Ankle Soft Tissue Injuries Treatment Using LLLT/PBMT

Low Level Laser Therapy (LLLT), also known as Photobiomodulation Therapy (PBMT), is a highly effective, non-invasive, and drug-free treatment for various ankle soft tissue injuries. Led by Dr Shikha Parmar, a GP with expertise in managing and resolving chronic musculoskeletal pain utilising LLLT as part of a holistic management plan. LLLT involves the application of red and near-infrared light to promote cellular repair in injured tissues. LLLT is safe and painless, and targets the root cause of the injury, unlike pain medications that simply mask the symptoms. Supported by scientific research from respected institutions such as Harvard University and NASA, LLLT is an evidence-based therapy for soft tissue injuries, including ankle tendonitis, ligament injuries, stress fractures, and syndesmotic sprains.

Gentle. Drug-Free. Clinically Proven

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Key Points

  • Ankle soft tissue injuries are common and can involve tendonitis, ligament injuries, and stress fractures, often causing pain, swelling, and reduced mobility.
  • Symptoms may include sharp or aching pain, swelling, tenderness, and difficulty with movement or weight-bearing activities, such as walking or running.
  • Common causes of ankle injuries include peroneal tendonitis, syndesmotic ankle sprains, ligament sprains (such as ATFL and CFL injuries), and stress fractures due to overuse or trauma.
  • Standard treatments such as rest, ice, anti-inflammatory medications, and physical therapy may offer short-term relief but often fail to address deeper tissue healing or underlying inflammation.
  • Low Level Laser Therapy (LLLT), or Photobiomodulation Therapy (PBMT), is a non-invasive, drug-free treatment that can effectively reduce inflammation, promote healing, and restore function in ankle soft tissue injuries, enabling patients to engage in rehabilitation without further damage.
  • At Laser Pain Therapy, all LLLT treatments are GP-led by Dr Shikha Parmar, with a structured, six-week, medically supervised program and tailored rehabilitation support.
  • Backed by over 700 randomised trials, LLLT is scientifically proven to enhance tissue repair, reduce pain, and restore function in the affected ankle area.
  • LLLT offers superior long-term outcomes by addressing the root causes of ankle injuries, promoting true healing, and not just masking the symptoms.
Click here for FAQ/Costs

What Are Ankle Soft Tissue Injuries?

Ankle soft tissue injuries involve damage to the muscles, tendons, ligaments, or other connective tissues around the ankle joint. These injuries can range from mild strains to more severe injuries such as tendonitis, ligament sprains, and stress fractures. Overuse, trauma, and repetitive motions are common causes. Injuries such as peroneal tendonitis, syndesmotic sprains, and ATFL/CFL injuries may cause pain, instability, and difficulty with movement, affecting daily activities and athletic performance.

Common Causes of Ankle Injury

Several factors contribute to ankle soft tissue injuries, including:

  • Overuse injuries from repetitive activities or training
  • Sudden trauma or acute injury during activities such as sports or falls
  • Muscle imbalances or lack of strength leading to strain on tendons and ligaments
  • Biomechanical factors such as poor foot alignment or abnormal gait
  • Age and reduced tissue elasticity, leading to a higher risk of tendon and ligament damage

Type of Ankle Injury:

Ankle Sprain

An ankle sprain typically involves the ligaments that support the bones and joints of the ankle and play a critical role in maintaining ankle stability.
Injury involves stretching or tearing of ligaments that connect bones together. Injury to any of them can result in pain, swelling, bruising, and difficulty moving the ankle. 

