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Engineering Strategies Applied to Relieving Chronic Pain

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This site shares a few insights from an engineer's perspective. My life story centers on the mantra: "if you cannot measure it, you cannot improve it."

 

My first startup, Kensington Laboratories (1972), created tools at the heart of quality improvement systems in industries that gave you hard disc drives and kept the computer revolution moving along Moore's Law. Objective measures were in nanometers and nanoseconds. I successfully exited in 1998. Later, the company exited for $320M.

My friends were right when telling me that my early "retirement" and flying charters would not be satisfying for very long.

Allan-Square-600.jpg

Allan Gardiner

University of California - BS Mech. Eng. 1970

Professional Engineer, California M15780

U.S. Commercial Pilot, Type Rating CE-500

Free to look for a next chapter, I was appalled by the hopelessness of my friends and neighbors from experiencing unrelenting chronic pain and residual impairments from strokes and spinal cord injuries despite the "best" care available.

 

Estimates suggest that 20 million Americans endure high-impact chronic pain. Could engineering strategies from other industries solve these challenging medical problem?

In 1999, a light came on. Literally. I was exposed to photobiomodulation therapy (PBM) and its ability to relieve chronic pain. I asked the clinician, Constance Haber, how she chose the wavelength to use. She replied, it's the only one I've got. That brief conversation inspired our invention of variable-wavelength therapy. Our invention addresses fundamental limitations to fixed wavelength therapies: A. The wavelength or multiple wavelengths needed by the body are unknown. B. The needed wavelengths likely change as healing resumes or accelerates. In 2000, I formed a team that became my second startup, PhotoMed Technologies, to develop the variable-wavelength therapy. Outcomes from the therapy were beyond everyone's imaginations. Real-time recordings using thermal imaging and surface electromyography (SEMG) connected the settings and timing of the therapy with responses and outcomes. However, I was skeptical when our medical advisors were puzzled and had found no studies to cite for the observed phenomena. How might years of high-impact chronic pain and coldness from complex regional pain syndrome (CRPS or RSD) simply vanish? The varying wavelengths appeared more complex to study than for a discrete wavelengths. However, the varying wavelengths are like how visible rays of sunlight filtering through a forest in a breeze pleasantly dance on your skin. Capturing unpredicted events. The team applied engineering strategies as they created sophisticated recording systems to document the unpredicted events in real time. Like how nature videos show ordinary events from new perspectives, the real-time recordings show healing as it switches back on. The responses and outcomes turn out to be ordinary. It is the years of delay and low expectations that make resumed functioning feel special. It's the same for when sensations turn on again, the feeling coldness thaws, and for when one's range of motion returns back to normal. Of course, the body heals itself rather than being forced to do something that it would not have done on its own. Thousands of anecdotes from myriad non-invasive therapies tell that story. PhotoMed's real-time recordings let everyone watch like with the man's hands warming after 30 years of dysregulation. Could his experience of coldness have gotten stuck and the temperatures were a result? I have been honored to work with hundreds of volunteers having no path forward. They often shared detailed stories about their lives left behind. About the grip of pain that narrowed their focus until nothing else seemed to exist. And added details of the torment of losing jobs, friends, and family. But it was their outcomes and gratitude that inspired me to invest 23 years of my life and $18M to solve challenging life limiting problems. The trek helped to develop the variable-wavelength therapy. The insights apply to many non-invasive therapies. They are not specific to any intervention or therapy. For example, I would not have invented variable-wavelength therapy if I had not seen cold limbs warm in response to then called infrared therapy. ​Six U.S. Patents have been issued for the variable-wavelength therapy methods.

I want to thank the volunteers who helped the team develop PhotoMed's variable-wavelength therapy and methods. Most volunteers arrived with chronic pain and impairments having no path forward. I also want to thank the many people who contributed to and challenged ideas: especially Constance Haber, Catherine Willner MD, William Conard MD, and Robert E. Florin MD.

The team developed models and speculations distilled by processes of elimination based upon observations and data from feasibility studies. The team embarrassingly backed into a unifying principle of biology; homeostasis, and that healing is homeostasis in action. Healing includes improving the flows of information and energy that works on millisecond timescales.

Homeostatic focus can switch back to normal

Recently, the team recognized that the term "treatment-resistant" chronic pain suggests that homeostasis has shifted its set point to actively maintain the pain and impairments. That is, homeostasis is working but does not to return to the normal state.

 

The therapy (likely many different non-invasive therapies) prompts homeostasis to switch back to an earlier set point. The rest is automatic.

Contact me.

Allan Gardiner

Disclaimer: The information and insights on this website are not to be considered as recommendations or medical advice. PhotoMed's variable-wavelength therapy and other non-invasive therapies are presented to support a broader understanding of wellness therapies. PhotoMed's Varichrome Pro is not intended to treat any disease or disorder.

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