Low-Level Laser Therapy (LLLT) for Tinnitus — Long-Lasting Everyday Home-Practiced Experiences

Discussion in 'Alternative Treatments and Research' started by Jan64, Nov 22, 2017.

    1. AZeurotuner

      AZeurotuner Member Benefactor

      Location:
      Tucson, AZ
      Tinnitus Since:
      2010
      Cause of Tinnitus:
      Acoustic Trauma
      Ml
      Thanks for responding... I will be starting at home treatment tomorrow, this thread inspired me. I'm not expecting a miracle, I just want a reduction in H and spikes.
       
    2. Bobby B
      Fine

      Bobby B Member Benefactor

      Tinnitus Since:
      11/2015
      Cause of Tinnitus:
      Large caliber rifles&machine guns, +30 years of loud clubs
      That's a fair expectation
      One reason why LT sort of failed for T is that people waited too long before starting it, used under powered light sources while having high expectations in line with the high prices charged by clinics in the past - and since it's a 3-4 years project you really want to do it at home anyways plus you need a device ready in case of future damage - and also some prednisone just in case as well

      Fortunately with the availability of super high powered LED at low prices cost is not an issue anymore
       
    3. Tom Cnyc

      Tom Cnyc Member

      Location:
      NYC
      Tinnitus Since:
      05/2016
      Cause of Tinnitus:
      Warehouse event after years of enjoying music.
      I'm doing a lot better. My ears are hissing more than usual today but I also have the flu.

      That said, I'd have considered this a "great day" a year ago
       
    4. Anima

      Anima Member

      Location:
      Illes Balears
      Tinnitus Since:
      Feb 2004
      Cause of Tinnitus:
      Noise trauma/metronidazole+kanamycin
      An update.


      Sorry for this late update, I gave my ears a rest from laser.

      After I stopped the laser sessions, my tinnitus kept being very annoying with some occasional bad spikes. The nights were not very good and I awaked often to the noise. I started lasering again 10 days ago. I started with a 15 minutes session once a day. Along the first few days, my tinnitus changed to a less aggressive noises and it got diminished gradually; as a consequence, my sleep was improved too.
      On the day 5th, the ringing raised, but noises were still bearable.
      On the day 6th, I stopped, noise went to high.
      On the day 7th, I started again with a 10 minutes session once daily.
      Since I changed to a 10 minutes session (3 days back), my tinnitus keeps changing all along the day, it can go from very low up to a medium level, but always with a less aggressive tones than usual. The nights are fine, but noise can awake me occasionally due to the ups and downs.
      For example, while writing this update, my tinnitus has gone from 6 to 2, and back, in a scale of 10. Overall, the ringing is much better now than the normal base line which was a 9 in the same scale and far more ennoying. I’ll stick to the 10 minutes sessions and see what happens. I’ll keep you updated.

      Best regards.
       
      Last edited: Jan 19, 2018
    5. Anima

      Anima Member

      Location:
      Illes Balears
      Tinnitus Since:
      Feb 2004
      Cause of Tinnitus:
      Noise trauma/metronidazole+kanamycin
      AZ, according to my own experience, I would recommend you to start with a daily 10 minutes session and, if things don’t get rough, after 10 days build up to a longer time exposure, otherwise stop for a day or two and re-start till you achieve the optimal dose for your condition. A rise and minor spikes of the ringing are normal at the beginning though, but bad spikes mean you have to stop for a while till tinnitus is back to the base line, then start again with a lower dose.

      Good luck!
       
      • Helpful Helpful x 1
    6. Anima

      Anima Member

      Location:
      Illes Balears
      Tinnitus Since:
      Feb 2004
      Cause of Tinnitus:
      Noise trauma/metronidazole+kanamycin
      Tom, I'm glad you are feeling better, I wish you continue improving.
      I'm sorry about your flu, here we have a real flu epidemic, I’m on the verge so I cross my fingers.
      Get better
       
      • Like Like x 1
    7. AZeurotuner

      AZeurotuner Member Benefactor

      Location:
      Tucson, AZ
      Tinnitus Since:
      2010
      Cause of Tinnitus:
      Acoustic Trauma
      Thank you for the advice... I'll try 10 minutes daily for a few weeks and increase from there if everything goes well.
       
