{"id":8599,"date":"2026-01-12T14:46:55","date_gmt":"2026-01-12T06:46:55","guid":{"rendered":"https:\/\/fotonmedix.com\/?p=8599"},"modified":"2026-02-06T11:22:27","modified_gmt":"2026-02-06T03:22:27","slug":"the-clinical-efficacy-of-class-iv-laser-therapy-in-canine-osteoarthritis-a-photobiomodulation-deep-dive","status":"publish","type":"post","link":"https:\/\/fotonmedix.com\/ru\/the-clinical-efficacy-of-class-iv-laser-therapy-in-canine-osteoarthritis-a-photobiomodulation-deep-dive.html","title":{"rendered":"\u041a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u044c \u043b\u0430\u0437\u0435\u0440\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438 IV \u043a\u043b\u0430\u0441\u0441\u0430 \u043f\u0440\u0438 \u043e\u0441\u0442\u0435\u043e\u0430\u0440\u0442\u0440\u0438\u0442\u0435 \u0443 \u0441\u043e\u0431\u0430\u043a: \u0413\u043b\u0443\u0431\u043e\u043a\u043e\u0435 \u043f\u043e\u0433\u0440\u0443\u0436\u0435\u043d\u0438\u0435 \u0432 \u0444\u043e\u0442\u043e\u0431\u0438\u043e\u043c\u043e\u0434\u0443\u043b\u044f\u0446\u0438\u044e"},"content":{"rendered":"<p class=\"wp-block-paragraph\">\u0412 \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u044e\u0449\u0435\u043c\u0441\u044f \u043b\u0430\u043d\u0434\u0448\u0430\u0444\u0442\u0435 \u0432\u0435\u0442\u0435\u0440\u0438\u043d\u0430\u0440\u043d\u043e\u0439 \u0440\u0435\u0430\u0431\u0438\u043b\u0438\u0442\u0430\u0446\u0438\u0438 \u0438 \u043e\u0431\u0435\u0437\u0431\u043e\u043b\u0438\u0432\u0430\u043d\u0438\u044f \u043b\u0438\u0448\u044c \u043d\u0435\u043c\u043d\u043e\u0433\u0438\u0435 \u043c\u0435\u0442\u043e\u0434\u044b \u0442\u0430\u043a \u0441\u0438\u043b\u044c\u043d\u043e \u0438\u0437\u043c\u0435\u043d\u0438\u043b\u0438 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b\u044b, \u043a\u0430\u043a \u043c\u043e\u0449\u043d\u044b\u0435 \u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043b\u0430\u0437\u0435\u0440\u044b. \u041e\u0441\u0442\u0435\u043e\u0430\u0440\u0442\u0440\u0438\u0442 \u0443 \u0441\u043e\u0431\u0430\u043a (\u041e\u0410) - \u0440\u0430\u0441\u043f\u0440\u043e\u0441\u0442\u0440\u0430\u043d\u0435\u043d\u043d\u043e\u0435, \u043f\u0440\u043e\u0433\u0440\u0435\u0441\u0441\u0438\u0440\u0443\u044e\u0449\u0435\u0435 \u0438 \u0438\u0437\u043d\u0443\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435, \u0437\u0430\u0442\u0440\u0430\u0433\u0438\u0432\u0430\u044e\u0449\u0435\u0435 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u0443\u044e \u0447\u0430\u0441\u0442\u044c \u043f\u043e\u043f\u0443\u043b\u044f\u0446\u0438\u0438 \u0433\u0435\u0440\u0438\u0430\u0442\u0440\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u0441\u043e\u0431\u0430\u043a, - \u0442\u0440\u0435\u0431\u0443\u0435\u0442 \u043c\u0443\u043b\u044c\u0442\u0438\u043c\u043e\u0434\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u043f\u043e\u0434\u0445\u043e\u0434\u0430, \u0432\u044b\u0445\u043e\u0434\u044f\u0449\u0435\u0433\u043e \u0437\u0430 \u0440\u0430\u043c\u043a\u0438 \u043f\u0440\u043e\u0441\u0442\u043e\u0439 \u043c\u0430\u0441\u043a\u0438\u0440\u043e\u0432\u043a\u0438 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043e\u0432. <strong>\u041b\u0430\u0437\u0435\u0440\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u0447\u0435\u0442\u0432\u0435\u0440\u0442\u043e\u0433\u043e \u043a\u043b\u0430\u0441\u0441\u0430<\/strong>, \u0424\u043e\u0442\u043e\u0431\u0438\u043e\u043c\u043e\u0434\u0443\u043b\u044f\u0446\u0438\u044f (\u0424\u0411\u041c), \u043f\u043e\u043b\u0443\u0447\u0438\u0432\u0448\u0430\u044f \u043d\u0430\u0443\u0447\u043d\u043e\u0435 \u043d\u0430\u0437\u0432\u0430\u043d\u0438\u0435, \u0441\u0442\u0430\u043b\u0430 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u044c\u0441\u044f \u043d\u0435 \u043f\u0440\u043e\u0441\u0442\u043e \u043a\u0430\u043a \u0434\u043e\u043f\u043e\u043b\u043d\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u043e\u0431\u0435\u0437\u0431\u043e\u043b\u0438\u0432\u0430\u044e\u0449\u0435\u0435 \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u043e, \u0430 \u043a\u0430\u043a \u0444\u0443\u043d\u0434\u0430\u043c\u0435\u043d\u0442\u0430\u043b\u044c\u043d\u044b\u0439 \u0438\u043d\u0441\u0442\u0440\u0443\u043c\u0435\u043d\u0442, \u0441\u043f\u043e\u0441\u043e\u0431\u043d\u044b\u0439 \u0438\u0437\u043c\u0435\u043d\u044f\u0442\u044c \u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u0443\u044e \u043c\u0438\u043a\u0440\u043e\u0441\u0440\u0435\u0434\u0443 \u0431\u043e\u043b\u044c\u043d\u043e\u0433\u043e \u0441\u0443\u0441\u0442\u0430\u0432\u0430.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0427\u0442\u043e\u0431\u044b \u043f\u043e-\u043d\u0430\u0441\u0442\u043e\u044f\u0449\u0435\u043c\u0443 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u044c \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u0438 <strong><a href=\"https:\/\/fotonmedix.com\/ru\/%d0%ba%d0%b0%d1%82%d0%b5%d0%b3%d0%be%d1%80%d0%b8%d1%8f\/%d0%bf%d1%80%d0%be%d0%b4%d1%83%d0%ba%d1%82\/\"   title=\"\u041f\u0440\u043e\u0434\u0443\u043a\u0446\u0438\u044f\"  data-wpil-monitor-id=\"2147\">\u041b\u0430\u0437\u0435\u0440\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u043a\u043b\u0430\u0441\u0441\u0430 iv<\/a><\/strong>, clinicians must move beyond the rudimentary understanding of &#8220;shining light on a painful spot.&#8221; Effective utilization requires a profound grasp of cellular bioenergetics, the optical properties of canine tissue, and the precise dosimetry required to overcome the unique barriers presented by fur and pigmentation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0411\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u043c\u0435\u0445\u0430\u043d\u0438\u0437\u043c: \u0414\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u044f \u0444\u043e\u0442\u043e\u0431\u0438\u043e\u043c\u043e\u0434\u0443\u043b\u044f\u0446\u0438\u0438<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0423\u0441\u0442\u043e\u0439\u0447\u0438\u0432\u044b\u043c \u0437\u0430\u0431\u043b\u0443\u0436\u0434\u0435\u043d\u0438\u0435\u043c \u0432 \u0432\u0435\u0442\u0435\u0440\u0438\u043d\u0430\u0440\u0438\u0438 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043f\u0440\u0438\u0440\u0430\u0432\u043d\u0438\u0432\u0430\u043d\u0438\u0435 \u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0445 \u043b\u0430\u0437\u0435\u0440\u043e\u0432 \u043a \u043f\u0440\u043e\u0441\u0442\u044b\u043c \u043d\u0430\u0433\u0440\u0435\u0432\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u043c \u043f\u0440\u0438\u0431\u043e\u0440\u0430\u043c. \u0425\u043e\u0442\u044f \u0432 \u043c\u043e\u0449\u043d\u044b\u0445 \u0441\u0438\u0441\u0442\u0435\u043c\u0430\u0445 \u0447\u0430\u0441\u0442\u043e \u043f\u0440\u0438\u0441\u0443\u0442\u0441\u0442\u0432\u0443\u0435\u0442 \u043a\u043e\u043c\u0444\u043e\u0440\u0442\u043d\u044b\u0439 \u0442\u0435\u043f\u043b\u043e\u0432\u043e\u0439 \u044d\u0444\u0444\u0435\u043a\u0442, \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u0435 \u0442\u0435\u0440\u0430\u043f\u0435\u0432\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0434\u0435\u0439\u0441\u0442\u0432\u0438\u0435 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0444\u043e\u0442\u043e\u0445\u0438\u043c\u0438\u0447\u0435\u0441\u043a\u0438\u043c, \u0430 \u043d\u0435 \u0444\u043e\u0442\u043e\u0442\u0435\u0440\u043c\u0438\u0447\u0435\u0441\u043a\u0438\u043c. \u042d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u044c <strong><a href=\"https:\/\/fotonmedix.com\/ru\/vetmedix3000u5.html\/\"   title=\"\u0412\u0435\u0442\u041c\u0435\u0434\u0438\u043a\u0441-\u041c\u0430\u043a\u0441\"  data-wpil-monitor-id=\"2146\">\u041b\u0430\u0437\u0435\u0440 \u0434\u043b\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u0430\u0440\u0442\u0440\u0438\u0442\u0430 \u0443 \u0441\u043e\u0431\u0430\u043a<\/a><\/strong> \u0437\u0430\u043a\u043b\u044e\u0447\u0430\u0435\u0442\u0441\u044f \u0432 \u0435\u0433\u043e \u0441\u043f\u043e\u0441\u043e\u0431\u043d\u043e\u0441\u0442\u0438 \u0432\u043b\u0438\u044f\u0442\u044c \u043d\u0430 \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u044b\u0439 \u043c\u0435\u0442\u0430\u0431\u043e\u043b\u0438\u0437\u043c \u043d\u0430 \u0443\u0440\u043e\u0432\u043d\u0435 \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0439.