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LLLT and Neck Pain Literature Review By The Lancet

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I thought some may find this interesting. An early online systematic review and meta-analysis on today’s The Lancet journal:

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

By |November 13, 2009|Journals, Research|13 Comments

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  1. Dr. Kevin Smith November 14, 2009 at 3:27 pm

    Interesting read, thanks!

  2. We’ve been examining LLLT in our practice for several months now. The findings in The Lancet are consistent with my own, less statistically rigorous, observations. I expect that shortly we will add this new tool to our offerings at Wellness Care,

    Grant Stowell, D.C.

  3. Dr. Kevin Smith November 19, 2009 at 11:04 am

    Does anyone have any recommendations for lasers? Thanks!

  4. stevev November 20, 2009 at 11:00 am

    Glad to hear it Grant! Great that we’re able to use these types of tools to help our patients!

  5. stevev November 20, 2009 at 11:06 am


    I would say it is dependent upon what you are hoping to treat with it it your practice. Since the wavelength appears to be selectively effective for different conditions. I personally use the 810nm unit from Thor Lasers and was very happy with the degree of success I saw. My practice was mainly involved in injury repair and rehab in an office with 3 other docs besides myself.

  6. Scott November 23, 2009 at 9:46 pm

    Which company would you recommend for lasers Steve?

  7. stevev November 24, 2009 at 12:49 pm

    Again, Scott, it really depends on your practice and preference. I went with Thor since most patients I would use it for were injury related. The 810nm has been shown to be one of the most effective when Tx’ing soft tissue such as ligaments, tendons and other connective tissues. They were, at the time, the only company that made an FDA approved unit and it was portable, operating on AC or an internal rechargeable battery.

    Their web site ( has an excellent blog that posts monthly updates on published studies, from the medical indexes, about laser therapy. Along with the wavelength you should be familiar with the dose-responses, which also tends to be tissue specific. This will assist you in deciding which machine to purchase for your practice.

  8. Dr Jeff November 24, 2009 at 2:02 pm

    I am not sure were to look on this website. I am going up against one of these IME for hire guys
    My patient was in a MVA.

    The doc says this:

    I am looking for research for the following comments:

    “misalignments or subluxations do not exist; care from anyone is never medically necessary from a mythical condition”

    Now I am not a bigh “subluxation” guy but reduce segemental motion yes.

    “Spinal manipulation can no longer be recommended for any condition as the admitted & inherent risk outweigh and belief in benefit”

    “Passive care has been know since 1994 not to improve patient outcomes”

    “30 foreful spinal manipulations into an allegedly stained spinal column are of great concern. The repeated accumlated force by these manipulations could be greater than or equal too greater than the actual incident”

    I am not sure if this was the place to post this. Can anyone help me with these comments. I do have some studies but I would like a lot more.

    Thank you everyone

    • stevev November 25, 2009 at 10:10 am

      Dr. Jeff, you should contact our man, Frank M. Painter, D.C. He is in charge of our links section and has an amazing number of links and posts about chiropractic research showing its cost effectiveness and efficacy. You can just click on his name in this reply to contact him.

  9. Dr Jeff November 25, 2009 at 5:54 pm


  10. Steve December 15, 2009 at 11:56 am

    In addition to those natural methods, you could augment the back pain regimen with an herbal lotion. I’ve found one that really helps my family and I. It has analgesic herbs to relieve the pain, nerve quelling herbs to get the irritated nerves to relax, and herbs to get the skeletal muscles to relax. Also, it has some herbs to repair damage that may be causing the pain. The herbal decoction is turned into a lotion and put in a cool roll-on bottle so you don’t get it all over your hands when you put it on. It’s called Back & Neck Relief and I got it from Nature’s Rite. My kids like it for Football and Wrestling injuries. I like it for after I go skiing and my back hurts. My wife uses it on her neck to relieve tension headaches. It’s good stuff.

  11. gold coast physiotherapist December 19, 2009 at 1:42 am

    Natural methods are always effective. The only thing is it takes time and you have much patience for the results. Anyways this one is nice post.

  12. Daniel Bockmann, DC February 19, 2011 at 12:21 pm

    Thanks for the post, Steve! I had actually written LLLT off as another “novelty” treatment like so many others we’re pitched. It’s wonderful to see that a prestigious journal like Lancet is 1) doing research on alternative treatments and 2) publishing such favorable results. I believe this is just another sign that allopathic care and Chiropractic care are coming to realize that we can be synergistic in nature.

    I’ll be looking into including LLLT in my sports medicine & rehab practice, for sure. Thanks again for the useful info, and for providing your valuable Chiropractic resources.

    Daniel Bockmann, DC

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