The main ligaments involved in an ankle sprain are:

  • Anterior Talofibular Ligament (ATFL): 
    • The most commonly injured ligament in a lateral ankle sprain. 
    • connects the fibula (the outer bone of the lower leg) to the talus (the bone in the foot) and 
    • is typically damaged when the foot is twisted or inverted.
  • Calcaneofibular Ligament (CFL): 
    • located just below the ATFL and connects the fibula to the calcaneus (heel bone).
    • It is also commonly injured in lateral ankle sprains, especially in more severe injuries, when the foot is rolled outward
  • Posterior Talofibular Ligament (PTFL): 
    • located at the back of the ankle, this ligament connects the fibula to the talus. 
    • is less commonly injured but may be involved in more severe ankle sprains, especially those with excessive inversion or force
  • Deltoid Ligament: 
    • a strong ligament located on the medial (inner) side of the ankle
    • is typically injured in medial (inner) ankle sprains, which occur when the foot rolls inward
  • Syndesmotic Ligaments (High Ankle Sprain): 
    • these ligaments connect the 2 bones of the lower leg – tibia and fibula – above the ankle joint. 
    • the syndesmosis provides stability between these two bones.
    • a high ankle sprain involves injury to the syndesmotic ligaments
    • is usually caused by excessive twisting or forced rotation of the ankle. 
    • this injury is less common but can result in significant instability and longer recovery times. 
    • In severe syndesmotic sprains, where there is widening of the syndesmosis or joint instability, surgical review may be necessary. 

Tendon Injuries

While the primary injury in an ankle sprain is to the ligaments, tendon injuries can accompany sprains, especially if there is significant twisting, instability, or force during the injury.

  • Achilles tendon: the large tendon at the back of the ankle that connects the calf muscles to the heel bone. It can be strained or ruptured during an ankle sprain, especially if the sprain is severe. See here for more on Achilles injuries
  • Peroneal tendons: run along the outer side of the ankle and are often involved in lateral (outside) ankle sprains
  • Tibialis anterior tendon: located on the front of the ankle, helping lift the foot. Injury can occur with excessive dorsiflexion (upward movement) of the foot
  • Tibialis posterior tendon: runs along the inside of the ankle and helps support the arch of the foot. It can be stressed or torn in severe ankle injuries
  • Flexor tendons: control toe movement and contribute to foot and ankle stability. Injury to these tendons is less common but may occur with severe ankle sprains or fractures

Stress Fractures

A stress fracture is a small crack or break in a bone, often caused by repetitive stress or overuse, particularly in athletes or those who engage in high-impact activities. The ankle is a common site for stress fractures, particularly in the tibia or fibula. Symptoms include localised pain, swelling, and tenderness.

Stress fractures often require rest and gradual return to activity, but LLLT can support the healing process by stimulating bone repair and reducing inflammation, speeding up recovery and reducing the risk of re-injury. See here for more on stress fractures.

Symptoms

The symptoms vary depending on the type and severity of the injury but commonly include:

  • Pain or discomfort, especially during movement or weight-bearing activities
  • Swelling and bruising around the ankle joint
  • Stiffness or reduced range of motion
  • Tenderness over the injured area
  • Instability or a feeling of weakness, particularly with ligament injuries such as ATFL or CFL sprains
  • Pain at rest in some cases, especially after physical activity

How are Ankle Injuries Diagnosed?

Ankle injuries are diagnosed through a detailed clinical evaluation by Dr Shikha Parmar. This includes a thorough history of the injury, physical examination to assess swelling, tenderness, and range of motion. Imaging such as X-rays, ultrasound or MRI, help identify soft tissue damage and fractures. 

This comprehensive assessment helps guide treatment decisions for the best recovery outcomes.

Ankle Injury – Treatment Overview

Low Level Laser Therapy (LLLT), also known as Photobiomodulation Therapy (PBMT), is a gentle, evidence-based treatment that targets the underlying cause of ankle pain: persistent inflammation, ligament sprain, tendon irritation, stress-related bone injury, and ongoing immune imbalance. It promotes healing without mechanical stress to vulnerable ankle joint and soft tissue structures.

Why Choose Low Level Laser Therapy (LLLT)?

Many patients present after limited relief from rest, ice, anti-inflammatory medications, bracing, or physiotherapy programs. These approaches may temporarily ease symptoms but often fail to address deeper tissue inflammation and may aggravate symptoms if introduced too early. LLLT is particularly helpful where ligament strain, tendon overload, and micro-injury persist, and where excessive loading of the ankle joint may delay recovery.

Why rest, ice, anti-inflammatories, and cortisone may not support long-term recovery. Read more here.