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u0425\u0440\u043e\u043c\u043e\u0444\u043e\u0440 \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0439<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0426\u0435\u043d\u0442\u0440\u0430\u043b\u044c\u043d\u044b\u043c \u0434\u0435\u0439\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u043c \u043b\u0438\u0446\u043e\u043c \u0432 \u044d\u0442\u043e\u043c \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u043c \u043f\u043e\u0432\u0435\u0441\u0442\u0432\u043e\u0432\u0430\u043d\u0438\u0438 \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0446\u0438\u0442\u043e\u0445\u0440\u043e\u043c c-\u043e\u043a\u0441\u0438\u0434\u0430\u0437\u0430 (CcO), \u043a\u043e\u043d\u0435\u0447\u043d\u044b\u0439 \u0444\u0435\u0440\u043c\u0435\u043d\u0442 \u043c\u0438\u0442\u043e\u0445\u043e\u043d\u0434\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u043d\u043d\u043e-\u0442\u0440\u0430\u043d\u0441\u043f\u043e\u0440\u0442\u043d\u043e\u0439 \u0446\u0435\u043f\u0438. CcO \u0434\u0435\u0439\u0441\u0442\u0432\u0443\u0435\u0442 \u043a\u0430\u043a \u0444\u043e\u0442\u043e\u0430\u043a\u0446\u0435\u043f\u0442\u043e\u0440 \u0438\u043b\u0438 \u0445\u0440\u043e\u043c\u043e\u0444\u043e\u0440, \u0441\u043f\u0435\u0446\u0438\u0444\u0438\u0447\u0435\u0441\u043a\u0438 \u043f\u043e\u0433\u043b\u043e\u0449\u0430\u044f \u0444\u043e\u0442\u043e\u043d\u044b \u0432 \u0431\u043b\u0438\u0436\u043d\u0435\u043c \u0438\u043d\u0444\u0440\u0430\u043a\u0440\u0430\u0441\u043d\u043e\u043c (NIR) \u0441\u043f\u0435\u043a\u0442\u0440\u0435, \u043e\u0431\u044b\u0447\u043d\u043e \u043c\u0435\u0436\u0434\u0443 800 \u0438 980 \u043d\u043c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In states of chronic inflammation or cellular stress\u2014conditions endemic to an arthritic joint\u2014mitochondrial function is suppressed. Nitric oxide (NO) binds competitively to the oxygen-binding site of CcO, effectively throttling cellular respiration and halting the production of Adenosine Triphosphate (ATP), the cell&#8217;s primary energy currency.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u0421\u043e\u0431\u044b\u0442\u0438\u0435 \u0444\u043e\u0442\u043e\u0434\u0438\u0441\u0441\u043e\u0446\u0438\u0430\u0446\u0438\u0438<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">When sufficient photon density from a Class IV laser reaches the distressed tissue, these photons are absorbed by CcO. This absorption destabilizes and displaces the inhibitory NO molecule. This event, known as photodissociation, immediately restores the enzyme&#8217;s capacity to utilize oxygen. The immediate consequence is a significant upregulation in ATP synthesis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u042d\u0442\u043e\u0442 \u0432\u0441\u043f\u043b\u0435\u0441\u043a \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u0439 \u044d\u043d\u0435\u0440\u0433\u0438\u0438 \u043d\u0435 \u0430\u0431\u0441\u0442\u0440\u0430\u043a\u0442\u0435\u043d: \u043e\u043d \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0442\u043e\u043f\u043b\u0438\u0432\u043e\u043c, \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u044b\u043c \u0434\u043b\u044f \u044d\u043d\u0435\u0440\u0433\u043e\u0435\u043c\u043a\u0438\u0445 \u043f\u0440\u043e\u0446\u0435\u0441\u0441\u043e\u0432 \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u044f \u0442\u043a\u0430\u043d\u0435\u0439, \u0441\u0438\u043d\u0442\u0435\u0437\u0430 \u043a\u043e\u043b\u043b\u0430\u0433\u0435\u043d\u0430 \u0438 \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u044f \u0433\u043e\u043c\u0435\u043e\u0441\u0442\u0430\u0437\u0430. \u041a\u0440\u043e\u043c\u0435 \u0442\u043e\u0433\u043e, \u043f\u0435\u0440\u0435\u043c\u0435\u0449\u0435\u043d\u0438\u0435 NO \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0435\u043c\u0443 \u0434\u0435\u0439\u0441\u0442\u0432\u043e\u0432\u0430\u0442\u044c \u043a\u0430\u043a \u0432\u0430\u0437\u043e\u0434\u0438\u043b\u0430\u0442\u0430\u0442\u043e\u0440 \u0432 \u043c\u0435\u0441\u0442\u043d\u043e\u0439 \u043c\u0438\u043a\u0440\u043e\u0446\u0438\u0440\u043a\u0443\u043b\u044f\u0446\u0438\u0438, \u0443\u043b\u0443\u0447\u0448\u0430\u044f \u043e\u043a\u0441\u0438\u0433\u0435\u043d\u0430\u0446\u0438\u044e \u0440\u0430\u043d\u0435\u0435 \u0438\u0448\u0435\u043c\u0438\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0445 \u0442\u043a\u0430\u043d\u0435\u0439.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-2-300x300.png\" alt=\"\" class=\"wp-image-8601\" style=\"width:382px;height:auto\" srcset=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-2-300x300.png 300w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-2-150x150.png 150w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-2-768x768.png 768w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-2-12x12.png 12w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-2.png 1024w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">\u0420\u0435\u0433\u0443\u043b\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u043a\u0430\u0441\u043a\u0430\u0434\u0430<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u041f\u043e\u043c\u0438\u043c\u043e \u0410\u0422\u0424, PBM \u043e\u043a\u0430\u0437\u044b\u0432\u0430\u0435\u0442 \u043f\u0440\u044f\u043c\u043e\u0435 \u0432\u043e\u0437\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u0435 \u043d\u0430 \u043c\u0435\u0434\u0438\u0430\u0442\u043e\u0440\u044b \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u044f. \u041a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u044f \u043f\u043e\u043a\u0430\u0437\u044b\u0432\u0430\u044e\u0442, \u0447\u0442\u043e \u0441\u043e\u043e\u0442\u0432\u0435\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0435 \u0434\u043e\u0437\u044b \u043b\u0430\u0437\u0435\u0440\u043d\u043e\u0433\u043e \u0438\u0437\u043b\u0443\u0447\u0435\u043d\u0438\u044f \u043c\u043e\u0433\u0443\u0442 \u043f\u043e\u0434\u0430\u0432\u043b\u044f\u0442\u044c \u044d\u043a\u0441\u043f\u0440\u0435\u0441\u0441\u0438\u044e \u0446\u0438\u043a\u043b\u043e\u043e\u043a\u0441\u0438\u0433\u0435\u043d\u0430\u0437\u044b-2 (\u0426\u041e\u0413-2), \u0447\u0442\u043e \u0441\u0445\u043e\u0434\u043d\u043e \u0441 \u043c\u0435\u0445\u0430\u043d\u0438\u0437\u043c\u043e\u043c \u0434\u0435\u0439\u0441\u0442\u0432\u0438\u044f \u041d\u041f\u0412\u0421, \u043d\u043e \u0431\u0435\u0437 \u0441\u043e\u043f\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0438\u0445 \u043f\u043e\u0431\u043e\u0447\u043d\u044b\u0445 \u044d\u0444\u0444\u0435\u043a\u0442\u043e\u0432 \u0441\u043e \u0441\u0442\u043e\u0440\u043e\u043d\u044b \u0436\u0435\u043b\u0443\u0434\u043e\u0447\u043d\u043e-\u043a\u0438\u0448\u0435\u0447\u043d\u043e\u0433\u043e \u0442\u0440\u0430\u043a\u0442\u0430 \u0438 \u043f\u043e\u0447\u0435\u043a. \u041a\u0440\u043e\u043c\u0435 \u0442\u043e\u0433\u043e, \u0431\u044b\u043b\u043e \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e, \u0447\u0442\u043e PBM \u0441\u043d\u0438\u0436\u0430\u0435\u0442 \u0443\u0440\u043e\u0432\u0435\u043d\u044c \u043f\u0440\u043e\u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u043f\u0440\u043e\u0441\u0442\u0430\u0433\u043b\u0430\u043d\u0434\u0438\u043d\u043e\u0432 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, PGE2), \u0441\u0442\u0438\u043c\u0443\u043b\u0438\u0440\u0443\u044f \u043f\u0440\u0438 \u044d\u0442\u043e\u043c \u0432\u044b\u0441\u0432\u043e\u0431\u043e\u0436\u0434\u0435\u043d\u0438\u0435 \u043f\u0440\u043e\u0442\u0438\u0432\u043e\u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u0446\u0438\u0442\u043e\u043a\u0438\u043d\u043e\u0432.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For the arthritic patient, this means we are addressing the &#8220;inflammatory soup&#8221; bathing the joint capsule, reducing the chemical signals that perpetuate pain and degradation.