    8. AZeurotuner

      AZeurotuner Member Benefactor

      Location:
      Tucson, AZ
      Tinnitus Since:
      2010
      Cause of Tinnitus:
      Acoustic Trauma
      That's good to hear Tom... Thanks for the update, hope you feel better my friend.
       
      • Like Like x 1
    9. Cal18
      Nerdy

      Cal18 Member Benefactor Advocate

      Location:
      San Diego
      Tinnitus Since:
      12/2016
      Cause of Tinnitus:
      2010 / 2016 Both SSRI Withdrawal and Mild Hearing Loss
      I also agree with 10 minute sessions. For me, it was the 30 min sessions that caused the ear pain. I'm seeing some improvements as well. Whether they are directly related to laser, I can not say for sure. The last time I saw some improvements with H, was several months ago with very short 5-10 minute sessions before bed. But then the low tone fleeting T scared me so I stopped for a while and only used it inconsistently. During that time, I saw no improvements. I noticed improvements this time after daily sessions of 5-10 min for 2 weeks, stopped, had the fleeting T for a few days and did not use the laser for about a week. After the pause for one week, I noticed the T was less aggressive. I will start up again today for a few days then stop when I get the fleeting, wait a few days then resume.
       
    10. Tom Cnyc

      Tom Cnyc Member

      Location:
      NYC
      Tinnitus Since:
      05/2016
      Cause of Tinnitus:
      Warehouse event after years of enjoying music.
      Thank you, gentlemen.

      It's been a stressful week.
      Tom c NYC became Tom C New Jersey. Moving sucks. Moving when you and your wife have the flu is hell.

      Overall my ears are so much better. I'd be lying if I said I didn't have tinnitus. But 90% of the time I do NOT have intrusive tinnitus. I mostly hear a seashell sound in quiet rooms. Bathroom. Bedtime.

      My bad days? I hear a vacuum in the next room type of sound. Usually when I'm sick or VERY hungover. It doesn't scare me though. I know it will pass. A hangover is a great comparison for the mental toll: Sucks - but it'll go.

      This isn't habituation. It's legit healing. I still use my light. I'm skeptical if it does anything to the cochlea, but a friend at work swears light therapy helps her knee - so maybe it's just helping local muscle inflammation?

      In the end I don't care why I feel better. But I still do the light 2-3x a week.

      Lastly - the best thing I had done was cranial chiropractic work. I went to a tmj and postural expert that treats broadway pit musicians frequently with tinnitus. It's not cranial sacral therapy. That's bullshit. This therapy was quite painful and was mostly intra-oral.

      He told me he rarely "cures" but most feel "much better". If anyone is in the NE USA, PM me. I'll share contact info.
       
      • Like Like x 1
    11. Anima

      Anima Member

      Location:
      Illes Balears
      Tinnitus Since:
      Feb 2004
      Cause of Tinnitus:
      Noise trauma/metronidazole+kanamycin
      Hi, Cal. I agree with you, that’s the way to go. I do believe that short pauses are necessary to give ears a rest because too much energy can trigger spikes, which I assume means “give us a break”, so it’s a wise idea to take it easy. Fleeting noises are scary ended, and, although temporary, laser trigger quite a few, but this is part of the process. Let’s hope that we finally succeed.
       
      • Agree Agree x 2
    12. AUTHOR
      AUTHOR
      Jan64

      Jan64 Member Benefactor

      Location:
      Utrecht, the Netherlands
      Tinnitus Since:
      1983
      Cause of Tinnitus:
      noise
      Status report LLLT
      Name: Jan64
      Device (brand, wavelength and power): Konftec, 650 nm, 50 mW (changed from 808 to 650, 808 nm cable was broken)
      Lasering since: started again after agravation on 15 August 2017
      Protocol (every day? Duration): (almost) every day in bed before and during sleep, 45 minutes
      Effects: T loudness slightly down. Better hearing on 6kHz and 8 kHz. Can also be caused by the HBOT and prednisone/pentoxifillin cures I underwent.
       