How LLLT Supports Healing

LLLT uses red and near-infrared light to restore balance to the inflammatory process and stimulate ligament, tendon, and bone repair by:

  • Improving circulation and oxygenation
  • Enhancing lymphatic drainage
  • Reducing inflammation and oxidative stress
  • Increasing cellular energy (ATP)
  • Supporting soft tissue and bone regeneration

All without loading or stressing the injured ankle joint.

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Proven, Safe, and Effective

It is non-invasive, painless, and supported by extensive clinical research. Read more here.

See how LLLT helps restore the cellular environment needed for repair here.

Our Treatment Program

All patients are assessed by Dr Shikha Parmar (GP). Treatment is delivered within a structured six-week program, including:

  • Up to 12 LLLT sessions
  • Review after 6 sessions
  • Individualised advice and activity modification
  • Guided rehabilitation for durable recovery

Patients who respond typically show 15–20% improvement within the first 6 sessions, with best-case improvement of 70–90% over the full program.

View the full treatment protocol and expected outcomes here.

Ready for Lasting Relief?

If you are struggling with a soft tissue ankle injury or related musculoskeletal conditions, we invite you to contact our experienced team at Laser Pain Therapy. Our LLLT treatment offers a safe, effective, and lasting solution to restore your comfort, mobility, and quality of life.

Contact us today to arrange your consultation and take the first step towards recovery.
📍 Located in Melbourne
 📞 (03) 8529 2225 Contact Us

View treatment cost here

Cost / FAQ

At Laser Pain Therapy, we use the terms Low-Level Laser Therapy (LLLT) and Photobiomodulation Therapy (PBMT) interchangeably, as they both refer to the same therapeutic approach. “LLLT” specifically focuses on the use of laser light, while “PBMT” is the broader scientific term describing how light interacts with the body to promote healing.

Both therapies stimulate cellular activity, reduce inflammation, repair tissue, and accelerate the healing process.

The initial consultation with Dr Shikha Parmar requires up to 60 minutes where your condition is fully assessed along with your medical history. Dr Parmar will take a thorough history of your problem from its onset, through its progression to now. She will review any imaging reports pertaining to your problem, and may recommend further investigations. Dr Parmar will give you a detailed explanation of your problem, and will discuss our holistic approach and management plan including the utilisation of Low Level Laser Therapy (LLLT). If your condition is amenable to LLLT the treatment is commenced at the initial consultation. A medical consultation with Dr Shikha Parmar, GP, is billed and is rebatable through Medicare for patients who hold a Medicare card.

The fee for an initial consultation including Low Level Laser Therapy treatment is $257.00. This includes a Medicare rebate for the GP consultation of $84.90, the out of pocket cost being $172.10.

Pension and Health Care Card holders receive a further reduced fee for the initial consultation of $207.00 only with the out of pocket fee (gap fee) being $122.10.

For each subsequent follow-up consultation  involving review of progress, tailored advice and management etc, and Low Level Laser Therapy treatment, a fee of $129.25 applies. This includes a Medicare rebate for the GP consultation of $43.90, the out of pocket cost (gap fee) being $85.35.

Longer review visits are charged at $210.20 which includes a Medicare rebate $84.90, the out-of-pocket cost being $125.30.
An $8.00 surcharge applies to appointments after 6pm.

Fees may be subject to change and will be confirmed with you at the time of booking. We utilise state of the art equipment from Europe and the USA operated with the assistance of highly trained clinic assistants.  No further rebate can be claimed from private health insurance. We are unable to offer bulk billing.

Yes.  LLLT has been in active and beneficial use in Europe for nearly 30 years. There are more than 200 double blind positive studies confirming the clinical effect of LLLT.
Published in the world’s top scientific journals:

  • Nature, Pain, PNS, Blood, BMJ, Spine, Muscle and Nerve, The Lancet, Circulation, BJSM
  • 30 LLLT papers published a month
  • Over 4000 laboratory studies and over 400 randomised controlled trials

Over 2,500 clinical studies and published research reports have shown the effectiveness of LLLT for a variety of health issues. Looking at the limited LLLT dental literature alone (370 studies), more than 90% of these studies do verify the clinical value of laser therapy.
LLLT has been a staple in veterinary practices for decades.
In the past 6 years, professional sports teams have begun utilising LLLT.