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Defining &#8220;Class IV&#8221; in a Therapeutic Context<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u041a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f \u043b\u0430\u0437\u0435\u0440\u043e\u0432 \u043e\u0441\u043d\u043e\u0432\u0430\u043d\u0430 \u043d\u0430 \u0438\u0445 \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u0434\u043b\u044f \u0433\u043b\u0430\u0437 \u0438 \u043a\u043e\u0436\u0438, \u043d\u0430\u043f\u0440\u044f\u043c\u0443\u044e \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u043e\u0439 \u0441 \u0438\u0445 \u0432\u044b\u0445\u043e\u0434\u043d\u043e\u0439 \u043c\u043e\u0449\u043d\u043e\u0441\u0442\u044c\u044e. \u041a \u043b\u0430\u0437\u0435\u0440\u0443 \u043a\u043b\u0430\u0441\u0441\u0430 IV \u043e\u0442\u043d\u043e\u0441\u0438\u0442\u0441\u044f \u043b\u044e\u0431\u043e\u0435 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432\u043e, \u043c\u043e\u0449\u043d\u043e\u0441\u0442\u044c \u043a\u043e\u0442\u043e\u0440\u043e\u0433\u043e \u043f\u0440\u0435\u0432\u044b\u0448\u0430\u0435\u0442 500 \u043c\u0438\u043b\u043b\u0438\u0432\u0430\u0442\u0442 (0,5 \u0412\u0442) \u0432 \u043d\u0435\u043f\u0440\u0435\u0440\u044b\u0432\u043d\u043e\u043c \u0440\u0435\u0436\u0438\u043c\u0435. \u041e\u0434\u043d\u0430\u043a\u043e \u0432 \u0441\u0444\u0435\u0440\u0435 \u0432\u0435\u0442\u0435\u0440\u0438\u043d\u0430\u0440\u043d\u043e\u0439 \u0440\u0435\u0430\u0431\u0438\u043b\u0438\u0442\u0430\u0446\u0438\u0438 \u044d\u0442\u043e \u0440\u0430\u0437\u043b\u0438\u0447\u0438\u0435 \u0438\u043c\u0435\u0435\u0442 \u043f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0437\u043d\u0430\u0447\u0435\u043d\u0438\u0435: \u043c\u043e\u0449\u043d\u043e\u0441\u0442\u044c \u0440\u0430\u0432\u043d\u0430 \u043f\u0440\u043e\u043d\u0438\u043a\u0430\u044e\u0449\u0435\u0439 \u0441\u043f\u043e\u0441\u043e\u0431\u043d\u043e\u0441\u0442\u0438 \u0438 \u0441\u043a\u043e\u0440\u043e\u0441\u0442\u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u044f.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Historically, lower-power Class IIIb lasers (under 500mW) were used for superficial conditions. While effective for wounds or shallow tendonitis, they lack the photon density required to treat deep musculoskeletal structures in anything but the smallest patients. The &#8220;therapeutic window&#8221; relates to the number of photons that must reach the target tissue (the joint capsule, periosteal nerve endings, and surrounding muscle) to trigger the PBM response.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In a large breed dog with hip osteoarthritis, the target tissue may be several centimeters deep, shielded by skin, subcutaneous fat, and significant muscle mass. As laser light enters tissue, it scatters and is absorbed. To deliver a therapeutic dose to a deep hip joint, a high surface dose is necessary. Class IV lasers, often ranging from 10 to 30 Watts, provide the necessary power to deliver these photons efficiently within a reasonable treatment time. Trying to treat a Great Dane&#8217;s hip with a 200mW laser is clinically futile; the photons simply will not reach the target in sufficient numbers to initiate a biological change.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0412\u044b\u0431\u043e\u0440 \u0434\u043b\u0438\u043d\u044b \u0432\u043e\u043b\u043d\u044b \u0438 \u0442\u043a\u0430\u043d\u0435\u0432\u0430\u044f \u043e\u043f\u0442\u0438\u043a\u0430<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u041a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0443\u0441\u043f\u0435\u0445 <strong><a href=\"https:\/\/fotonmedix.com\/ru\/vetmedix3000u5.html\/\"   title=\"\u0412\u0435\u0442\u041c\u0435\u0434\u0438\u043a\u0441-\u041c\u0430\u043a\u0441\"  data-wpil-monitor-id=\"2145\">\u041b\u0430\u0437\u0435\u0440\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u043f\u0440\u0438 \u0430\u0440\u0442\u0440\u0438\u0442\u0435 \u0443 \u0441\u043e\u0431\u0430\u043a<\/a><\/strong> \u0432 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0439 \u0441\u0442\u0435\u043f\u0435\u043d\u0438 \u0437\u0430\u0432\u0438\u0441\u0438\u0442 \u043e\u0442 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u044f \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u044b\u0445 \u0434\u043b\u0438\u043d \u0432\u043e\u043b\u043d, \u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u043f\u043e\u043f\u0430\u0434\u0430\u044e\u0442 \u0432 \u043e\u043f\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043e\u043a\u043d\u043e \u043f\u0440\u043e\u0437\u0440\u0430\u0447\u043d\u043e\u0441\u0442\u0438 \u0442\u043a\u0430\u043d\u0435\u0439 (\u043f\u0440\u0438\u043c\u0435\u0440\u043d\u043e \u043e\u0442 600 \u0434\u043e 1100 \u043d\u043c). \u041d\u0435 \u0432\u0441\u0435 \u0434\u043b\u0438\u043d\u044b \u0432\u043e\u043b\u043d \u0432\u0435\u0434\u0443\u0442 \u0441\u0435\u0431\u044f \u043e\u0434\u0438\u043d\u0430\u043a\u043e\u0432\u043e.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>810 \u043d\u043c \/ 980 \u043d\u043c:<\/strong> \u042d\u0442\u043e \u0440\u0430\u0431\u043e\u0447\u0438\u0435 \u0434\u043b\u0438\u043d\u044b \u0432\u043e\u043b\u043d \u0434\u043b\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0439 \u043e\u043f\u043e\u0440\u043d\u043e-\u0434\u0432\u0438\u0433\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u0430\u043f\u043f\u0430\u0440\u0430\u0442\u0430. \u0414\u043b\u0438\u043d\u0430 \u0432\u043e\u043b\u043d\u044b 810 \u043d\u043c \u0432\u044b\u0441\u043e\u043a\u043e\u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u0430 \u0434\u043b\u044f \u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0446\u0438\u0438 \u0446\u0438\u0442\u043e\u0445\u0440\u043e\u043c c-\u043e\u043a\u0441\u0438\u0434\u0430\u0437\u044b. \u0414\u043b\u0438\u043d\u0430 \u0432\u043e\u043b\u043d\u044b 980 \u043d\u043c \u0438\u043c\u0435\u0435\u0442 \u0431\u043e\u043b\u0435\u0435 \u0432\u044b\u0441\u043e\u043a\u0443\u044e \u0441\u043a\u043e\u0440\u043e\u0441\u0442\u044c \u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u044f \u0432 \u0432\u043e\u0434\u0435, \u0441\u043e\u0437\u0434\u0430\u0432\u0430\u044f \u043c\u044f\u0433\u043a\u0438\u0439 \u0442\u0435\u043f\u043b\u043e\u0432\u043e\u0439 \u0433\u0440\u0430\u0434\u0438\u0435\u043d\u0442, \u043a\u043e\u0442\u043e\u0440\u044b\u0439 \u043c\u043e\u0436\u0435\u0442 \u0443\u0432\u0435\u043b\u0438\u0447\u0438\u0442\u044c \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a \u0438 \u0443\u043b\u0443\u0447\u0448\u0438\u0442\u044c \u0440\u0430\u0441\u0442\u044f\u0436\u0438\u043c\u043e\u0441\u0442\u044c \u043a\u043e\u043b\u043b\u0430\u0433\u0435\u043d\u043e\u0432\u044b\u0445 \u0442\u043a\u0430\u043d\u0435\u0439, \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0438\u0432\u0430\u044f \u043d\u0435\u043c\u0435\u0434\u043b\u0435\u043d\u043d\u044b\u0439 \u043a\u043e\u043c\u0444\u043e\u0440\u0442.<\/li>\n\n\n\n<li><strong>\u0413\u043b\u0443\u0431\u043e\u043a\u043e\u0435 \u043f\u0440\u043e\u043d\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0438\u0435 \u0432 \u0442\u043a\u0430\u043d\u0438:<\/strong> \u0411\u043e\u043b\u0435\u0435 \u0434\u043b\u0438\u043d\u043d\u044b\u0435 \u0432\u043e\u043b\u043d\u044b, \u0442\u0430\u043a\u0438\u0435 \u043a\u0430\u043a 1064 \u043d\u043c, \u043c\u0435\u043d\u044c\u0448\u0435 \u0440\u0430\u0441\u0441\u0435\u0438\u0432\u0430\u044e\u0442\u0441\u044f \u0432 \u0442\u043a\u0430\u043d\u044f\u0445 \u0438 \u043c\u0435\u043d\u044c\u0448\u0435 \u043f\u043e\u0433\u043b\u043e\u0449\u0430\u044e\u0442\u0441\u044f \u043c\u0435\u043b\u0430\u043d\u0438\u043d\u043e\u043c \u0438 \u0433\u0435\u043c\u043e\u0433\u043b\u043e\u0431\u0438\u043d\u043e\u043c, \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0438\u0432\u0430\u044f \u043d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0433\u043b\u0443\u0431\u043e\u043a\u043e\u0435 \u043f\u0440\u043e\u043d\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0438\u0435, \u0447\u0442\u043e \u0434\u0435\u043b\u0430\u0435\u0442 \u0438\u0445 \u0438\u0434\u0435\u0430\u043b\u044c\u043d\u044b\u043c\u0438 \u0434\u043b\u044f \u043a\u0440\u0443\u043f\u043d\u044b\u0445 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0438\u043b\u0438 \u0441\u0438\u043b\u044c\u043d\u043e \u043f\u0438\u0433\u043c\u0435\u043d\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u043a\u043e\u0436\u0438.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u041f\u0440\u0435\u0432\u043e\u0441\u0445\u043e\u0434\u043d\u044b\u0439 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b \u0447\u0430\u0441\u0442\u043e \u0432\u043a\u043b\u044e\u0447\u0430\u0435\u0442 \u0432 \u0441\u0435\u0431\u044f \u043c\u043d\u043e\u0433\u043e\u0432\u043e\u043b\u043d\u043e\u0432\u043e\u0439 \u043f\u043e\u0434\u0445\u043e\u0434 \u0434\u043b\u044f \u043e\u0434\u043d\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0433\u043e \u0432\u043e\u0437\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u044f \u043d\u0430 \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u0435 \u0430\u0441\u043f\u0435\u043a\u0442\u044b \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0438: \u0433\u043b\u0443\u0431\u043e\u043a\u0443\u044e \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u0443\u044e \u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0446\u0438\u044e, \u0443\u043b\u0443\u0447\u0448\u0435\u043d\u0438\u0435 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u043e\u0441\u0442\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u043e\u0431\u0440\u0430\u0449\u0435\u043d\u0438\u044f \u0438 \u043c\u043e\u0434\u0443\u043b\u044f\u0446\u0438\u044e \u0431\u043e\u043b\u0435\u0432\u044b\u0445 \u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u043e\u0432.