Page 19 - Veterinary Laser Therapy in Small Animal Practice
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Light is just the catalyst                             5


                   with. Just like pushing a child on a swing, if you push in   In general, then, targeting something in tissue with
                   sync with the natural rhythm, you can transfer the most   your laser means finding something in the cells of that
                   energy of your push to the child. But as I mentioned   tissue that does something productive when it absorbs
                   above, light is “quantized,” so this energy transfer is an   light, determining the resonant frequency of that some-
                   all-or-nothing kind of thing: you don’t absorb a piece of   thing, then using the color of light that coincides with
                   a photon. If a photon of light transfers all of its energy   that frequency. Simple. So what in the body absorbs
                   to the incident matter, we call that an absorption event.  light and what happens once it does?
                     On the atomic scale, the transitions between elec-
                   tron  energy  levels  correspond  to  light’s  frequency  in   1.3 Light’s bio-targets
                   the X-ray region of the spectrum, which is why X-rays
                   interact strongly with atoms, so much so that individ-  Here I need to remind you that this is not a textbook
                   ual electrons can be knocked completely out of orbit   on light. Instead it is a useful guide to laser therapy. For
                   in what is called ionization. This kind of process leads   that reason, the following discussion is limited to the
                   to all sorts of sporadic and dangerous effects, because   interactions of light in the visible-to-near-infrared por-
                   when an atom is missing an electron, it does whatever   tion of the spectrum, where therapy lasers (all of them)
                   it can to steal one from another atom, and the chain   live. And the focus is on things that are present in suf-
                   continues. Molecular bonds can be broken and whole   ficient quantity in the body to be worth mentioning.
                   molecules can be destroyed this way. In fact, more   Luckily for us, there are only a few.
                   than two-thirds of all light-induced mammalian DNA   The most prolific substance in the body happens to
                   damage happens when water becomes ionized into    be one of the main absorbers of infrared light in the
                   what’s called a hydroxyl radical.                 body: water. Volumes of textbooks have been written
                     On the molecular level, though, the bonds are much   on water and its role in the sustenance of life, but the
                   more flimsy, i.e. they have much slower natural frequen-  fact is, the molecule itself is actually very simple: two
                   cies (which makes sense because bigger things move   hydrogen molecules bond (i.e. share electrons) with
                   more slowly), and so light in the visible and infrared   one oxygen molecule. If you can get this pair of bonds
                   range takes over the interactions. And because lower   bouncing and wiggling around, water can do some
                   frequency means less energy, the interactions are often   wonderful things. We’ll explore more of this soon, but
                   not as catastrophic to the matter. Instead, the molecu-  for now, target number one is water.
                   lar bonds that absorb the incident light’s energy wiggle   Absorber number two of light in the body is melanin.
                   and twist and stretch and contract. Though smaller in   This is the pigment in the skin and hair/fur that gives it
                   magnitude, these types of molecular manipulations   the appearance of color. In the visible region of light,
                   lead to all types of changes in chemistry (more on this   the amount of dark or light you see tells you which kind
                   in section 1.3).                                  and how much light that material absorbs or reflects.
                     Absorption, even of visible and infrared light, is not   Let me explain. Black is not really a color. To the con-
                   always calm, though. If matter has a particular bond   trary, black is the lack of color. So if you see something
                   with a natural frequency that coincides with the inci-  that is black, that material is absorbing most of the
                   dent light, and a lot of light is used, the absorption events   visible light shining on it, and therefore reflecting very
                   lead to re-enforced vibrations that create heat and can   little of it back for your eye to see. White is the combi-
                   literally  shake molecules apart. This is why putting   nation of all light. So when you see something white,
                   things that contain water (e.g. most of your food) in   much less of that light is being absorbed; rather most
                   the microwave, which uses light with a frequency (and   of it is being reflected back to your eye. How about
                   therefore energy) that is 200,000 times less than visible     something in the middle?
                   light, heats your food much better than holding that   Grass is green. That is to say, it has lots of chloro-
                   day-old pizza next to your desk lamp, however bright   phyll  that  needs  to  absorb  light  for  photosynthesis.
                   it may be. The bonds in water have a huge absorption   So would shining green or, say, red light be better for
                   peak (a resonant frequency of bending/twisting) in the   plant growth? Well, if the grass is green, then it reflects
                   microwave region of the spectrum. This same idea is   most of the green light back to your eye, which means
                   used in surgical lasers to ablate tissue in a very efficient,   it doesn’t absorb green very well. If you used red light
                   localized way.                                    instead, a greater proportion would be absorbed. Why










         REDONDO PRINT (4-COL BLEED).indd   5                                                                          08/08/2019   09:46
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