    13. AZeurotuner

      AZeurotuner Member Benefactor

      Location:
      Tucson, AZ
      Tinnitus Since:
      2010
      Cause of Tinnitus:
      Acoustic Trauma
      @Jan64

      Hey Jan, I have a question for you regarding the Konftec since you seem to be quite knowledgeable and familiar with the unit. Is it normal for the 808nm to get rather warm during operation? It isn't painful, but the warmth is a little concerning, I would just like to make sure that this is how it should be functioning.

      Thanks,
      Ross
       
    14. AUTHOR
      AUTHOR
      Jan64

      Jan64 Member Benefactor

      Location:
      Utrecht, the Netherlands
      Tinnitus Since:
      1983
      Cause of Tinnitus:
      noise
      Hi Ross, My 808 gets also warmer. I think it can be 50 -60 degrees Celcius. In the beginning I was also concerned but it is not a problem. Regards,
      Jan
       
      Last edited: Jan 25, 2018
      • Helpful Helpful x 1
    15. AZeurotuner

      AZeurotuner Member Benefactor

      Location:
      Tucson, AZ
      Tinnitus Since:
      2010
      Cause of Tinnitus:
      Acoustic Trauma
      Thanks for the response Jan, just wanted to make sure I wasn't frying my cochleas.
       
    16. AZeurotuner

      AZeurotuner Member Benefactor

      Location:
      Tucson, AZ
      Tinnitus Since:
      2010
      Cause of Tinnitus:
      Acoustic Trauma
      @Bobby B @Jan64

      How do guys feel about Dr. Wilden using 4000 joules per session? I'm currently using around 300 per session, should I be aiming higher?
       
    17. AUTHOR
      AUTHOR
      Jan64

      Jan64 Member Benefactor

      Location:
      Utrecht, the Netherlands
      Tinnitus Since:
      1983
      Cause of Tinnitus:
      noise
      I have no idea about the optimal dose... Common sense says it should not be too low or too high. But the light has to reach the cochlea, that is for sure... I use a 50 mW, 650nm, 45 minutus a day, that is o.05 * 45/60 * 3600 = 135 J...
       
    18. noitseuq

      noitseuq Member

      Tinnitus Since:
      Right 2006. Left 2017
      Cause of Tinnitus:
      loud music
      I went to the Sarasota Clinic for 15 treatments without improvements. They told me to get another 5-10 sessions by 3 months.
      What should I do now? What unit should be better to get? I need some advices.
      In the clinc the suggest me to buy from them the Luci Basic.
       
    19. AUTHOR
      AUTHOR
      Jan64

      Jan64 Member Benefactor

      Location:
      Utrecht, the Netherlands
      Tinnitus Since:
      1983
      Cause of Tinnitus:
      noise
      What power did they use? What was the duration?

      Your tinnitus is quite old (since 2006), laser works best in the acute phase... When you read all the posts, read scientific papers etc. you may conclude that the chance you will experience healing within 15 treatments is low (not a very scientific statement...).

      When something happened in the first 15 treatments you might consider going on... But when nothing happened during this treatments chance of having some benefit after another 5-10 treatments is low...

      When you would like to give it another try you might consider long term home treatment... a more cost-efficient option... Also have look at the Konfec.com devices, a cheaper option.
      Kind regards,
      Jan
       
    20. noitseuq

      noitseuq Member

      Tinnitus Since:
      Right 2006. Left 2017
      Cause of Tinnitus:
      loud music
      Jan64
      Much Thanks for replying.

      You seem pretty knowledgeable regarding the topic. I know its old, on one Ear wasn't too loud but last year by December I was exposed to Loud Music again, and the other ear got a spike or a new high pitch. In the clinic they said I had a minor damage to the cochlea on both ears. The luci machine from Kaiser could be good for me?
      What would you do in my case? Should I try it again? And get the Luci machine? Or should I just wait to see if anything else comes as a cure, which no ones know by when would be available....
       
