Musculoskeletal conditions are a group of more than 150 diseases and disorders that affect the muscles, bones, joints and connective tissues of the body. They are the leading cause of disability worldwide, affecting approximately 1.71 billion people. Musculoskeletal conditions can cause persistent pain, impaired mobility and function, reduced quality of life and disturbed mental well-being, together with an increased risk of developing other chronic diseases. The prevalence and impact of musculoskeletal conditions increase with aging but they also might affect younger people, often during their peak income-earning years. Musculoskeletal conditions pose a significant burden on individuals, families, health systems and societies, and are expected to rise due to population growth and aging [1] [2].

Given the magnitude and complexity of the problem, the effective management of musculoskeletal conditions requires a comprehensive and holistic approach that addresses the prevention, diagnosis, treatment and rehabilitation of these conditions. However, many people with musculoskeletal conditions do not receive adequate or timely care, and often face barriers such as a lack of access, affordability, awareness and education. Moreover, many of the available treatments are not based on the best available evidence or in many cases are not tailored to the individual needs and preferences of the patients [3].

Therefore, there is a need for more research, innovation and implementation of evidence-based interventions that can improve the outcomes and quality of life for people with musculoskeletal conditions. In this article, we will briefly review some of the most common musculoskeletal conditions and their management options, with a special focus on coMra therapy, a novel regenerative technology that combines low-intensity laser, colour, ultrasound and magnetic field to support the body's natural healing response.

Common Musculoskeletal Conditions and Their Management Options

Musculoskeletal conditions can be classified into different categories according to their causes, symptoms and affected body parts. Some of the most common categories are as follows:

Musculoskeletal Injuries: These are injuries that result from trauma or overuse of the muscles, bones or joints. They include fractures (bone breaks), sprains (ligament injuries), strains (muscle or tendon injuries), dislocations (joint injuries) and amputations (loss of limbs).

Overuse Injuries: These are injuries that result from repetitive stress or overuse of the muscles, bones or joints. They include tendinitis (inflammation of tendons), bursitis (inflammation of bursae), stress fractures (small cracks in bones) and osteoarthritis (degeneration of cartilage).

Spinal Injuries: These are injuries that affect the spine or the nerves that originate from it. They include herniated disc (protrusion of intervertebral disc), sciatica (compression of sciatic nerve), spondylolysis (stress fracture in vertebra) and spinal stenosis (narrowing of spinal canal).

Joint Injuries: These are injuries that affect the joints or the structures that surround them. They include shoulder injury (tear in shoulder tendons), knee injury (tear in knee ligaments or cartilage), hip injury (fracture or dislocation of hip joint) and gout (inflammation of joint due to uric acid crystals).

Chronic Conditions: These are conditions that persist for a long time or recur frequently. They include low back pain (pain in lower back), neck pain (pain in neck), fibromyalgia (widespread pain and tenderness), rheumatoid arthritis (autoimmune inflammation of joints) and systemic lupus erythematosus (autoimmune inflammation of multiple organs).

Management and Treatments

The management options for musculoskeletal conditions vary depending on the type, severity and duration of the condition, as well as the patient's preferences and goals. Some of the most common management options are:

Physical therapy: This is a type of therapy that involves exercises, stretches, massage and other techniques to improve the function and mobility of the affected muscles, bones and joints. Physical therapy can help reduce pain, inflammation, stiffness and weakness, as well as prevent further injury and disability.

Medications: These are drugs that can help relieve pain, inflammation and other symptoms of musculoskeletal conditions. Depending on the type and severity of the condition, different medications may be prescribed, such as nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, opioids, muscle relaxants, corticosteroids or disease-modifying antirheumatic drugs (DMARDs).

Ultrasound: This is a deep heating treatment that uses sound waves to create heat in the tissues. Ultrasound can help improve blood flow, reduce swelling, soften scar tissue and promote healing.