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u041a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b: \u041d\u0430\u0443\u043a\u0430 \u0434\u043e\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0421\u0430\u043c\u044b\u0439 \u0432\u0430\u0436\u043d\u044b\u0439 \u044d\u043b\u0435\u043c\u0435\u043d\u0442 \u0443\u0441\u043f\u0435\u0448\u043d\u043e\u0433\u043e <strong><a href=\"https:\/\/fotonmedix.com\/ru\/%d0%ba%d0%b0%d1%82%d0%b5%d0%b3%d0%be%d1%80%d0%b8%d1%8f\/%d0%bf%d1%80%d0%be%d0%b4%d1%83%d0%ba%d1%82\/\"   title=\"\u041f\u0440\u043e\u0434\u0443\u043a\u0446\u0438\u044f\"  data-wpil-monitor-id=\"2148\">\u041b\u0430\u0437\u0435\u0440\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u0447\u0435\u0442\u0432\u0435\u0440\u0442\u043e\u0433\u043e \u043a\u043b\u0430\u0441\u0441\u0430<\/a><\/strong> is dosimetry. Dosing follows the Arndt-Schulz Law, which suggests a &#8220;sweet spot&#8221; for biological stimulation. Too little energy provides no benefit; too much energy can be inhibitory.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Dosage is measured in Joules per square centimeter (J\/cm\u00b2), representing energy density. For deep-seated osteoarthritis, veterinary consensus suggests a target dose at the tissue surface of 8 to 12 J\/cm\u00b2 to ensure adequate energy reaches the joint.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">The &#8220;Fur Factor&#8221; Challenge<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0412 \u0432\u0435\u0442\u0435\u0440\u0438\u043d\u0430\u0440\u043d\u043e\u0439 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0435 \u0441\u0443\u0449\u0435\u0441\u0442\u0432\u0443\u0435\u0442 \u0443\u043d\u0438\u043a\u0430\u043b\u044c\u043d\u0430\u044f \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0430, \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0443\u044e\u0449\u0430\u044f \u0432 \u0447\u0435\u043b\u043e\u0432\u0435\u0447\u0435\u0441\u043a\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438: \u043c\u0435\u0445 \u0438 \u0433\u0443\u0441\u0442\u0430\u044f \u043f\u0438\u0433\u043c\u0435\u043d\u0442\u0430\u0446\u0438\u044f. \u041c\u0435\u043b\u0430\u043d\u0438\u043d \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043c\u043e\u0449\u043d\u044b\u043c \u043f\u043e\u0433\u043b\u043e\u0442\u0438\u0442\u0435\u043b\u0435\u043c \u0441\u0432\u0435\u0442\u0430. \u0427\u0435\u0440\u043d\u044b\u0439 \u043b\u0430\u0431\u0440\u0430\u0434\u043e\u0440 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u043e\u0441\u0442\u043d\u043e \u043f\u043e\u0433\u043b\u043e\u0449\u0430\u0435\u0442 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e \u0431\u043e\u043b\u044c\u0448\u0435 \u043b\u0430\u0437\u0435\u0440\u043d\u043e\u0439 \u044d\u043d\u0435\u0440\u0433\u0438\u0438, \u0447\u0435\u043c \u0436\u0435\u043b\u0442\u044b\u0439 \u043b\u0430\u0431\u0440\u0430\u0434\u043e\u0440. \u0415\u0441\u043b\u0438 \u043d\u0435 \u0443\u0447\u0435\u0441\u0442\u044c \u044d\u0442\u043e \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u043e\u0441\u0442\u043d\u043e\u0435 \u043f\u043e\u0433\u043b\u043e\u0449\u0435\u043d\u0438\u0435, \u0442\u043e \u043e\u043d\u043e \u043c\u043e\u0436\u0435\u0442 \u043f\u0440\u0438\u0432\u0435\u0441\u0442\u0438 \u043a \u043d\u0435\u043a\u043e\u043c\u0444\u043e\u0440\u0442\u043d\u043e\u043c\u0443 \u043d\u0430\u0433\u0440\u0435\u0432\u0443 \u043a\u043e\u0436\u0438 \u0431\u0435\u0437 \u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0433\u043e \u043a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u0430 \u044d\u043d\u0435\u0440\u0433\u0438\u0438, \u0434\u043e\u0441\u0442\u0438\u0433\u0430\u044e\u0449\u0435\u0439 \u0433\u043b\u0443\u0431\u043e\u043a\u043e\u0433\u043e \u0441\u0443\u0441\u0442\u0430\u0432\u0430.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0427\u0442\u043e\u0431\u044b \u0441\u043c\u044f\u0433\u0447\u0438\u0442\u044c \u044d\u0442\u0443 \u043f\u0440\u043e\u0431\u043b\u0435\u043c\u0443, \u0432\u0440\u0430\u0447\u0438 \u0434\u043e\u043b\u0436\u043d\u044b \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u0442\u044c <strong>\u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u0430\u044f \u0442\u0435\u0445\u043d\u0438\u043a\u0430<\/strong>. \u041f\u043b\u043e\u0442\u043d\u043e \u043f\u0440\u0438\u0436\u0438\u043c\u0430\u044f \u0433\u043e\u043b\u043e\u0432\u043a\u0443 \u043b\u0430\u0437\u0435\u0440\u043d\u043e\u0433\u043e \u0438\u0437\u043b\u0443\u0447\u0430\u0442\u0435\u043b\u044f \u043a \u043a\u043e\u0436\u0435 \u0438 \u0440\u0430\u0437\u0434\u0432\u0438\u0433\u0430\u044f \u0448\u0435\u0440\u0441\u0442\u044c, \u0432\u0440\u0430\u0447 \u0434\u043e\u0441\u0442\u0438\u0433\u0430\u0435\u0442 \u0434\u0432\u0443\u0445 \u0446\u0435\u043b\u0435\u0439:<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>\u041e\u043d \u0444\u0438\u0437\u0438\u0447\u0435\u0441\u043a\u0438 \u043e\u0431\u0445\u043e\u0434\u0438\u0442 \u0431\u043e\u043b\u044c\u0448\u0443\u044e \u0447\u0430\u0441\u0442\u044c \u0431\u0430\u0440\u044c\u0435\u0440\u0430 \u0432\u043e\u043b\u043e\u0441\u044f\u043d\u043e\u0433\u043e \u0441\u0442\u0435\u0440\u0436\u043d\u044f.<\/li>\n\n\n\n<li>\u0414\u0430\u0432\u043b\u0435\u043d\u0438\u0435 \u0440\u0430\u0437\u043c\u044b\u0432\u0430\u0435\u0442 \u043a\u043e\u0436\u0443, \u0432\u044b\u0442\u0430\u043b\u043a\u0438\u0432\u0430\u044f \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u043e\u0441\u0442\u043d\u0443\u044e \u043a\u0440\u043e\u0432\u044c. \u041f\u043e\u0441\u043a\u043e\u043b\u044c\u043a\u0443 \u0433\u0435\u043c\u043e\u0433\u043b\u043e\u0431\u0438\u043d \u043f\u043e\u0433\u043b\u043e\u0449\u0430\u0435\u0442 \u0441\u0432\u0435\u0442, \u0443\u043c\u0435\u043d\u044c\u0448\u0435\u043d\u0438\u0435 \u0435\u0433\u043e \u043f\u0440\u0438\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u044f \u0432 \u043f\u043e\u0432\u0435\u0440\u0445\u043d\u043e\u0441\u0442\u043d\u043e\u043c \u0441\u043b\u043e\u0435 \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0431\u043e\u043b\u044c\u0448\u0435\u043c\u0443 \u043a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u0443 \u0444\u043e\u0442\u043e\u043d\u043e\u0432 \u043f\u0440\u043e\u043d\u0438\u043a\u0430\u0442\u044c \u0433\u043b\u0443\u0431\u0436\u0435 \u0432 \u0442\u043a\u0430\u043d\u0438-\u043c\u0438\u0448\u0435\u043d\u0438.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">\u041f\u043e\u0434\u0440\u043e\u0431\u043d\u044b\u0439 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0441\u043b\u0443\u0447\u0430\u0439: \u041a\u043e\u043d\u0435\u0447\u043d\u0430\u044f \u0441\u0442\u0430\u0434\u0438\u044f \u043e\u0441\u0442\u0435\u043e\u0430\u0440\u0442\u0440\u0438\u0442\u0430 \u0443 \u043f\u043e\u0436\u0438\u043b\u043e\u0433\u043e \u0437\u043e\u043b\u043e\u0442\u0438\u0441\u0442\u043e\u0433\u043e \u0440\u0435\u0442\u0440\u0438\u0432\u0435\u0440\u0430<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0427\u0442\u043e\u0431\u044b \u043f\u0440\u043e\u0438\u043b\u043b\u044e\u0441\u0442\u0440\u0438\u0440\u043e\u0432\u0430\u0442\u044c \u043f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043f\u0440\u0438\u043c\u0435\u043d\u0435\u043d\u0438\u0435 \u044d\u0442\u0438\u0445 \u043f\u0440\u0438\u043d\u0446\u0438\u043f\u043e\u0432, \u043c\u044b \u0440\u0430\u0441\u0441\u043c\u043e\u0442\u0440\u0438\u043c \u0432\u0435\u0434\u0435\u043d\u0438\u0435 \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e, \u0441\u043b\u043e\u0436\u043d\u043e\u0433\u043e \u0441\u043b\u0443\u0447\u0430\u044f \u043e\u0441\u0442\u0435\u043e\u0430\u0440\u0442\u0440\u0438\u0442\u0430.