Post-COVID-19 syndrome often includes persistent symptoms after the acute phase of the infection, such as loss of taste and smell, known as anosmia and ageusia, respectively. Photobiomodulation therapy (PBMT) has shown promise in treating neurological sequelae associated with COVID-19. This case study presents the outcomes of PBMT using a class 4 therapeutic laser in restoring taste and smell sensations in two patients, ages 75 and 42, who experienced anosmia and ageusia post-COVID-19.
Patient #1
A 75-year-old female presented with a history of COVID-19 infection one year prior, experiencing persistent loss of taste and smell.
The patient received a single session of transcranial PBMT using the Bell’s palsy protocol with a class 4 therapeutic laser. The treatment consisted of two parts, with the first being delivered to the posterior upper cervical area to target the cranial nerve nuclei in the brainstem, and the second delivered over the nerve pathways in the face and head.
The first part used average power of 8 watts, treatment time of 100 seconds, delivering 800 joules with a power density of 1.6 W/cm2 and energy density (dosage) of 8 J/cm2. The second part used average power of 4 watts, treatment time of 180 seconds, delivering 720 joules with a power density of 0.8 W/cm2 and energy density of roughly 7 J/cm2. Both parts used wavelengths of 650, 810, 915 and 980 nm, delivered with a combination of continuous wave and pulsing frequencies.
Within 24 hours post-treatment, the patient reported significant improvements in taste and smell sensations, marking the first time she had experienced these senses in over a year. Follow-up assessments at one week and one month revealed sustained improvement in taste and smell perception, with the patient reporting continued restoration of sensory function and enhanced quality of life.
Patient #2
A 42-year-old female presented with similar symptoms of post-COVID-19 anosmia and ageusia following recovery from a moderate COVID-19 infection. The patient underwent a single session of transcranial PBMT using the same parameters and protocol as patient #1.
Immediate improvements in taste and smell sensations were reported by the patient following the PBMT session. Subsequent follow-up assessments demonstrated continued improvement in sensory perception, with the patient reporting gradual restoration of taste and smell sensitivity over the course of several weeks. At one-month post-treatment, the patient reported near-complete resolution of anosmia and ageusia, significantly enhancing her quality of life.
Discussion
These case studies highlight the potential of transcranial PBMT with a class 4 therapeutic s laser as a promising intervention for restoring taste and smell sensations in individuals experiencing long-term post-COVID-19 anosmia and ageusia. The observed rapid and sustained improvements in sensory function following a single PBMT session suggest that PBMT may offer a viable therapeutic approach for addressing neurological manifestations of COVID-19.
These findings are supported by a published pilot clinical study on PBM for COVID-19-related anosmia and ageusia that concluded, “Our results showed a significant functionality improvement of both olfactory and gustatory functionality.”1 Further research is warranted to validate these findings and optimize treatment protocols for individuals with long COVID-related sensory deficits.
Reference
Chronic pain afflicts over 20% of the adult population. Sadly, most MDs have essentially no education in treating pain, beyond offering a few toxic medications. Then they tend to steer people with pain away from those health practitioners who are trained. This puts the acupuncture community on the front lines for addressing this epidemic.
When the body is going through a stressful event, the sympathetic system is activated. This activation will help the body with a life-threatening situation. If this state is activated for prolonged periods of time, it starts to consume energy. These traumatic events that generate stressors in the autonomic nervous system (ANS) will eventually become internalized.
| Digital Exclusive
One of the things that makes acupuncture so difficult to measure is that the medicine actually does contain some esoteric aspects. There have been numerous studies that demonstrate the neurochemical reasoning behind why acupuncture points stimulate the autonomic nervous system to enact change However, not all the benefits of TCM can easily be measured by randomized, controlled trials. But does that make them fundamentally and definitively untrue?
| Digital Exclusive