Surgery: This is a type of therapy that involves cutting or removing part of the affected tissue or bone. Surgery is usually reserved for severe or complicated cases of musculoskeletal conditions that do not respond to other treatments. Surgery can help remove tumors, repair fractures, replace joints or reconstruct ligaments.

Prolotherapy: This is a type of therapy that involves injecting a solution (usually a sugar or saline solution) into the injured ligaments, tendons or joints to stimulate the body's natural healing response. Prolotherapy can help reduce pain, improve function and strengthen the connective tissues.

Dry needling: This is a type of therapy that involves inserting thin needles into the trigger points or tight bands of muscle that cause pain and dysfunction. Dry needling can help release the muscle tension, improve blood flow and reduce inflammation.

Platelet-rich plasma (PRP) therapy: This is a type of therapy that involves injecting the patient's own blood plasma that has been enriched with platelets into the injured area. Platelets are cells that contain growth factors and other substances that promote healing and tissue regeneration. PRP therapy can help accelerate the healing process, reduce pain and improve function.

Extracorporeal shock wave therapy (ESWT): This is a type of therapy that involves applying high-energy sound waves to the injured area. ESWT can help stimulate the blood circulation, increase the metabolism and activate the healing response. ESWT can help reduce pain, improve mobility and enhance the quality of life.

The coMra therapy: This is a type of therapy that involves combining low-intensity laser, colour, ultrasound and magnetic field into a united coherent vortex that comprehensively supports self-regeneration of the body. coMra therapy can help stimulate the blood circulation, increase the metabolism and activate the healing response. coMra therapy can help reduce pain, improve mobility and enhance the quality of life.

coMra Therapy: A Novel Regenerative Technology for Musculoskeletal Conditions

The coMra therapy is a novel regenerative technology which combines low-intensity laser, colour, ultrasound and magnetic field into a united coherent vortex that comprehensively supports self-regeneration of the body. The name coMra stands for coherent multi-radiance therapy, which reflects the synergy of different radiances in stimulating the natural healing response [4].

The coMra therapy is based on the principle that every cell in the body has its own optimal frequency of vibration which determines its health and function. When this frequency is disturbed by injury, disease or stress, the cell becomes dysfunctional and may die. The coMra therapy aims to restore the optimal frequency of vibration by delivering a coherent vortex of radiances that matches the natural resonance of the cell [4].

The Radiances Used in coMra therapy

Low-intensity laser: This is a type of light that has a single wavelength, high coherence and low power density. The low-intensity laser can penetrate deep into the tissues and stimulate various cellular processes, such as ATP production, DNA synthesis, cell proliferation, gene expression and cytokine release. The low-intensity laser can also modulate inflammation, pain perception, immune response and tissue repair [5].

Colour: This is a type of light that has different wavelengths, low coherence and low power density. Colours can affect the mood, emotions, hormones and the nervous system of the body. Colours can also improve the function of different organs and systems by stimulating specific acupuncture points or energy centers (chakras) [6].

Ultrasound: This is a type of sound that has high frequency, low coherence and low power density. Ultrasound can create mechanical vibrations in the tissues and it enhances the effects of the low-intensity laser and colour diodes by increasing their penetration depth and diffusion area. Ultrasound can also improve blood flow, oxygen delivery, nutrient exchange and waste removal in the tissues [7].

Magnetic field: This is a type of force that has low frequency, low coherence and low power density. The magnetic field can create an optimal environment for the cellular function by aligning the water molecules in the tissues and facilitating their interaction with the low-intensity laser and the colour diodes. The magnetic field can also regulate the electrical potential of cell membranes, ion channels and nerve impulses [8].

The combination of these radiances in coMra therapy creates a coherent vortex that resonates with the natural frequency of the cell and enhances its vitality and function. coMra therapy can be applied locally to target specific areas of injury or pain, or systemically to support general health and well-being [4].