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u041f\u0440\u043e\u0444\u0438\u043b\u044c \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0418\u043c\u044f:<\/strong> \u0414\u0436\u0430\u0441\u043f\u0435\u0440<\/li>\n\n\n\n<li><strong>\u041f\u043e\u0440\u043e\u0434\u0430:<\/strong> \u0417\u043e\u043b\u043e\u0442\u043e\u0439 \u0440\u0435\u0442\u0440\u0438\u0432\u0435\u0440<\/li>\n\n\n\n<li><strong>\u0412\u043e\u0437\u0440\u0430\u0441\u0442:<\/strong> 12 \u043b\u0435\u0442<\/li>\n\n\n\n<li><strong>\u0412\u0435\u0441:<\/strong> 34 \u043a\u0433 (\u0438\u0434\u0435\u0430\u043b\u044c\u043d\u043e\u0435 \u0442\u0435\u043b\u043e\u0441\u043b\u043e\u0436\u0435\u043d\u0438\u0435)<\/li>\n\n\n\n<li><strong>\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0436\u0430\u043b\u043e\u0431\u0430:<\/strong> Progressive inability to rise from a resting position, refusal to climb stairs, and visible muscle wasting in the hindquarters. The owner reported a &#8220;shuffling&#8221; gait and visible distress during cold weather.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u041f\u0440\u0435\u0434\u0432\u0430\u0440\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439 \u0434\u0438\u0430\u0433\u043d\u043e\u0437<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u041a\u043e\u043c\u043f\u043b\u0435\u043a\u0441\u043d\u043e\u0435 \u043e\u0440\u0442\u043e\u043f\u0435\u0434\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u043e\u0431\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u044b\u044f\u0432\u0438\u043b\u043e \u0440\u0435\u0437\u043a\u043e\u0435 \u043e\u0433\u0440\u0430\u043d\u0438\u0447\u0435\u043d\u0438\u0435 \u0430\u043c\u043f\u043b\u0438\u0442\u0443\u0434\u044b \u0434\u0432\u0438\u0436\u0435\u043d\u0438\u0439 \u0432 \u043e\u0431\u043e\u0438\u0445 \u043a\u043e\u0441\u043e-\u0431\u0435\u0434\u0440\u0435\u043d\u043d\u044b\u0445 \u0441\u0443\u0441\u0442\u0430\u0432\u0430\u0445 \u0441 \u043e\u0449\u0443\u0442\u0438\u043c\u044b\u043c \u043a\u0440\u0435\u043f\u0438\u0442\u0430\u0446\u0438\u0435\u0439. \u041e\u0442\u043c\u0435\u0447\u0430\u043b\u0430\u0441\u044c \u0432\u044b\u0440\u0430\u0436\u0435\u043d\u043d\u0430\u044f \u0430\u0442\u0440\u043e\u0444\u0438\u044f \u044f\u0433\u043e\u0434\u0438\u0447\u043d\u044b\u0445 \u043c\u044b\u0448\u0446 \u0438 \u0447\u0435\u0442\u044b\u0440\u0435\u0445\u0433\u043b\u0430\u0432\u043e\u0439 \u043c\u044b\u0448\u0446\u044b. \u0420\u0435\u043d\u0442\u0433\u0435\u043d\u043e\u0433\u0440\u0430\u043c\u043c\u044b \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0434\u0438\u043b\u0438 \u0434\u0432\u0443\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0438\u0439 \u043e\u0441\u0442\u0435\u043e\u0430\u0440\u0442\u0440\u043e\u0437 \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0439 \u0441\u0442\u0430\u0434\u0438\u0438, \u0445\u0430\u0440\u0430\u043a\u0442\u0435\u0440\u0438\u0437\u0443\u044e\u0449\u0438\u0439\u0441\u044f \u0443\u043f\u043b\u043e\u0449\u0435\u043d\u0438\u0435\u043c \u0433\u043e\u043b\u043e\u0432\u043a\u0438 \u0431\u0435\u0434\u0440\u0435\u043d\u043d\u043e\u0439 \u043a\u043e\u0441\u0442\u0438, \u0441\u0438\u043b\u044c\u043d\u044b\u043c \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435\u043c \u043e\u0441\u0442\u0435\u043e\u0444\u0438\u0442\u043e\u0432 \u043d\u0430 \u0432\u0435\u0440\u0442\u043b\u0443\u0436\u043d\u043e\u0439 \u0432\u043f\u0430\u0434\u0438\u043d\u0435 \u0438 \u0441\u043a\u043b\u0435\u0440\u043e\u0437\u043e\u043c \u0441\u0443\u0431\u0445\u043e\u043d\u0434\u0440\u0430\u043b\u044c\u043d\u043e\u0439 \u043a\u043e\u0441\u0442\u0438.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0412 \u043d\u0430\u0441\u0442\u043e\u044f\u0449\u0435\u0435 \u0432\u0440\u0435\u043c\u044f \u0414\u0436\u0430\u0441\u043f\u0435\u0440 \u043f\u043e\u043b\u0443\u0447\u0430\u0435\u0442 \u043c\u0430\u043a\u0441\u0438\u043c\u0430\u043b\u044c\u043d\u043e \u043f\u0435\u0440\u0435\u043d\u043e\u0441\u0438\u043c\u044b\u0435 \u0434\u043e\u0437\u044b \u0433\u0430\u0431\u0430\u043f\u0435\u043d\u0442\u0438\u043d\u0430 \u0438 \u0441\u0435\u043b\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u041d\u041f\u0412\u0421 \u0441 \u0426\u041e\u0413-2. \u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u044d\u0442\u043e, \u0435\u0433\u043e \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u043e \u0436\u0438\u0437\u043d\u0438 (QoL) \u043e\u0446\u0435\u043d\u0438\u0432\u0430\u043b\u043e\u0441\u044c \u043a\u0430\u043a \u043d\u0438\u0437\u043a\u043e\u0435 \u0438\u0437-\u0437\u0430 \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0431\u043e\u043b\u0438, \u043f\u0440\u043e\u0440\u0432\u0430\u0432\u0448\u0435\u0439\u0441\u044f \u0441\u043a\u0432\u043e\u0437\u044c \u0444\u0430\u0440\u043c\u0430\u043a\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u0431\u0430\u0440\u044c\u0435\u0440.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u041e\u0431\u043e\u0441\u043d\u043e\u0432\u0430\u043d\u0438\u0435 \u0438 \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b \u043b\u0435\u0447\u0435\u043d\u0438\u044f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0426\u0435\u043b\u044c \u0437\u0430\u043a\u043b\u044e\u0447\u0430\u043b\u0430\u0441\u044c \u0432 \u0442\u043e\u043c, \u0447\u0442\u043e\u0431\u044b \u0432\u043d\u0435\u0434\u0440\u0438\u0442\u044c PBM IV \u043a\u043b\u0430\u0441\u0441\u0430 \u0432 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435 \u043c\u043e\u0449\u043d\u043e\u0433\u043e \u043f\u0440\u043e\u0442\u0438\u0432\u043e\u0432\u043e\u0441\u043f\u0430\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0433\u043e \u0438 \u043e\u0431\u0435\u0437\u0431\u043e\u043b\u0438\u0432\u0430\u044e\u0449\u0435\u0433\u043e \u0441\u0440\u0435\u0434\u0441\u0442\u0432\u0430 \u0434\u043b\u044f \u0441\u043d\u0438\u0436\u0435\u043d\u0438\u044f \u0431\u0430\u0437\u043e\u0432\u043e\u0433\u043e \u0431\u043e\u043b\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u0440\u043e\u0433\u0430, \u0447\u0442\u043e \u043f\u043e\u0437\u0432\u043e\u043b\u0438\u043b\u043e \u0431\u044b \u0443\u043b\u0443\u0447\u0448\u0438\u0442\u044c \u043f\u043e\u0434\u0432\u0438\u0436\u043d\u043e\u0441\u0442\u044c \u0438 \u043f\u043e\u0441\u043b\u0435\u0434\u0443\u044e\u0449\u0435\u0435 \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u0435 \u043c\u044b\u0448\u0446. \u0414\u043b\u044f \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0435\u043d\u0438\u044f \u0433\u043b\u0443\u0431\u043e\u043a\u043e\u0433\u043e \u043f\u0440\u043e\u043d\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0438\u044f \u0432 \u043a\u0430\u043f\u0441\u0443\u043b\u0443 \u0442\u0430\u0437\u043e\u0431\u0435\u0434\u0440\u0435\u043d\u043d\u043e\u0433\u043e \u0441\u0443\u0441\u0442\u0430\u0432\u0430 \u0431\u044b\u043b \u0432\u044b\u0431\u0440\u0430\u043d \u0434\u0432\u0443\u0445\u0432\u043e\u043b\u043d\u043e\u0432\u043e\u0439 \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u043c\u043e\u0449\u043d\u043e\u0441\u0442\u0438.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td>\u041f\u0430\u0440\u0430\u043c\u0435\u0442\u0440<\/td><td>\u0423\u0441\u0442\u0430\u043d\u043e\u0432\u043a\u0430\/\u0437\u043d\u0430\u0447\u0435\u043d\u0438\u0435<\/td><td>\u041e\u0431\u043e\u0441\u043d\u043e\u0432\u0430\u043d\u0438\u0435<\/td><\/tr><\/thead><tbody><tr><td><strong>\u0414\u043b\u0438\u043d\u044b \u0432\u043e\u043b\u043d<\/strong><\/td><td>\u0421\u043c\u0435\u0441\u044c 810 \u0438 980 \u043d\u043c<\/td><td>810 \u043d\u043c \u0434\u043b\u044f \u043f\u0438\u043a\u0430 \u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0446\u0438\u0438 \u0421\u0421\u041e; 980 \u043d\u043c \u0434\u043b\u044f \u0430\u043d\u0430\u043b\u044c\u0433\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0442\u0435\u043f\u043b\u043e\u0432\u043e\u0433\u043e \u0433\u0440\u0430\u0434\u0438\u0435\u043d\u0442\u0430.<\/td><\/tr><tr><td><strong>\u041c\u043e\u0449\u043d\u043e\u0441\u0442\u044c<\/strong><\/td><td>15 \u0412\u0442 (\u0432 \u0441\u0440\u0435\u0434\u043d\u0435\u043c)<\/td><td>\u0412\u044b\u0441\u043e\u043a\u0430\u044f \u043c\u043e\u0449\u043d\u043e\u0441\u0442\u044c, \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u0430\u044f \u0434\u043b\u044f \u0433\u043b\u0443\u0431\u043e\u043a\u043e\u0433\u043e \u043f\u0440\u043e\u043d\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0438\u044f \u0432 \u0441\u043e\u0431\u0430\u043a\u0443 \u0432\u0435\u0441\u043e\u043c 34 \u043a\u0433.<\/td><\/tr><tr><td><strong>\u0420\u0435\u0436\u0438\u043c<\/strong><\/td><td>\u041d\u0435\u043f\u0440\u0435\u0440\u044b\u0432\u043d\u044b\u0435 \u0432\u043e\u043b\u043d\u044b (CW) \u0438 \u043c\u043d\u043e\u0433\u043e\u0447\u0430\u0441\u0442\u043e\u0442\u043d\u044b\u0435<\/td><td>\u0421\u0412 \u0434\u043b\u044f \u043c\u0430\u043a\u0441\u0438\u043c\u0430\u043b\u044c\u043d\u043e\u0439 \u0434\u043e\u0441\u0442\u0430\u0432\u043a\u0438 \u044d\u043d\u0435\u0440\u0433\u0438\u0438; \u0441\u043c\u0435\u0448\u0430\u043d\u043d\u044b\u0435 \u0447\u0430\u0441\u0442\u043e\u0442\u044b (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, 20 \u0413\u0446, 500 \u0413\u0446, 5000 \u0413\u0446) \u0434\u043b\u044f \u0432\u043e\u0437\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u044f \u043d\u0430 \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u0435 \u0442\u0438\u043f\u044b \u0442\u043a\u0430\u043d\u0435\u0439 \u0438 \u0431\u043e\u043b\u0435\u0432\u044b\u0435 \u0440\u0435\u0446\u0435\u043f\u0442\u043e\u0440\u044b.