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« Plasticos Foundation | Main | Silicone Breast Implants Video: Absolutely Safe? »
Wednesday
Jan142009

Why chiropractors can not use lasers and IPLs for cosmetic treatments.

Here'a an email I received on chiropractors performing cosmetic medical treatments with IPLs and lasers.

This is probably in response to the discussion about Florida Chiropractors offering laser and IPL treatments.

I've removed the name and eveidently there was some emotion involveds with the ALL CAPS.

Per Chapter 460: Why light is not in the scope of chiropractic medicine unless used to treat...

...and treatment of the human body in which vertebral subluxations and other malpositioned articulations and structures that are interfering with the normal generation, transmission, and expression of nerve impulse between the brain, organs, and tissue cells of the body, thereby causing disease, are adjusted, manipulated, or treated, thus restoring the normal flow of nerve impulse which produces normal function and consequent health by chiropractic physicians using specific chiropractic adjustment or manipulation techniques taught in chiropractic colleges accredited by the Council on Chiropractic Education.

See below - obviously IPL's and Lasers ARE ONLY IN THE SCOPE OF PRACTICE WHEN TREATING THE ABOVE

- HAIR REMOVAL AND AESTHETIC MEDICINE IS OBVIOUSLY NOT vertebral subluxations and other malpositioned articulations and structures that are interfering with the normal generation, transmission, and expression of nerve impulse between the brain, organs, and tissue cells of the body, thereby causing disease, are adjusted, manipulated

AND WHERE IS AESTHETIC MEDICINE TAUGHT BY AN ACCREDITED COLLEGE OTHER THAN THE ONE DOCTOR WHO IS CURRENTLY SELLING THESE DEVICES AND TEACHING CE CREDITS TO OTHER DOCTORS IN ORDER TO USE THAT AS THE DEFENSE FOR WHY IT IS IN CHIROPRACTIC SCOPE - WHICH MAY ACTUALLY WORK IF IT WERENT FOR THE VERBIAGE THAT THE TEACHINGS ARE thus restoring the normal flow of nerve impulse which produces normal function and consequent health by chiropractic physicians using specific chiropractic adjustment or manipulation techniques

HAIR REMOVAL AND OTHER AESTHETIC TREATMENTS BEING PROVIDED ARE NOT WITH THE PURPOSE OF RESTORING THE NORMAL FLOW OF NERVE IMPULSE WHICH PRODUCES NORMAL FUNCTION AND CONSEQUENT HEALTH BY CHIROPRACTIC PHYSICIANS USING SPECIFIC CHIROPRACTIC ADJUSTMENT OR MANIPULATION TECHNIQUES

SO Chiropractic physicians may adjust, manipulate, or treat the human body by manual, mechanical, electrical, or natural methods; by the use of physical means or physiotherapy, including light, heat, water, or exercise; by the use of acupuncture; or by the administration of foods, food concentrates, food extracts, and items for which a prescription is not required and may apply first aid and hygiene

IS IN DIRECT REFERENCE TO

treatment of the human body in which vertebral subluxations and other malpositioned articulations and structures that are interfering with the normal generation, transmission, and expression of nerve impulse between the brain, organs, and tissue cells of the body, thereby causing disease, are adjusted, manipulated, or treated, thus restoring the normal flow of nerve impulse which produces normal function and consequent health by chiropractic physicians using specific chiropractic adjustment or manipulation techniques taught in chiropractic colleges accredited by the Council on Chiropractic Education.

If 1- vertebral subluxations ,
2)malpositioned articulations ,
3) structures that are interfering with the normal generation, transmission, and expression of nerve impulse between the brain, organs, and tissue cells of the body, thereby causing disease, are adjusted, manipulated

were not referenced in Chapter 460 - then IPL's & other light devices used for AESTHETIC purposes would maybe have a chance of being in the scope of Chiropractic Medicine but no where in any of the medical records of these physicians, the advertisements or anything else will you likely see any reference to treatment of ailments , just services provided to enhance aesthetics.

Reader Comments (5)

I fervently agree that lasers and other high-tech medical equipment should not be used on experiments or cosmetic dermatology. I have nothing against aesthetic medicine but there should be a limit. Too much of anything is bad. Let's learn to be content and satisfied to what our Creator has given us.

Hi Jeff,
Why are chiropractors here in FL still getting away doing laser hair reduction and laser skin treatments? If this is law, they are illegally practicing medicine.
There is one chiropractor www.laserhairconcepts.com that does these procedures. Why are he and his colleagues still allowed to continue?

05.29 | Unregistered CommenterMDSKB

@ MDSKB, Each state is somewhat different in what the consider to be within the scope of practice. I'm not in FL an can't really speak to the legal aspects of what you can do around laser hair removal there.

It's generally the case that these types of medical spas or centers have a run until someone complains or a patient is burnt and the lawyers step in. I can't imagine that their malpractice insurance will cover them if they're operating outside of their scope of practice. (I do remember something about chiropractors having access to 'light therapies' in Florida but I don't know.)

Probably the same way advanced estheticians "get away" with it-by paying an MD to be their medical director. The medical director has his license # and DEA # on all medical documents and they are able to purchase lasers and injectibles with it.

Interesting that Dr. Slatkow- (you know-"A Man of Honor & Distinction"-right off his website, you can't make this stuff up-LOL) clearly states that Laser Hair Concepts is owned, operated and runs under the supervision of Dr. Andrew Slatkow; a Doctor of Chiropractic who opened his practice in 1980 after graduating at the top of his class earning the honor and distinction of Cum Laude from Palmer College of Chiropractic.

And even more interestingly his OFFICE MANAGER, a Registered Chiropractic Assistant with the State of Florida does the treatments. Not even a 300 hr. esti...

MDSKB,

The law in Florida is clear about who can use a laser device for hair removal. It isn't certain if the law is being broken at the office you indicate.


The Board of Medicine has determined that the use of lasers, laser-like devices and intense pulsed light devices is considered the practice of medicine.

The Board of Medicine has stated that lasers, laser for hair removal, Botox injections, collagen injections, and any other noninvase injections of materials used as procedures to treat patients must be performed by a Physician, a Physician Assistant under supervision, or an Advanced Registered Nurse Practitioner working under a protocol signed by a Physician.
With respect to laser hair removal, the Board of Medicine has previously stated that a Physician, an Osteopathic Physician, a Physician Assistant under the supervision of a physician, an Advanced Registered Nurse Practitioner under protocols with a physician, or an Electrologist working under the direct supervision and responsibility of a Physician is required.
We have heard that in some states, with appropriate training, nurses are actively injecting Botox, collagen, and other injectable fillers and that licensed cosmetologist/estheticians are performing laser hair removal and photo rejuvenation with intense pulsed light devices. However, this is not the practice in Florida.

http://www.doh.state.fl.us/mqa/medical/me_laser.html

05.29 | Unregistered CommenterMH

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