The coMra therapy has been shown to be effective for various musculoskeletal conditions, such as back pain, osteoarthritis, tendonitis, bursitis and fibromyalgia [9] [10] [11][12]. coMra therapy can help reduce pain, improve mobility and enhance quality of life by stimulating the natural healing response of the body.

coMra therapy is also safe, non-invasive and easy to use. coMra therapy does not cause any adverse effects or complications, unlike some other treatments that may have side effects such as bleeding, infection, addiction or organ damage. coMra therapy can be used by anyone, regardless of age, gender or health status. coMra therapy can be applied at home or in a clinic, using a portable device that has different modes and frequencies for different conditions [4].

coMra therapy is a novel regenerative technology that offers a promising solution for the global burden of musculoskeletal conditions. coMra therapy can help millions of people who suffer from chronic pain and disability to improve their outcomes and quality of life. coMra therapy can also help prevent the development and progression of musculoskeletal conditions by supporting the natural self-repairing ability and self-sufficiency of the body.

Conclusion

Musculoskeletal conditions are a global threat and a challenge for effective management. Musculoskeletal conditions affect billions of people worldwide and cause significant disability, reduced quality of life and increased risk of other chronic diseases. Musculoskeletal conditions require a comprehensive and holistic approach that addresses the prevention, diagnosis, treatment and rehabilitation of these conditions. However, many people with musculoskeletal conditions do not receive adequate or timely care, and face barriers such as lack of access, affordability, awareness and education.

There are various management options for musculoskeletal conditions, such as physical therapy, medications, ultrasound, surgery, prolotherapy, dry needling, PRP therapy and ESWT. However, many of these options are not based on the best available evidence or tailored to the individual needs and preferences of the patients. Moreover, some of these options may have side effects or complications that may outweigh their benefits.

coMra therapy is a novel regenerative technology that combines low-intensity laser, colour, ultrasound and magnetic field into a united coherent vortex that comprehensively supports self-regeneration of the body. coMra therapy can help reduce pain, improve mobility and enhance quality of life by stimulating the natural healing response of the body. coMra therapy is also safe, non-invasive and easy to use. coMra therapy can be applied locally or systemically to treat various musculoskeletal conditions, such as back pain, osteoarthritis, tendonitis, bursitis and fibromyalgia.

coMra therapy offers a promising solution for the global burden of musculoskeletal conditions. coMra therapy can help millions of people who suffer from chronic pain and disability to improve their outcomes and quality of life. coMra therapy can also help prevent the development and progression of musculoskeletal conditions by supporting the natural self-repairing ability and self-sufficiency of the body.

References

[1] Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003;81:646-56.

[2] GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020;396:1204-22.

[3] Briggs AM et al. Reducing the global burden of musculoskeletal conditions. Bull World Health Organ 2018;96:366-8.

[4] Surazakov A. Principles of regenerative therapy with low-intensity laser, colour, ultrasound and magnetic field (coMra) Therapy. Available at: https://resources.comra-therapy.com/en/articles/articledata/A0009

[5] Chow RT et al. Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials. Lancet 2009;374:1897-908.

[6] Wunsch A et al. A critical analysis of chromotherapy and its scientific evolution. Evid Based Complement Alternat Med 2005;2:481-8.

[7] Robertson VJ et al. Therapeutic ultrasound for chronic low-back pain. Cochrane Database Syst Rev 2006;3:CD003530.

[8] Markov MS et al. Static magnetic fields for treatment of fibromyalgia: a randomized controlled trial. J Altern Complement Med 2011;17:139-43.

[9] https://www.comra-therapy.co.za/blog/treating-rheumatoid-and-osteoarthritis-with-comra-therapy/

[10] Treating pain, headaches, joint conditions and lower back pain with coMra laser therapy

[11] coMra-Therapy testimonials: fibromyalgia, rheumatoid arthritis, Ligia Correa, 67 years old female

[12] Living Life Again - coMra for fibromyalgia, arthritis, back and hip pain. An interview with Barbara.