<\/td><\/tr><tr><td><strong>\u0426\u0435\u043b\u0435\u0432\u0430\u044f \u0434\u043e\u0437\u0430<\/strong><\/td><td>12 \u0414\u0436\/\u0441\u043c\u00b2<\/td><td>\u0412\u044b\u0441\u043e\u043a\u0430\u044f \u0433\u0440\u0430\u043d\u0438\u0446\u0430 \u0434\u0438\u0430\u043f\u0430\u0437\u043e\u043d\u0430 \u0434\u043e\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u044f \u043e\u0431\u0443\u0441\u043b\u043e\u0432\u043b\u0435\u043d\u0430 \u0442\u044f\u0436\u0435\u0441\u0442\u044c\u044e \u0438 \u0433\u043b\u0443\u0431\u0438\u043d\u043e\u0439 \u043f\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0438.<\/td><\/tr><tr><td><strong>\u0417\u043e\u043d\u0430 \u043e\u0431\u0440\u0430\u0431\u043e\u0442\u043a\u0438<\/strong><\/td><td>approx. 400 cm\u00b2 per hip<\/td><td>\u041e\u0445\u0432\u0430\u0442\u044b\u0432\u0430\u0435\u0442 \u043a\u0430\u043f\u0441\u0443\u043b\u0443 \u0441\u0443\u0441\u0442\u0430\u0432\u0430, \u044f\u0433\u043e\u0434\u0438\u0446\u044b, \u043f\u043e\u0434\u043a\u043e\u043b\u0435\u043d\u043d\u043e\u0435 \u0441\u0443\u0445\u043e\u0436\u0438\u043b\u0438\u0435 \u0438 \u043f\u043e\u044f\u0441\u043d\u0438\u0447\u043d\u043e-\u043a\u0440\u0435\u0441\u0442\u0446\u043e\u0432\u0443\u044e \u043e\u0431\u043b\u0430\u0441\u0442\u044c.<\/td><\/tr><tr><td><strong>\u041e\u0431\u0449\u0430\u044f \u044d\u043d\u0435\u0440\u0433\u0438\u044f<\/strong><\/td><td>4 800 \u0434\u0436\u043e\u0443\u043b\u0435\u0439 \u043d\u0430 \u0431\u0435\u0434\u0440\u043e<\/td><td>\u041e\u0431\u0449\u0430\u044f \u044d\u043d\u0435\u0440\u0433\u0438\u044f, \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u0430\u044f \u0434\u043b\u044f \u0434\u043e\u0441\u0442\u0438\u0436\u0435\u043d\u0438\u044f \u0446\u0435\u043b\u0435\u0432\u043e\u0433\u043e \u0444\u043b\u044e\u0435\u043d\u0441\u0430 \u043d\u0430 \u0431\u043e\u043b\u044c\u0448\u043e\u0439 \u043f\u043b\u043e\u0449\u0430\u0434\u0438.<\/td><\/tr><tr><td><strong>\u0422\u0435\u0445\u043d\u0438\u043a\u0430<\/strong><\/td><td>\u041f\u0440\u044f\u043c\u043e\u0439 \u043a\u043e\u043d\u0442\u0430\u043a\u0442, \u0441\u043a\u0430\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435<\/td><td>\u0421\u0438\u043b\u044c\u043d\u043e \u043d\u0430\u0434\u0430\u0432\u043b\u0438\u0432\u0430\u0439\u0442\u0435, \u0447\u0442\u043e\u0431\u044b \u043e\u0431\u043e\u0439\u0442\u0438 \u043c\u0435\u0445 \u0438 \u0441\u043d\u044f\u0442\u044c \u0431\u043b\u0430\u043d\u0448\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u0443\u044e \u043a\u043e\u0436\u0443.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/gg-dl\/ABS2GSkR5BfaocfWDAcMNdfjvsIu2e3DXt3g79SOXzJEgn1JkSIqFxvNzrPu0w01XKW00tR8ut_1xPy8mD_H3OC4WXYZ1wy7dW8S02Lh3KSp4TWuTYqlm-jCuWeK5p99ihbutD6GnMUpvsCMAbcnEXe_yA4508e18qmbyjJkmJ1uhZWrqDNuPw=s1024-rj\" alt=\"\u7684\u56fe\u7247\"\/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">\u041f\u0440\u043e\u0446\u0435\u0441\u0441 \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u043b\u0435\u043d\u0438\u044f \u043f\u043e\u0441\u043b\u0435 \u043b\u0435\u0447\u0435\u043d\u0438\u044f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0418\u043d\u0434\u0443\u043a\u0446\u0438\u043e\u043d\u043d\u0430\u044f \u0444\u0430\u0437\u0430 \u0441\u043e\u0441\u0442\u043e\u044f\u043b\u0430 \u0438\u0437 \u0442\u0440\u0435\u0445 \u043f\u0440\u043e\u0446\u0435\u0434\u0443\u0440 \u0432 \u043d\u0435\u0434\u0435\u043b\u044e \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 \u043f\u0435\u0440\u0432\u044b\u0445 \u0434\u0432\u0443\u0445 \u043d\u0435\u0434\u0435\u043b\u044c, \u0430 \u0437\u0430\u0442\u0435\u043c \u0441\u043e\u043a\u0440\u0430\u0449\u0430\u043b\u0430\u0441\u044c \u0432 \u0437\u0430\u0432\u0438\u0441\u0438\u043c\u043e\u0441\u0442\u0438 \u043e\u0442 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u043e\u0442\u0432\u0435\u0442\u0430.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u041d\u0435\u0434\u0435\u043b\u0438 1-2 (\u0444\u0430\u0437\u0430 \u0438\u043d\u0434\u0443\u043a\u0446\u0438\u0438):<\/strong> Following the initial session, Jasper appeared more comfortable resting but showed no significant change in mobility. By the fourth session (end of week 1), the owner reported Jasper spontaneously climbed two porch stairs, an action he hadn&#8217;t attempted in months. The &#8220;shuffling&#8221; gait began to show signs of increased stride length.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u041d\u0435\u0434\u0435\u043b\u0438 3-4 (\u043f\u0435\u0440\u0435\u0445\u043e\u0434\u043d\u0430\u044f \u0444\u0430\u0437\u0430):<\/strong> Frequency was reduced to twice weekly. Jasper&#8217;s ability to rise from a down position improved markedly. The palpable heat and effusion over the hip joints decreased. Crucially, under veterinary supervision, his NSAID dosage was reduced by 25% without a return of breakthrough pain symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u041d\u0435\u0434\u0435\u043b\u0438 5-8 (\u043f\u043e\u0434\u0434\u0435\u0440\u0436\u0438\u0432\u0430\u044e\u0449\u0430\u044f \u0444\u0430\u0437\u0430):<\/strong> \u0427\u0430\u0441\u0442\u043e\u0442\u0430 \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u0431\u044b\u043b\u0430 \u0441\u043e\u043a\u0440\u0430\u0449\u0435\u043d\u0430 \u0434\u043e \u043e\u0434\u043d\u043e\u0433\u043e \u0440\u0430\u0437\u0430 \u0432 \u043d\u0435\u0434\u0435\u043b\u044e, \u0430 \u0437\u0430\u0442\u0435\u043c \u0434\u043e \u043e\u0434\u043d\u043e\u0433\u043e \u0440\u0430\u0437\u0430 \u0432 \u0434\u0432\u0435 \u043d\u0435\u0434\u0435\u043b\u0438. \u0414\u0436\u0430\u0441\u043f\u0435\u0440 \u043d\u0430\u0447\u0430\u043b \u0441\u043e\u0432\u0435\u0440\u0448\u0430\u0442\u044c \u043a\u043e\u0440\u043e\u0442\u043a\u0438\u0435, \u043c\u0435\u0434\u043b\u0435\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u0433\u0443\u043b\u043a\u0438, \u043d\u0435 \u0441\u0440\u0430\u0437\u0443 \u0443\u0441\u0442\u0430\u0432\u0430\u044f. \u041c\u044b\u0448\u0435\u0447\u043d\u044b\u0439 \u0442\u043e\u043d\u0443\u0441 \u0437\u0430\u0434\u043d\u0438\u0445 \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0441\u0442\u0435\u0439 \u043e\u0449\u0443\u0442\u0438\u043c\u043e \u0443\u043b\u0443\u0447\u0448\u0438\u043b\u0441\u044f \u0431\u043b\u0430\u0433\u043e\u0434\u0430\u0440\u044f \u0431\u043e\u043b\u0435\u0435 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u043c\u0443 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u044e.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-thumbnail is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-4-150x150.png\" alt=\"\" class=\"wp-image-8603\" style=\"width:364px;height:auto\" srcset=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-4-150x150.png 150w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-4-300x300.png 300w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-4-768x768.png 768w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-4-12x12.png 12w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/\u56fe\u7247-4.png 1024w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">\u0417\u0430\u043a\u043b\u044e\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439 \u0432\u044b\u0432\u043e\u0434<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">After eight weeks, Jasper was maintained on a monthly Class IV laser therapy session and a 50% reduced dose of his original NSAID regimen. While the radiographic pathology remained unchanged\u2014laser does not regenerate lost cartilage\u2014the functional outcome was transformative. By effectively managing the chronic inflammation and neuropathic pain, <strong>\u041b\u0430\u0437\u0435\u0440\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u0447\u0435\u0442\u0432\u0435\u0440\u0442\u043e\u0433\u043e \u043a\u043b\u0430\u0441\u0441\u0430<\/strong> \u0440\u0430\u0437\u043e\u0440\u0432\u0430\u043b \u0446\u0438\u043a\u043b \"\u0431\u043e\u043b\u044c - \u0431\u0435\u0437\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u0435 - \u0430\u0442\u0440\u043e\u0444\u0438\u044f\", \u0432\u043e\u0441\u0441\u0442\u0430\u043d\u043e\u0432\u0438\u0432 \u0434\u043e\u0441\u0442\u043e\u0439\u043d\u043e\u0435 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u043e \u0436\u0438\u0437\u043d\u0438 \u0433\u0435\u0440\u0438\u0430\u0442\u0440\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0422\u0440\u0435\u0431\u043e\u0432\u0430\u043d\u0438\u044f \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u043f\u0440\u0438 \u0440\u0430\u0431\u043e\u0442\u0435 \u0441 \u043c\u043e\u0449\u043d\u044b\u043c\u0438 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432\u0430\u043c\u0438<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0442\u043e, \u0447\u0442\u043e PBM \u043e\u0442\u043b\u0438\u0447\u0430\u0435\u0442\u0441\u044f \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u044c\u044e \u0438 \u043c\u0430\u043b\u044b\u043c \u043a\u043e\u043b\u0438\u0447\u0435\u0441\u0442\u0432\u043e\u043c \u043f\u043e\u0431\u043e\u0447\u043d\u044b\u0445 \u044d\u0444\u0444\u0435\u043a\u0442\u043e\u0432, \u0432\u044b\u0441\u043e\u043a\u0430\u044f \u043c\u043e\u0449\u043d\u043e\u0441\u0442\u044c \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432 \u043a\u043b\u0430\u0441\u0441\u0430 IV \u0442\u0440\u0435\u0431\u0443\u0435\u0442 \u0441\u0442\u0440\u043e\u0433\u043e\u0433\u043e \u0441\u043e\u0431\u043b\u044e\u0434\u0435\u043d\u0438\u044f \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b\u043e\u0432 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u041e\u043a\u0443\u043b\u044f\u0440\u043d\u0430\u044f \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u044c:<\/strong> \u041d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u043c \u0440\u0438\u0441\u043a\u043e\u043c \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 \u0441\u0435\u0442\u0447\u0430\u0442\u043a\u0438 \u043f\u0440\u044f\u043c\u044b\u043c\u0438 \u0438\u043b\u0438 \u043e\u0442\u0440\u0430\u0436\u0435\u043d\u043d\u044b\u043c\u0438 \u043b\u0443\u0447\u0430\u043c\u0438. \u0412\u043e \u0432\u0440\u0435\u043c\u044f \u043a\u0430\u0436\u0434\u043e\u0433\u043e \u0441\u0435\u0430\u043d\u0441\u0430 \u043e\u043f\u0435\u0440\u0430\u0442\u043e\u0440\u0443, \u0430\u0441\u0441\u0438\u0441\u0442\u0435\u043d\u0442\u0430\u043c \u0438 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0443 \u043d\u0435\u043e\u0431\u0445\u043e\u0434\u0438\u043c\u043e \u043d\u0430\u0434\u0435\u0432\u0430\u0442\u044c \u0437\u0430\u0449\u0438\u0442\u043d\u044b\u0435 \u043e\u0447\u043a\u0438 \u0441 \u0443\u0447\u0435\u0442\u043e\u043c \u0434\u043b\u0438\u043d\u044b \u0432\u043e\u043b\u043d\u044b.<\/li>\n\n\n\n<li><strong>\u041d\u0435\u043e\u043f\u043b\u0430\u0437\u0438\u044f:<\/strong> PBM \u0434\u0435\u0439\u0441\u0442\u0432\u0443\u0435\u0442, \u0441\u0442\u0438\u043c\u0443\u043b\u0438\u0440\u0443\u044f \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u0443\u044e \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u044c. \u041f\u043e\u044d\u0442\u043e\u043c\u0443 \u043e\u043d \u0430\u0431\u0441\u043e\u043b\u044e\u0442\u043d\u043e \u043f\u0440\u043e\u0442\u0438\u0432\u043e\u043f\u043e\u043a\u0430\u0437\u0430\u043d \u043d\u0430 \u0443\u0447\u0430\u0441\u0442\u043a\u0430\u0445 \u0441 \u0438\u0437\u0432\u0435\u0441\u0442\u043d\u043e\u0439 \u0438\u043b\u0438 \u043f\u0440\u0435\u0434\u043f\u043e\u043b\u0430\u0433\u0430\u0435\u043c\u043e\u0439 \u0437\u043b\u043e\u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0441\u0442\u044c\u044e, \u0442\u0430\u043a \u043a\u0430\u043a \u0442\u0435\u043e\u0440\u0435\u0442\u0438\u0447\u0435\u0441\u043a\u0438 \u043c\u043e\u0436\u0435\u0442 \u0443\u0441\u043a\u043e\u0440\u0438\u0442\u044c \u0440\u043e\u0441\u0442 \u043e\u043f\u0443\u0445\u043e\u043b\u0438.<\/li>\n\n\n\n<li><strong>\u0410\u043a\u0442\u0438\u0432\u043d\u043e\u0435 \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u0435:<\/strong> \u0418\u0437-\u0437\u0430 \u0441\u043e\u0441\u0443\u0434\u043e\u0440\u0430\u0441\u0448\u0438\u0440\u044f\u044e\u0449\u0435\u0433\u043e \u044d\u0444\u0444\u0435\u043a\u0442\u0430 \u043b\u0430\u0437\u0435\u0440\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438 \u0435\u0435 \u043d\u0435 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u043f\u0440\u0438\u043c\u0435\u043d\u044f\u0442\u044c \u043d\u0430 \u0443\u0447\u0430\u0441\u0442\u043a\u0430\u0445 \u0441 \u0430\u043a\u0442\u0438\u0432\u043d\u044b\u043c \u043a\u0440\u043e\u0432\u043e\u0442\u0435\u0447\u0435\u043d\u0438\u0435\u043c.<\/li>\n\n\n\n<li><strong>\u0411\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0441\u0442\u044c:<\/strong> \u0412 \u043a\u0430\u0447\u0435\u0441\u0442\u0432\u0435 \u043c\u0435\u0440\u044b \u043f\u0440\u0435\u0434\u043e\u0441\u0442\u043e\u0440\u043e\u0436\u043d\u043e\u0441\u0442\u0438 \u0441\u043b\u0435\u0434\u0443\u0435\u0442 \u0438\u0437\u0431\u0435\u0433\u0430\u0442\u044c \u0447\u0440\u0435\u0437\u043c\u0435\u0440\u043d\u043e\u0433\u043e \u0432\u043e\u0437\u0434\u0435\u0439\u0441\u0442\u0432\u0438\u044f \u043d\u0430 \u0431\u0440\u044e\u0448\u043d\u0443\u044e \u043f\u043e\u043b\u043e\u0441\u0442\u044c \u0431\u0435\u0440\u0435\u043c\u0435\u043d\u043d\u043e\u0433\u043e \u0436\u0438\u0432\u043e\u0442\u043d\u043e\u0433\u043e.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u0421\u043c\u0435\u043d\u0430 \u043f\u0430\u0440\u0430\u0434\u0438\u0433\u043c\u044b \u0432 \u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u0431\u043e\u043b\u0438<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0418\u043d\u0442\u0435\u0433\u0440\u0430\u0446\u0438\u044f <strong>\u041b\u0430\u0437\u0435\u0440 \u0434\u043b\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u0430\u0440\u0442\u0440\u0438\u0442\u0430 \u0443 \u0441\u043e\u0431\u0430\u043a<\/strong> \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0441\u043e\u0431\u043e\u0439 \u043f\u0435\u0440\u0435\u0445\u043e\u0434 \u043e\u0442 \u0440\u0435\u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0439, \u043e\u0441\u043d\u043e\u0432\u0430\u043d\u043d\u043e\u0439 \u043d\u0430 \u043b\u0435\u043a\u0430\u0440\u0441\u0442\u0432\u0430\u0445 \u043c\u043e\u0434\u0435\u043b\u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u044f \u0431\u043e\u043b\u0438 \u043a \u043f\u0440\u043e\u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0439, \u043c\u0443\u043b\u044c\u0442\u0438\u043c\u043e\u0434\u0430\u043b\u044c\u043d\u043e\u0439 \u0441\u0442\u0440\u0430\u0442\u0435\u0433\u0438\u0438. \u0412\u043e\u0437\u0434\u0435\u0439\u0441\u0442\u0432\u0443\u044f \u043d\u0430 \u043a\u043b\u0435\u0442\u043e\u0447\u043d\u044b\u0435 \u043a\u043e\u0440\u043d\u0438 \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u044f \u0438 \u0431\u043e\u043b\u0438, \u043b\u0430\u0437\u0435\u0440\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u043a\u043b\u0430\u0441\u0441\u0430 IV \u043e\u0442\u043a\u0440\u044b\u0432\u0430\u0435\u0442 \u0432\u0430\u0436\u043d\u0435\u0439\u0448\u0438\u0435 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e\u0441\u0442\u0438. \u041e\u043d\u0430 \u0441\u043d\u0438\u0436\u0430\u0435\u0442 \u0431\u043e\u043b\u0435\u0432\u043e\u0439 \u0431\u0430\u0440\u044c\u0435\u0440 \u043d\u0430\u0441\u0442\u043e\u043b\u044c\u043a\u043e, \u0447\u0442\u043e \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u0430\u043c \u0437\u0430\u043d\u0438\u043c\u0430\u0442\u044c\u0441\u044f \u043b\u0435\u0447\u0435\u0431\u043d\u043e\u0439 \u0444\u0438\u0437\u043a\u0443\u043b\u044c\u0442\u0443\u0440\u043e\u0439, \u043a\u043e\u0442\u043e\u0440\u0430\u044f \u044f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u0433\u043b\u0430\u0432\u043d\u044b\u043c \u043a\u043b\u044e\u0447\u043e\u043c \u043a \u0434\u043e\u043b\u0433\u043e\u0441\u0440\u043e\u0447\u043d\u043e\u0439 \u0433\u0435\u0440\u0438\u0430\u0442\u0440\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u043c\u043e\u0431\u0438\u043b\u044c\u043d\u043e\u0441\u0442\u0438.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">As our understanding of photobiology deepens, protocols will become even more refined, moving away from generic &#8220;pain settings&#8221; toward customizable treatments based on tissue type, chronicity, and individual patient physiology. For the modern veterinary clinician, Master Class IV laser technology is no longer a luxury; it is an essential component of comprehensive orthopedic care.