I have a patient with partial numbness upper lip, right ala, tip of nose and right infraorbital area. (terminus of the 2nd division of the trigeminal nerve). I have used my NdYAG on the extraoral biostim setting (650us, 300mJ, 20Hz, 6W) on four occasions for 2500J each session withnot much change.
Is this not enough energy at a given session (more like 5000J or 10000J needed)?
Is four sessions not enough to begin to notice some change?
Or is this not an appropriate use for this laser?
Mac Garrison