Skin
Randomised trial
Roughness down, collagen up
Randomised controlled trial, 136 volunteers, 30 sessions. Collagen density measured by
ultrasound and roughness by digital profilometry, with blinded photographic assessment.
Wunsch A, Matuschka K. Photomed Laser Surg 2014;32(2):93–100.
DOI
Hair
Randomised trial
+37 % counted hairs in women
Double-blind randomised trial, 42 women, 655 nm, 16 weeks at one session every other day. Hair
counted photographically on a tattooed area, scored by a blinded investigator. No adverse events
reported.
Lanzafame RJ et al. Lasers Surg Med 2014;46(8):601–607.
DOI
Pain
Meta-analysis
20 mm less pain, up to 22 weeks
Meta-analysis of 16 randomised trials against placebo or active treatment, 820 patients with
acute or chronic neck pain. Side effects no different from placebo.
Chow RT et al. The Lancet 2009;374(9705):1897–1908.
DOI
Performance
Meta-analysis
More repetitions, if the light comes first
Meta-analysis of 13 randomised trials of sufficient methodological quality. Mean gain of 5.5
repetitions and 4.1 seconds to exhaustion, obtained mainly by applying light before
exercise.
Leal-Junior ECP et al. Lasers Med Sci 2015;30(2):925–939.
DOI
Recovery
Meta-analysis
Creatine kinase better contained after exercise
Meta-analysis of 14 studies on the blood marker of muscle damage. Clear effect for localised
exercise, inconclusive for general exercise — a nuance most product pages leave out.
Machado AF et al. Clin J Sport Med 2020;30(3):267–274.
DOI
Sleep
Small sample
Sleep score and melatonin both up
Randomised trial on 20 athletes, 14 days, 30 minutes each evening. Pittsburgh Sleep Quality
Index, serum melatonin and a 12-minute run. Small sample: treat it as a signal, not as
definitive proof.
Zhao J et al. J Athl Train 2012;47(6):673–678.
DOI
Joints
Meta-analysis
Better than exercise alone, as an adjunct
Meta-analysis of 10 randomised trials on knee osteoarthritis, all with good PEDro scores. Pain,
stiffness and function improve when light is added to an exercise programme.
Ahmad MA et al. Physiotherapy 2021;114:85–95.
DOI
Mechanism
Mechanism review
The photon, nitric oxide and ATP
Reference review from the Wellman Center for Photomedicine (Harvard) on the proposed mechanisms:
photoacceptor, light-sensitive ion channels, signalling cascades. The starting point for any
serious reading of the field.
de Freitas LF, Hamblin MR. IEEE J Sel Top Quantum Electron 2016;22(3).
DOI
Wound healing — laser
Meta-analysis
18 trials, 670 wounds, less pain
Meta-analysis of 18 randomised trials covering 670 skin wounds. Both wound-area reduction and
complete healing rate were significantly higher under light, and pain was lower on the visual
analogue scale (mean difference, 95 % CI: −2.52 to −0.19).
These trials use a low-level laser, not LEDs — the same caveat as the
2003 NASA milestone. The authors themselves call for higher-quality trials.
Taha N et al. Cureus 2024;16(10):e72542.
DOI
Wound healing — LED
Very low certainty (GRADE)
From 620 to 950 nm, from 2.4 to 126 J/cm²
Systematic review of six randomised trials on chronic lower-limb wounds — the only paper
on this page that keeps LEDs alone. Wound-area reduction, wound-bed quality and
microcirculation all improved, particularly in diabetic foot ulcers. But the evidence is graded
very low under GRADE: heterogeneous parameters, small samples. The
highest-dose trial, at 126 J/cm², showed no benefit at all.
Miranda MB et al. Lasers Med Sci 2026;41(1).
DOI
Mechanism
Mechanism review
A stressed cell does not respond like a healthy one
A review of mitochondrial redox signalling, filling in two things the 2016 review does not
cover: light produces apparently opposite effects depending on whether the cell
is healthy or stressed, and it can act as preconditioning — before
exercise rather than after. This is the mechanistic argument behind a
pre-workout session.
Hamblin MR. Photochem Photobiol 2018;94(2):199–212.
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