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">FAQ: \u0427\u0430\u0441\u0442\u043e \u0437\u0430\u0434\u0430\u0432\u0430\u0435\u043c\u044b\u0435 \u0432\u043e\u043f\u0440\u043e\u0441\u044b \u043e \u043b\u0430\u0437\u0435\u0440\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438 \u0441\u043e\u0431\u0430\u043a<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0412: \u042f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043b\u0438 \u043b\u0430\u0437\u0435\u0440\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f \u043a\u043b\u0430\u0441\u0441\u0430 IV \u0431\u043e\u043b\u0435\u0437\u043d\u0435\u043d\u043d\u043e\u0439 \u0434\u043b\u044f \u0441\u043e\u0431\u0430\u043a\u0438 \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u043b\u0435\u0447\u0435\u043d\u0438\u044f?<\/strong> \u041e: \u041d\u0435\u0442, \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u0431\u0435\u0437\u0431\u043e\u043b\u0435\u0437\u043d\u0435\u043d\u043d\u043e. \u0412\u044b\u0441\u043e\u043a\u0430\u044f \u043c\u043e\u0449\u043d\u043e\u0441\u0442\u044c \u043b\u0430\u0437\u0435\u0440\u043e\u0432 \u043a\u043b\u0430\u0441\u0441\u0430 IV \u0441\u043e\u0437\u0434\u0430\u0435\u0442 \u043c\u044f\u0433\u043a\u043e\u0435, \u0443\u0441\u043f\u043e\u043a\u0430\u0438\u0432\u0430\u044e\u0449\u0435\u0435 \u0442\u0435\u043f\u043b\u043e \u0432 \u0442\u043a\u0430\u043d\u044f\u0445, \u043a\u043e\u0442\u043e\u0440\u043e\u0435 \u0431\u043e\u043b\u044c\u0448\u0438\u043d\u0441\u0442\u0432\u043e \u0441\u043e\u0431\u0430\u043a \u043d\u0430\u0445\u043e\u0434\u0438\u0442 \u043e\u0447\u0435\u043d\u044c \u0440\u0430\u0441\u0441\u043b\u0430\u0431\u043b\u044f\u044e\u0449\u0438\u043c. \u041c\u043d\u043e\u0433\u0438\u0435 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044b, \u0432 \u0442\u043e\u043c \u0447\u0438\u0441\u043b\u0435 \u0441 \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0431\u043e\u043b\u044c\u044e, \u043f\u0440\u0438\u0441\u043b\u043e\u043d\u044f\u044e\u0442\u0441\u044f \u043a \u0437\u043e\u043d\u0434\u0443 \u0438\u043b\u0438 \u0437\u0430\u0441\u044b\u043f\u0430\u044e\u0442 \u0432\u043e \u0432\u0440\u0435\u043c\u044f \u043f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u044b \u0438\u0437-\u0437\u0430 \u043c\u0433\u043d\u043e\u0432\u0435\u043d\u043d\u043e\u0433\u043e \u043e\u0431\u043b\u0435\u0433\u0447\u0435\u043d\u0438\u044f \u0438 \u0432\u044b\u0431\u0440\u043e\u0441\u0430 \u044d\u043d\u0434\u043e\u0440\u0444\u0438\u043d\u043e\u0432.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Q: How quickly can I expect to see results in my dog&#8217;s arthritis?<\/strong> \u041e: \u0412\u0440\u0435\u043c\u044f \u0440\u0435\u0430\u043a\u0446\u0438\u0438 \u0437\u0430\u0432\u0438\u0441\u0438\u0442 \u043e\u0442 \u0442\u044f\u0436\u0435\u0441\u0442\u0438 \u0438 \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0442\u0435\u0447\u0435\u043d\u0438\u044f \u0430\u0440\u0442\u0440\u0438\u0442\u0430. \u041d\u0435\u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u0432\u043b\u0430\u0434\u0435\u043b\u044c\u0446\u044b \u043e\u0442\u043c\u0435\u0447\u0430\u044e\u0442 \u0443\u043b\u0443\u0447\u0448\u0435\u043d\u0438\u0435 \u043a\u043e\u043c\u0444\u043e\u0440\u0442\u0430 \u0441\u0440\u0430\u0437\u0443 \u043f\u043e\u0441\u043b\u0435 \u043f\u0435\u0440\u0432\u043e\u0433\u043e \u0441\u0435\u0430\u043d\u0441\u0430. \u041e\u0434\u043d\u0430\u043a\u043e PBM \u0438\u043c\u0435\u0435\u0442 \u043d\u0430\u043a\u043e\u043f\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439 \u044d\u0444\u0444\u0435\u043a\u0442. \u041a\u0430\u043a \u043f\u0440\u0430\u0432\u0438\u043b\u043e, \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u0438 \u043f\u0440\u043e\u0434\u043e\u043b\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u0443\u043b\u0443\u0447\u0448\u0435\u043d\u0438\u0435 \u043f\u043e\u0434\u0432\u0438\u0436\u043d\u043e\u0441\u0442\u0438 \u0438 \u0443\u043c\u0435\u043d\u044c\u0448\u0435\u043d\u0438\u0435 \u0431\u043e\u043b\u0435\u0432\u043e\u0433\u043e \u043f\u043e\u0432\u0435\u0434\u0435\u043d\u0438\u044f \u043d\u0430\u0431\u043b\u044e\u0434\u0430\u0435\u0442\u0441\u044f \u043f\u043e\u0441\u043b\u0435 \u0442\u0440\u0435\u0442\u044c\u0435\u0439-\u0448\u0435\u0441\u0442\u043e\u0439 \u043f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u044b \u0432 \u0444\u0430\u0437\u0435 \u0438\u043d\u0434\u0443\u043a\u0446\u0438\u0438.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Q: Can laser therapy replace my dog&#8217;s current pain medication?<\/strong> A: Laser therapy is a powerful tool that often allows veterinarians to significantly reduce the dosage of NSAIDs or other pain medications, thereby lowering the risk of long-term side effects on the liver or kidneys. In some mild to moderate cases, it can eventually replace pharmaceuticals entirely, but this decision must always be made under direct veterinary supervision based on the dog&#8217;s response.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0412: \u042f\u0432\u043b\u044f\u0435\u0442\u0441\u044f \u043b\u0438 \u044d\u0444\u0444\u0435\u043a\u0442 \u043e\u0442 \u043b\u0430\u0437\u0435\u0440\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438 \u043f\u043e\u0441\u0442\u043e\u044f\u043d\u043d\u044b\u043c?<\/strong> A: Osteoarthritis is a progressive, degenerative disease with no cure. Therefore, laser therapy is a management tool, not a permanent fix. Once the initial pain and inflammation are brought under control during the induction phase, most chronic arthritis patients require maintenance treatments\u2014ranging from every two to six weeks\u2014to sustain their improved quality of life and prevent a relapse of severe symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0412: \u0415\u0441\u0442\u044c \u043b\u0438 \u0440\u0438\u0441\u043a \u043e\u0431\u0436\u0435\u0447\u044c \u0441\u043e\u0431\u0430\u043a\u0443 \u043c\u043e\u0449\u043d\u044b\u043c \u043b\u0430\u0437\u0435\u0440\u043e\u043c?<\/strong> \u041e: \u041f\u0440\u0438 \u0440\u0430\u0431\u043e\u0442\u0435 \u043a\u0432\u0430\u043b\u0438\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0433\u043e \u0432\u0435\u0442\u0435\u0440\u0438\u043d\u0430\u0440\u043d\u043e\u0433\u043e \u0441\u043f\u0435\u0446\u0438\u0430\u043b\u0438\u0441\u0442\u0430, \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u0443\u044e\u0449\u0435\u0433\u043e \u043f\u0440\u0430\u0432\u0438\u043b\u044c\u043d\u0443\u044e \u0442\u0435\u0445\u043d\u0438\u043a\u0443 (\u043f\u043e\u0441\u0442\u043e\u044f\u043d\u043d\u043e\u0435 \u043f\u0435\u0440\u0435\u043c\u0435\u0449\u0435\u043d\u0438\u0435 \u043d\u0430\u043a\u043e\u043d\u0435\u0447\u043d\u0438\u043a\u0430 \u0438\u043b\u0438 \u0438\u0441\u043f\u043e\u043b\u044c\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u0431\u043e\u043b\u044c\u0448\u043e\u0439 \u043a\u043e\u043d\u0442\u0430\u043a\u0442\u043d\u043e\u0439 \u0433\u043e\u043b\u043e\u0432\u043a\u0438), \u0440\u0438\u0441\u043a \u043f\u043e\u043b\u0443\u0447\u0435\u043d\u0438\u044f \u0442\u0435\u0440\u043c\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0442\u0440\u0430\u0432\u043c\u044b \u043a\u0440\u0430\u0439\u043d\u0435 \u043d\u0438\u0437\u043e\u043a. \u0421\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0435 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0435 \u043f\u0440\u0438\u0431\u043e\u0440\u044b \u043a\u043b\u0430\u0441\u0441\u0430 IV \u0442\u0430\u043a\u0436\u0435 \u043e\u0441\u043d\u0430\u0449\u0435\u043d\u044b \u0441\u043b\u043e\u0436\u043d\u044b\u043c \u043f\u0440\u043e\u0433\u0440\u0430\u043c\u043c\u043d\u044b\u043c \u043e\u0431\u0435\u0441\u043f\u0435\u0447\u0435\u043d\u0438\u0435\u043c \u0438 \u043f\u0440\u043e\u0442\u043e\u043a\u043e\u043b\u0430\u043c\u0438 \u0431\u0435\u0437\u043e\u043f\u0430\u0441\u043d\u043e\u0441\u0442\u0438 \u0434\u043b\u044f \u0443\u043f\u0440\u0430\u0432\u043b\u0435\u043d\u0438\u044f \u043f\u043e\u0434\u0430\u0447\u0435\u0439 \u044d\u043d\u0435\u0440\u0433\u0438\u0438 \u0438 \u043f\u0440\u0435\u0434\u043e\u0442\u0432\u0440\u0430\u0449\u0435\u043d\u0438\u044f \u043f\u0435\u0440\u0435\u0433\u0440\u0435\u0432\u0430 \u0442\u043a\u0430\u043d\u0435\u0439.<\/p>","protected":false},"excerpt":{"rendered":"<p>In the evolving landscape of veterinary rehabilitation and pain management, few modalities have shifted clinical protocols as significantly as high-power therapeutic lasers. Canine osteoarthritis (OA), a pervasive, progressive, and debilitating condition affecting a substantial portion of the geriatric dog population, requires a multimodal approach that transcends simple symptom masking. 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