Tennis elbow / lateral epicondylitis

Red light therapy for tennis elbow

Evidence for low-level laser therapy in lateral elbow tendinopathy, including wavelength and targeting considerations.

Study count

The cited review identified 18 placebo-controlled RCTs; 13 trials with 730 patients entered meta-analysis.

Evidence grade

moderate

Panel relevance

partially-replicable

Bottom line

This is a relatively strong targeted-tendon category, but many panel wavelengths differ from the best-supported laser subgroups.

Consensus: LLLT can help lateral elbow tendinopathy when applied directly to tendon insertions with suitable wavelengths and doses.

What the studies found

  • Direct tendon-insertion irradiation showed short-term pain and disability benefits.
  • Acupuncture-point protocols and some wavelengths were negative.
  • No serious side effects were reported in the review.

Dosage and timing

Wavelengths632, 904 nm
IrradianceNot settled
FluenceDoses in the positive subgroup ranged from 0.5 to 7.2 J.
Session timeVaried across trials.
FrequencyVaried across trials.
DurationShort-term follow-up commonly 3-8 weeks after treatment.
TimingNo time-of-day consensus.
Treatment areaLateral elbow tendon insertions.
Device typesClinical LLLT.
Notes904 nm and possibly 632 nm targeted tendon-insertion protocols drove positive findings.
  • Targeting appears essential.
  • Most standard 660/850 nm panels do not reproduce 904 nm laser protocols.
  • General elbow exposure should be described as extrapolation.

Caveats

  • Tennis elbow diagnosis and tendon-load management matter.
  • Wavelength-specific findings limit blanket panel claims.

Cited peer-reviewed sources

meta-analysis 18 included studies Evidence: moderate; direction: positive Panel relevance: partially-replicable Wavelengths: 632, 904 nm Dose/timing: Varied by trial / Follow-up commonly 3-8 weeks after treatment Area: Lateral elbow tendon insertions Device: Low-level laser therapy Source

Bjordal JM, Lopes-Martins RA, Joensen J, et al. BMC Musculoskeletal Disorders. 2008.

A meta-analysis found short-term pain and disability benefits when LLLT directly irradiated lateral elbow tendon insertions at suitable wavelengths and doses.

Source

Last reviewed: 2026-06-15