Skip to main content
Top
Published in: Arthritis Research & Therapy 5/2013

Open Access 01-10-2013 | Editorial

Can osteoarthritis be treated with light?

Author: Michael R Hamblin

Published in: Arthritis Research & Therapy | Issue 5/2013

Login to get access

Abstract

Osteoarthritis is becoming more problematic as the population ages. Recent reports suggest that the benefit of anti-inflammatory drugs is unimpressive and the incidence of side effects is worrying. Low-level laser (light) therapy (LLLT) is an alternative approach with no known side effects and with reports of substantial therapeutic efficacy in osteoarthritis. In this issue of Arthritis Research & Therapy, Alves and colleagues used a rat model of osteoarthritis produced by intra-articular injection of the cartilage-degrading enzyme papain to test 810-nm LLLT. A single application of LLLT produced significant reductions in inflammatory cell infiltration and inflammatory cytokines 24 hours later. A lower laser power was more effective than a higher laser power. However, more work is necessary before the title question can be answered in the affirmative.
Literature
1.
go back to reference Alves AC, Vieira RP, Leal-Junior EC, Dos Santos SA, Ligeiro AP, Albertini R, Junior JA, de Carvalho PD: Effect of low level laser therapy on the expression of inflammatory mediators and on neutrophils and macrophages in acute joint inflammation. Arthritis Res Treat. 2013, 15: R116-10.1186/ar4296.CrossRef Alves AC, Vieira RP, Leal-Junior EC, Dos Santos SA, Ligeiro AP, Albertini R, Junior JA, de Carvalho PD: Effect of low level laser therapy on the expression of inflammatory mediators and on neutrophils and macrophages in acute joint inflammation. Arthritis Res Treat. 2013, 15: R116-10.1186/ar4296.CrossRef
2.
go back to reference Arden N, Nevitt MC: Osteoarthritis: epidemiology. Best Pract Res Clin Rheumatol. 2006, 20: 3-25. 10.1016/j.berh.2005.09.007.CrossRefPubMed Arden N, Nevitt MC: Osteoarthritis: epidemiology. Best Pract Res Clin Rheumatol. 2006, 20: 3-25. 10.1016/j.berh.2005.09.007.CrossRefPubMed
3.
go back to reference Cheng DS, Visco CJ: Pharmaceutical therapy for osteoarthritis. PM R. 2012, 4: S82-S88. 10.1016/j.pmrj.2012.02.009.CrossRefPubMed Cheng DS, Visco CJ: Pharmaceutical therapy for osteoarthritis. PM R. 2012, 4: S82-S88. 10.1016/j.pmrj.2012.02.009.CrossRefPubMed
4.
go back to reference Chung H, Dai T, Sharma SK, Huang YY, Carroll JD, Hamblin MR: The nuts and bolts of low-level laser (light) therapy. Ann Biomed Eng. 2012, 40: 516-533. 10.1007/s10439-011-0454-7.PubMedCentralCrossRefPubMed Chung H, Dai T, Sharma SK, Huang YY, Carroll JD, Hamblin MR: The nuts and bolts of low-level laser (light) therapy. Ann Biomed Eng. 2012, 40: 516-533. 10.1007/s10439-011-0454-7.PubMedCentralCrossRefPubMed
5.
go back to reference Chen AC, Arany PR, Huang YY, Tomkinson EM, Sharma SK, Kharkwal GB, Saleem T, Mooney D, Yull FE, Blackwell TS, Hamblin MR: Low-level laser therapy activates NF-kB via generation of reactive oxygen species in mouse embryonic fibroblasts. PLoS ONE. 2011, 6: e22453-10.1371/journal.pone.0022453.PubMedCentralCrossRefPubMed Chen AC, Arany PR, Huang YY, Tomkinson EM, Sharma SK, Kharkwal GB, Saleem T, Mooney D, Yull FE, Blackwell TS, Hamblin MR: Low-level laser therapy activates NF-kB via generation of reactive oxygen species in mouse embryonic fibroblasts. PLoS ONE. 2011, 6: e22453-10.1371/journal.pone.0022453.PubMedCentralCrossRefPubMed
6.
