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Laser Therapy for Chronic Pain

Laser Therapy for Chronic Pain

For people living with chronic pain, tendinopathies or soft tissue injuries, recovery can feel painfully slow. Traditional physiotherapy treatments such as manual therapy, exercise, massage, and dry needling can all help. But some conditions can be persistent.

Over the past decade, a new technology has emerged that has changed the way that clinicians treat stubborn pain, High Intensity Laser Therapy (HILT). At ReWin Therapy, we utilize one of the most advanced lasers in the world, the Lightforce XLi. It’s a 40-watt Class IV therapy laser, which is designed to accelerate healing, reduce inflammation, and relieve pain.

Whilst laser therapy may sound futuristic, the results are backed by strong clinical evidence, and it’s quickly becoming one of the most powerful tools in treating persistent pain.

How Does It Work? The Science of Photobiomodulation

Laser therapy works using a process called photobiomodulation (PBM), which is the use of specific light wavelengths to stimulate cellular repair in damaged tissues. Unlike low-level ‘cold’ lasers, HILT devices deliver high amounts of energy in short timeframes, allowing deeper penetration into the tissues. PBM works by:

  • Increasing (ATP) cell energy production
  • Increasing nitric oxide and improving blood flow
  • Reducing inflammation
  • Stimulating collagen synthesis
  • Accelerating tissue repair and regeneration

These mechanisms are important for tendinopathies as tissue metabolism is slowed. This leads to reduced blood flow and impaired healing.

Why the Lightforce XLi Stands Out

Most lasers deliver between 1-10 watts. The Lightforce XLi can deliver up to 40 watts of continuous power. This makes it one of the most powerful lasers on the market. This means:

  • Greater penetration depth
  • Higher therapeutic doses
  • Shorter treatment times
  • More effective pain reduction

The XLi uses two clinically proven wavelengths. 810nm and 980nm.

  • 810 nm increases ATP levels, nitric oxide, and cellular energy
  • 980nm reduces inflammation and provides analgesic effects.

This dual wavelength system is effective at treating multiple conditions such as plantar fasciitis, osteoarthritis, Achilles tendinopathy and rotator cuff tendinopathy.

What Conditions Benefit Most?

Laser therapy is most effective at treating conditions involving chronic inflammation or tissue degeneration, such as:

  • Tendinopathies
  • Plantar fasciitis
  • Chronic low back pain
  • Osteoarthritis
  • Cervical or lumbar radiculopathies
  • Muscle or ligament strains and sprains
  • Chronic or recurrent joint pain

These conditions are slow to heal due to impaired blood flow or ongoing inflammation, which is where photobiomodulation can be useful.

What does the research say?

A 2023 systematic review of 48 randomised controlled trials demonstrates that HILT:

  • Reduces pain (improvement of 1-2 on VAS)
  • Improves function.
  • Was particularly beneficial for knee and shoulder pain.

Additionally, clinical trials have shown that laser therapy is effective for patients with Achilles and rotator cuff tendinopathies when it’s used in combination with exercise-based rehabilitation.

Whilst the Lightforce XLi is a very powerful tool, the best outcomes occur when it’s combined with active rehabilitation and lifestyle changes.

The ReWin Approach: Laser + Active Rehab

Laser therapy helps to accelerate tissue repair and healing. However, exercise is what restores tendon load, strength, and mobility levels. At ReWin Therapy, every treatment plan will include.

  • Targeted strengthening exercises to help improve tendon strength and load tolerance.
  • Posture and movement retraining to address any biomechanical issues.
  • Load management strategies.
  • Lifestyle modifications such as sleep patterns, stress reduction and physical activity.

This approach ensures that short-term symptomatic relief leads to longer-term recovery. This is why we emphasise a multi-modal rehabilitation plan here at ReWin Therapy.

What to expect during a session

Patients will often describe laser therapy as warm and soothing. This is very different from shockwave therapy or a deep tissue massage. A typical session will involve:

  • A comprehensive assessment
  • Laser is applied continuously for 4-7 minutes.
  • Prescription of a targeted exercise program

There is no downtime, and patients can return to activity immediately afterwards. We invest in technologies that meaningfully improve patient outcomes, particularly for chronic pain, where progress can be slow and frustrating. The Lightforce XLi has stood out because of its

  • High continuous power output
  • Deep tissue penetration
  • Strong evidence-based backing
  • On-contact heads for greater efficiency
  • Reduced treatment times
  • Excellent results in elite sport

When combined with comprehensive assessment and active rehabilitation.

The Lightforce XLi allows us to provide some of the best chronic pain relief. Chronic pain is complex, and tendinopathies can be incredibly stubborn. But modern medicine has a technology that accelerates healing at the cellular level, whilst exercise and lifestyle changes ensure that you will have long-lasting relief.

The Lightforce XLi isn’t a gimmick, it’s a clinically robust tool supported by evidence-based research. When combined with a structured rehabilitation protocol, it offers a powerful pathway for recovery.

Ready to Break the Cycle of Pain?

If you’ve been living with chronic pain or a stubborn tendon injury, the Lightforce XLi might be the tool you’ve been looking for.

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