    21. Anima

      Anima Member

      Location:
      Illes Balears
      Tinnitus Since:
      Feb 2004
      Cause of Tinnitus:
      Noise trauma/metronidazole+kanamycin
      Hi, noitseuq,
      I’m sorry that the treatment didn’t work for you.
      I had about 60 sessions from Dr. Wilden in Bad Fussing, along several years, and did nothing for me. In my opinion, more sessions will be useless for you. If I were you, I would buy an infrared Konftec for home use instead of an expensive device like Luci, the difference, if any, is minimal, what really matters is the power and the radiation. Don’t pay any attention if they tell you (like Wilden told to me) that Konftec devices are bullshit, because they are not. They only try to sell you their device, it’s good business for them, have this in mind. Konftec will perfectly do the same job as those expensive devices or even better. I’ve one myself and I’m quite happy with it. A cure can take ages, your whole life maybe. Too long to seat down and wait for it. It is optimistically promoted for a near future, I know, but the reality is other, because, unfortunately, science is poking around in fog due the founding for Tinnitus research is scandalously poor. No money, no research, it's not difficult to understand. Is it? So siren songs is all we are getting and will get in the future if things don't change. Helping yourself is more realistic than awaiting for what only exist in our expectations. IMO, a laser home device is a good option, it might not work, who knows, but it won’t harm either. Good luck in your choice .
       
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    22. AUTHOR
      AUTHOR
      Jan64

      Jan64 Member Benefactor

      Location:
      Utrecht, the Netherlands
      Tinnitus Since:
      1983
      Cause of Tinnitus:
      noise
      Well said!
       
    23. Joel St-Amand

      Joel St-Amand Member

      Location:
      Vanncouver
      Tinnitus Since:
      2006
      Cause of Tinnitus:
      Noise
      I'm very new to this forum but have been following for months and would welcome any advice on the PowerLaser Basic500 that I'm considering to buy. Thanks
       
    24. lymebite
      Vegged out

      lymebite Member Podcast Patron Benefactor

      Location:
      United States
      Tinnitus Since:
      2013
      Cause of Tinnitus:
      Unknown
      @Joel St-Amand

      Is this the model you are considering?

      https://www.powermediclasers.com/power-laser/power-laser-basic-500

      The description says that it is a laser designed to treat trigger points, so it most likely has a very narrow beam, like the light version of a metal trigger point dry needle. For use on the inner ear, you want a wide beam. There are only a small number of lasers designed for inner ear use, most of them are shown in this chart (Konftec, Lux Spa / Wilden, Lumomed / Luci, and TinniTool):

      http://www.konftec.com/html/EN/Auricular_Laser_Comparison.htm

      The one inner ear laser that is notably missing from the chart is the COMBILASER LK-COMBI laser, often referred to as the "Lucky Laser."

      http://www.lucky-laser.com/productview.php?id=LK-COMBI

      Some people on Tinnitus Talk have been trying LED light therapy in place of LASER light therapy. The LED devices are less expensive, safer for the eyes, and arguably equally effective. One option for an LED device is the Red Light Man Infrared Mini 830.

      https://redlightman.com/product/infrared-mini-830/
       
    25. Joel St-Amand

      Joel St-Amand Member

      Location:
      Vanncouver
      Tinnitus Since:
      2006
      Cause of Tinnitus:
      Noise
      @ lymebite. Yes, that's the one. Thanks for the reply. Do know how any mW are needed to be effective?
       
    26. Joel St-Amand

      Joel St-Amand Member

      Location:
      Vanncouver
      Tinnitus Since:
      2006
      Cause of Tinnitus:
      Noise
      @ lymebite. Yes, that's the one. Thanks for the reply. Do know how any mW are needed to be effective? So a 3 diode would solve the narrow beam problem, right?
       
    27. BETo

      BETo Member

      Tinnitus Since:
      3/2018
      Cause of Tinnitus:
      TMJ/Rock Concert
      Hello, I’m had tinnitus just recently and I’m scared about what might happen to my quality of live. It’s being some extremely rough days/worse nights. I know many of you had endure this for years or decades, please be kind with my situation that is different.

      Went to a rock festival (March 3rd 2018) and stay on the front row during 8-9 hours. The next day the ringing on my left ear was gone, but on the right one continued.

      I went to a ENT who prescribe: Devincal (Piracetam and Vincamina), Prednisolone, Aceclofenaco, and Metacarbamol). It didn’t improve it. Also the audiometric test went fine, without hearing loss.