In the last 10 years 8 systematic reviews have found in favour of LLLT

  • American College of Physicians Guidelines include a “strong recommendation” for Low-Level Laser Therapy as a non-invasive Treatments for Acute, Subacute & Chronic Low Back Pain. (2017) Click here
  • BMJ LLLT for chronic non-specific low back pain: a systematic review and meta-analysis of randomised controlled trials found “moderate quality of evidence” and “clinically important benefits” in the short term. (2016) Click here
  • BMJ sports medicine journal, systematic review of surgical and conservative interventions for frozen shoulder found “strong evidence” for LLLT. (2010) Click here
  • The BMJ clinical evidence recommendations for tennis elbow 2011 now include LLLT Click here
  • American Physical Therapy Association guidelines recommend LLLT for Achilles tendonitis. (2010) Click here
  • Lancet systematic review: “LLLT reduces pain immediately after treatment in acute neck pain and up to 22 weeks after completion of treatment in patients with chronic neck pain”. (2009) Click here
  • World Health Organisation (Bone and Joint Task Force) for neck pain Low Level Laser Therapy “more effective than no treatment, sham, or alternative interventions” (2008) Click here

Laser Therapy does not heat or cut tissue, unlike high intensity lasers. The question is often asked “If it’s a laser aren’t they used in surgical operations, to cauterise tissue?” The answer is “Yes” – hot lasers are able to cauterise (cut) tissue. However, the ones we use are “Low Level Lasers” of class 3B, the most researched and proven class in LLLT, and with designed parameters that make it impossible to damage even one cell in the body. Our lasers stimulate and energise the cells.

In the past 4 years, the FDA has ruled that LLLT (Low Level Laser Therapy) is safe and the only contraindication (warning) is not to use it directly in the eyes.

For the past 30 years the technology of Low Level Laser Therapy (LLLT) has been formally accepted in many parts of the world such as Canada, USA, Brazil, Europe, Scandinavia, Russia and Japan. In all this time there have been no recorded long-term adverse effects from its use. It is considered to be non-invasive, painless and safe.

Industry has been using laser diodes for years in such applications as barcode readers, CD players, DVD players, laser printers and pointers. The FDA has listed bio-stimulation lasers as non-significant risk (NSR) devices.

Hundreds of research studies have shown Laser Therapy to be safe and effective. Laser Therapy is non-invasive, non-toxic and non-thermal. Unlike other forms of radiation, Laser Therapy is beneficial rather than harmful to tissue. Over 400 LLLT clinical trials (RCTs) and over 2500 laboratory studies have been published. It has proven more effective and safer than pharmaceutical anti-inflammatories across a range of musculoskeletal conditions.

LLLT also improves healing and reduces muscle fatigue, muscle damage and delayed onset muscle soreness or DOMS.

There are normally no adverse effects from LLLT, however, patients occasionally experience mild discomfort/ache after treatment. This is due to a restimulation of the inflammatory phase and should settle down after 24 – 48 hours.

The answer is no. No mutational effects have been observed resulting from light with wavelengths in the red or infrared range and of doses used within LLLT. But what happens if I treat someone who has cancer and is unaware of it? Can the cancer’s growth be stimulated? The effects of LLLT on cancer cells in vitro have been studied, and it was observed that they could be stimulated by laser light. However, with respect to a cancer in vivo, the situation is rather different. Experiments on rats have shown that small tumours treated with LLLT can recede and completely disappear, although laser treatment had no effect on tumours over a certain size. It is probably the local immune system, which is stimulated more than the tumour.

The situation is the same for bacteria and virus in culture. These are stimulated by laser light in certain doses, while a bacterial or viral infection is eradicated more quickly after treatment with LLLT.

Laser Therapy should be avoided in the following instances:

  • Over the womb for women in pregnancy
  • Over cancerous tumour, primary or secondary (LLLT is not a treatment for these conditions)
  • Direct irradiation of the eyes

At Laser Pain Therapy, we use state-of-the-art, TGA-approved laser devices, applied by highly trained assistants. Our laser devices deliver the appropriate red and infrared laser energy to trigger the desired tissue response. With the application of up to 37 diodes (laser lights) across multiple devices, we ensure time-efficient treatment without compromising dosage or energy delivery. Unlike LED devices, our laser technology provides deeper penetration and more effective tissue healing.

