Plantar fasciitis / lower extremity tendinopathy

LLLT for lower extremity tendinopathy and plantar fasciitis meta-analysis

Naterstad IF, Joensen J, Bjordal JM, et al. BMJ Open. 2022.

Source

A BMJ Open meta-analysis found short- and medium-term pain and disability reductions in lower extremity tendinopathy and plantar fasciitis.

Evidence grade

moderate

Effect direction

positive

Panel relevance

partially-replicable

Key findings

  • LLLT reduced pain at completed therapy and 4-12 weeks later.
  • Disability improved at completed therapy and 4-9 weeks later.
  • Recommended-dose subgroups showed pain reduction versus placebo and as an add-on to exercise therapy.

Protocol details

WavelengthsNot reported nm
IrradianceNot reported mW/cm2
FluenceNot reported J/cm2
Session timeNot reported minutes
FrequencyVaried by trial
DurationShort- and medium-term follow-up; no long-term data
Treatment areaLower extremity tendon or plantar fascia region
Device typeLow-level laser therapy

Caveats

  • Long-term data were unavailable.
  • Effect-size certainty remains limited by wide confidence intervals and lack of large trials.