      Also I went to a TMD specialist who use LLLT and it actually remove the ringing. It was temporary, just around 24 hours. But it gave me a light of hope. This was last Friday (March 9th 2018), the laser was applied for 20 minutes. This weekend was not great, I’m having such a difficult time trying to sleep, that is affecting my life. I will continue therapy tomorrow (March 12th 2018). I will continue updating the results.
       
    28. lymebite
      Vegged out

      lymebite Member Podcast Patron Benefactor

      Location:
      United States
      Tinnitus Since:
      2013
      Cause of Tinnitus:
      Unknown
      @Joel St-Amand

      The dose for a laser is measured in joules, which is a function of time and power density (mW per square centimeter). So a laser of any power can be effective, depending on how much time you use the laser.

      Lasers are complicated in terms of safety, effective dosage, and effective wavelength. If it were me, I would only consider using a laser specifically designed and marketed for inner ear use. If you want to try a different laser designed for other medical purposes, you probably would want to learn a lot about safety and dosage. There are a number of posts on TTalk discussing dosage, here is one that I wrote a while back:

      https://www.tinnitustalk.com/threads/diy-low-level-laser-therapy-for-tinnitus-on-a-budget-—-lllt-under-100.15342/page-25#post-236643

      This webpage also offers a good overview of laser dosages, protocols, treatment times, etc.

      http://www.coldlasers.org/

      Good luck!
       
    29. Lisa2018

      Lisa2018 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Mp3
      His home device as of today is still 50 mW..
       
    30. AUTHOR
      AUTHOR
      Jan64

      Jan64 Member Benefactor

      Location:
      Utrecht, the Netherlands
      Tinnitus Since:
      1983
      Cause of Tinnitus:
      noise
      Hi Lisa, you are right, checked it at:
      https://www.lux-spa-ibiza.com/index.php/en/order

      It is in German, but it states Laser Leistung (laser power): 50 mW. See below:

      Bestellung Lux Spa Homelaser*
      1 x Lux Spa Home Laser by Dr. Wilden / Inner Ear Laser € 2.250,-

      Datenblatt
      Endpreis inklusive Steuer und Versand / Garantie: 2 Jahre

      Lieferumfang:
      1 Lithium Ion Batterie als Steuereinheit mit 2 USB Anschlüsse für Laser und ein mini USB für Ladevorgang
      2 Laserdioden 650nm mit USB Stecker
      2 Silikonstöpsel als Ohrteile
      1 Netzteil 5V 1A mit USB Anschluss
      1 Kabel mini USB/USB für Ladevorgang
      1 USB Stick mit Gebrauchsanleitung und weiterer Information
      1 Verpackung

      Technische Daten des LuzSpa Home Laser Plus von Dr.Wilden
      Betriebsspannung: 5 Volt Lithium Ion Batterie mit 10.000 mAh
      Wellenlänge: 650-660nm
      Laserleistung: 50mW ,diffus divergenter Dauerstrahl mit aprox 60º Austrittswinkel
      Laserschutzklasse: 1M
      Ladezeit: < 10 Stunden
      Betriebsdauer mit einer Ladung: > 20Stunden


      Bestellformular für den Lux Spa Homelaser by Dr. Wilden


      lux-spa-home-laser-key186.jpg

      Bitte füllen Sie das Bestellformular vollständig aus. Achten Sie auf die korrekte Eingabe des Sicherheits-Codes am Ende der Seite. Die Bestellung wird am Ende des Formulares mit dem Bestell-Button abgeschlossen. Eingaben, welche Pflichtfelder sind erkennen Sie an dem "roten Stern". Sie erhalten eine Bestätigung per E-Mail, damit Sie wissen dass Ihre Bestellung bei uns eingegangen ist. Ihre Daten werden verschlüsselt übermittelt und werden von uns ausschließlich in Verbindung mit Ihrer Bestellung gespeichert. Wir sind bemüht Ihren Auftrag zeitnah zu bearbeiten und auszuführen. Mit der Bestellung erhalten Sie eine Rechnung und die Zahlungsdaten. Sollten Sie Fragen haben, schreiben Sie uns: office@lux-spa-ibiza.com

      Regards, Jan
       
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