a chemical change in the drug. Because
it is located only in the cancer tissue, or predominantly in the
cancer tissue, it causes only the cancer cells to die. Dr.
Grundfest adds that after eighteen months of treatment bladder
tumors showed an 85 percent successful response.
Syntonic Optometry
Syntonic therapy applies colored light directly
into the eyes to augment the control centers of the brain that
regulate various functions of the body. For example, in the 1930s Harry Riley Spitler, M.D., D.O.S., M.S., Ph.D., founder
of the College of Syntonic Optometry, in Fall River, Massachusetts,
had shown that focusing blue light into the eyes reduces inflammation
and pain.
Solomon Slobins, O.D., Director of the College
of Syntonic Optometry, uses an instrument developed by Dr. Downing, called the Lumatron Light
Stimulator, for visual evaluation, increasing the visual fields (peripheral
vision), relieving headaches, and treating traumatic brain injuries.
The Lumatron emits
eleven pure wave bands of biologically active light, ranging through
the spectrum from ruby to violet. This light is focused into the
eyes where it travels to the brain and activates the autonomic
nervous system to regulate disruptions in the system,
thereby triggering the curing process. Patients sit in a darkened
room in front of the Lumatron for about twenty-five minutes
while it bathes their eyes with the appropriate colored light,
emitted at a rate of two to sixteen flashes per second. This
exposure is normally found to be immediately soothing, with a
lessening of symptoms within a few days.
Colored Light Therapy
There is an evidence that different
colors of light have different effects on the body. In 1942, the
Russian scientist S. V. Krakov demonstrated that red light
stimulates the sympathetic nervous system, while white and blue
light stimulate the parasympathetic nervous system. Earlier
experiments revealed that certain colors stimulate hormone
production, while other colors restrain it.
Specific colors can also have an effect on specific diseases. In the
late nineteenth and early twentieth centuries, it was noted that
symptoms of acute
eruptive diseases such as smallpox and measles were relieved when
patients were put in a room with red windows. Melancholiacs also
recovered after a few hours in such rooms.
Norman Shealy, M.D., Ph.D., of Springfield,
Missouri, uses flashing bright lights and colored lights to treat
pain and depression. According to Dr. Shealy, these treatments have
been shown to change neurochemical production in the brain and this
may account for their positive effects. Dr. Shealy believes the
brain has specific responses to different frequencies of flashing
light and the different frequencies of various colors. He says that
sleep
problems can often be cured in one day by this method, but mood alteration usually takes one to two weeks of
treatments. Dr. Shealy believes that it is the relaxation
induced by these methods that is responsible for the effects seen in
patients suffering from pain. He considers that tension is a primary
factor in 100 percent of pain and once you
relax the tension, the pain eases.
Dr. Shealy has found that photo-stimulation
with flashing opaque white or violet lights induces relaxation,
reducing stress and chronic
pain. He says, photo-stimulation, or brain wave synchronization, has
been used as a tool to assist relaxation and the induction of
hypnosis since 1948. It has been used with the
EEG (electroencephalogram) as an addition to the diagnosis of
epilepsy.
Another method of colored light therapy known
as monochromatic red light therapy is used to treat a range of
problems, including shoulder pain, endocrine problems, dysmenorrhea,
diabetes, gastrointestinal problems, depression, impotence, and
frigidity. Gerald Hall, D.C., of El Paso, Texas, uses monochromatic
red light therapy to treat the acupoints
of the ear as well as points elsewhere on the body.
Ray Fisch, Ph.D., C.H., of Los Angeles, uses
monochromatic red light therapy for headaches (applying the light
across the brow), arthritis, allergies, sore throats, sinus problems,
stress reduction, and wound healing. The red light is also used
to acupressure points or to sites of localized pain. For localized
pain such as tendinitis, two five-minute applications directly to
the painful area are followed by ten to fifteen seconds to the
surrounding area. This is followed by a gentle massage of the area.
Treatment is repeated two to three times a day for a week, then
twice a day for a week followed by once a day for another week.
Dr. Fisch states that there are virtually no side effects to this treatment, and it
can be done at home.
Cold Laser Therapy
According to Marvin Prescott, D.M.D., of Los
Angeles, cold laser therapy, sometimes referred to as soft or
low-level laser therapy, uses a beam of low-intensity laser
light to initiate a series of enzymatic reactions and bioelectric
events that stimulate the natural curing process at the cellular
level. Dr. Prescott says that cold laser therapy has been successfully applied to
pain control, orthopedic myofascial syndrome (inflammation
of the muscles and their surrounding membranes), neurology, trauma,
dermatology, and dentistry. And besides, the effects on microcirculation, increased synthesis of collagen
in the skin, production of neurotransmitters, and pain relief have
all been documented.
Cold laser therapy is often used in patients who
do not like the needles used in traditional acupuncture. John
Diamond, M.D., of Reno, Nevada, uses cold laser therapy to treat
pain, particularly in children, who are often afraid of acupuncture.
He finds it very useful for back pain, bursitis, and tendinitis, and
uses it to treat chronic
problems, in conjunction with homeopathy, herbs, and nutrients.
Dennis Tucker, Ph.D., L.Ac., of Nevada City,
California, uses cold laser therapy to stimulate acupuncture points
as an aid to healing wounds, and to reduce inflammation and balance
the energy flow in the acupuncture meridians. Dr. Tucker also finds
cold laser therapy very effective in treating infections under teeth.
Cold laser therapy is applicable with little prior knowledge, either
by a health provider or by self-application, with no demonstrable
side effects when used properly. With the development of
microelectronics, pen-sized, low-level laser instruments are now
available.
Whole-Brain Light Therapy
When light rays strike the retina of the eye,
they are converted into nerve currents, sometimes termed
photocurrents. By measuring the amount of light-generated
photocurrents traveling from the retina to the higher brain centers
and then comparing them to symptoms of patients, John Downing, O.D.,
Ph.D., Director of the Light Therapy Department at the Preventive
Medical Center of Marin in San Rafael, California, has found many
people to have a decreased level of photocurrent transmission. This
condition, termed photocurrent deficit, can cause diminished brain
function, and can lead to numerous symptoms.
Among these are:
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Learning disabilities
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Sleeping problems
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Night blindness
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Poor memory
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Poor self-esteem
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Fear and anxiety
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Poor concentration
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Mood swings
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Hyperactivity
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Mental fogginess
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Seasonal affective disorder
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Fatigue
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Poor physical coordination and performance
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Depression
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Headaches
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Light sensitivity
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Poor peripheral vision
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Dr. Downing has found that stimulation by way
of the eyes with the appropriate colored light can increase the
ability of the neurovisual pathways to transmit photocurrents to the
higher brain centers and thus significantly reduce or expel this
photocurrent deficiency.
To administer this therapy, Dr. Downing
developed the Lumatron Light Stimulator, a device that focuses
light of various colors into the eye to trigger the curing process.
A thirty-five-year-old woman who was involved
in an auto accident suffered pains in the face and head, was
mentally sluggish, confused, and severely fatigued. Dr. Downing
treated her with forty sessions of indigo and violet light. The
pains disappeared, the mental sluggishness and confusion cleared,
and her energy returned to the point where she needed only five
hours sleep a night instead of ten, reports Dr. Downing.