go back to reference Huang YY, Chen AC, Carroll JD, Hamblin MR: Biphasic dose response in low level light therapy. Dose Response. 2009, 7: 358-383. 10.2203/dose-response.09-027.Hamblin.PubMedCentralCrossRefPubMed Huang YY, Chen AC, Carroll JD, Hamblin MR: Biphasic dose response in low level light therapy. Dose Response. 2009, 7: 358-383. 10.2203/dose-response.09-027.Hamblin.PubMedCentralCrossRefPubMed
7.
go back to reference Brosseau L, Welch V, Wells G, DeBie R, Gam A, Harman K, Morin M, Shea B, Tugwell P: Low level laser therapy (Classes I, II and III) for treating osteoarthritis. Cochrane Database Syst Rev. 2004, 3: CD002046 Brosseau L, Welch V, Wells G, DeBie R, Gam A, Harman K, Morin M, Shea B, Tugwell P: Low level laser therapy (Classes I, II and III) for treating osteoarthritis. Cochrane Database Syst Rev. 2004, 3: CD002046
8.
go back to reference Bjordal JM, Bogen B, Lopes-Martins RA, Klovning A: Can Cochrane Reviews in controversial areas be biased? A sensitivity analysis based on the protocol of a Systematic Cochrane Review on low-level laser therapy in osteoarthritis. Photomed Laser Surg. 2005, 23: 453-458. 10.1089/pho.2005.23.453.CrossRefPubMed Bjordal JM, Bogen B, Lopes-Martins RA, Klovning A: Can Cochrane Reviews in controversial areas be biased? A sensitivity analysis based on the protocol of a Systematic Cochrane Review on low-level laser therapy in osteoarthritis. Photomed Laser Surg. 2005, 23: 453-458. 10.1089/pho.2005.23.453.CrossRefPubMed
9.
go back to reference Castano AP, Dai T, Yaroslavsky I, Cohen R, Apruzzese WA, Smotrich MH, Hamblin MR: Low-level laser therapy for zymosan-induced arthritis in rats: importance of illumination time. Lasers Surg Med. 2007, 39: 543-550. 10.1002/lsm.20516.PubMedCentralCrossRefPubMed Castano AP, Dai T, Yaroslavsky I, Cohen R, Apruzzese WA, Smotrich MH, Hamblin MR: Low-level laser therapy for zymosan-induced arthritis in rats: importance of illumination time. Lasers Surg Med. 2007, 39: 543-550. 10.1002/lsm.20516.PubMedCentralCrossRefPubMed
10.
go back to reference da Rosa AS, dos Santos AF, da Silva MM, Facco GG, Perreira DM, Alves AC, Leal Junior EC, de Carvalho Pde T: Effects of low-level laser therapy at wavelengths of 660 and 808 nm in experimental model of osteoarthritis. Photochem Photobiol. 2012, 88: 161-166. 10.1111/j.1751-1097.2011.01032.x.CrossRefPubMed da Rosa AS, dos Santos AF, da Silva MM, Facco GG, Perreira DM, Alves AC, Leal Junior EC, de Carvalho Pde T: Effects of low-level laser therapy at wavelengths of 660 and 808 nm in experimental model of osteoarthritis. Photochem Photobiol. 2012, 88: 161-166. 10.1111/j.1751-1097.2011.01032.x.CrossRefPubMed
11.
go back to reference Cidral-Filho FJ, Mazzardo-Martins L, Martins DF, Santos AR: Light-emitting diode therapy induces analgesia in a mouse model of postoperative pain through activation of peripheral opioid receptors and the L-arginine/nitric oxide pathway. Lasers Med Sci. 2013, Epub ahead of print Cidral-Filho FJ, Mazzardo-Martins L, Martins DF, Santos AR: Light-emitting diode therapy induces analgesia in a mouse model of postoperative pain through activation of peripheral opioid receptors and the L-arginine/nitric oxide pathway. Lasers Med Sci. 2013, Epub ahead of print
Metadata
Title
Can osteoarthritis be treated with light?
Author
Michael R Hamblin
Publication date
01-10-2013
Publisher
BioMed Central
Published in
Arthritis Research & Therapy / Issue 5/2013
Electronic ISSN: 1478-6362
DOI
https://doi.org/10.1186/ar4354

Other articles of this Issue 5/2013

Arthritis Research & Therapy 5/2013 Go to the issue