Dr Shikha Parmar, an experienced GP with over 30 years in General Practice and 14 years of expertise in photobiomodulation therapy, leads our clinic, making her one of the most experienced doctors in this field. Treatment at Laser Pain Therapy is medically supervised, ensuring each patient receives a thorough assessment that takes into account not only their presenting condition but also relevant health factors, such as co-morbidities, medications, lifestyle, work, personal activity demands, and nutritional deficiencies. This holistic approach allows us to tailor care with LLLT at the core, supported by personalised advice.

Additionally, our treatment plans are finite, with clear goal-setting and regular progress reviews, ensuring that each patient is on track towards long-term recovery and optimal outcomes.

At Laser Pain Therapy, we use advanced equipment with laser diodes, not LED lights. Unlike LEDs, laser diodes provide more focused light with deeper penetration, making them significantly more effective for treating musculoskeletal conditions.

Our state-of-the-art equipment features 37 laser diodes, allowing us to efficiently cover a larger surface area. This optimises treatment time, ensuring deeper penetration for superior results. Unlike devices that use just 2-4 diodes, our technology delivers more effective treatment in less time, promoting faster healing, reduced inflammation, and long-lasting pain relief.

The effects of LLLT are accumulative. The good news is that for most patients undergoing a treatment program, the results from the treatments are sustained. While some patients get immediate results, improvements are often not noticed until after 3 to 5 treatments. Most patients usually require 6-12 treatments to achieve resolution of the problem or a lasting effect.

More severe conditions will require more treatments than less severe injuries. Since each person’s condition varies in severity the doctor will determine after reviewing your condition how laser treatments may benefit you and how many you might require

Your situation will be assessed after 6 treatments and if there is no improvement after 6 to 8 treatments (very uncommon), LLLT will not be continued and alternatives will be looked at for your future management.

You will need to follow precautions in order to avoid re-injury or the pain may return. Low Level Laser Therapy not only helps injured tissues heal faster, it also makes them stronger and less vulnerable to re-injury.

Contact us to book a consultation at our clinic or to learn more about how this form of therapy could help you.

No. Low level lasers do not generate perceivable heat. Therefore, when the laser contacts the skin the patient experiences no burning as a result of the laser. Most people feel nothing at all while a few may feel a slight tingling or warmth during the treatment.

No. As Dr Shikha Parmar is a General Practitioner a doctor’s referral is not required.

With our dedicated clinic in Melbourne, contact us at Laser Pain Therapy to discuss how we can assist you

Images and Illustrations Disclaimer
Please note that the images, diagrams, and illustrations used on this website are for demonstration and illustrative purposes only. They are intended to provide a general overview of Photobiomodulation Therapy (PBMT) and Low-Level Laser Therapy (LLLT). The specific methods and equipment we use at Laser Pain Therapy may differ from those depicted. For instance, while some images may show a small laser being applied to the skin, we utilise advanced cluster lasers equipped with multiple diodes, offering superior coverage and effectiveness for treating musculoskeletal conditions. Our treatment protocols are tailored to each patient’s unique needs, using the latest technology for optimal results.

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“The use of low levels of visible or near infrared light for reducing pain, inflammation and edema, promoting healing of wounds, deeper tissues and nerves, and preventing cell death and tissue damage has been known for over forty years”.

Associate Professor, Harvard Medical School: Mechanisms of Low Level Light Therapy (2006). Proceedings of SPIE, 6140, 614001

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Laser Pain Therapy

South Yarra, Victoria
Suite 8, 200 Toorak Road
(Ground floor from William St)
South Yarra, Vic 3141
Ph: 03 8529 2225
Email us:
info@laserpaintherapy.com.au

Easy free street parking:
If driving you will find many free 1P and 2P spots on and around Toorak Rd and William St near the clinic.

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TRANSPORT ACCESS: Train: South Yarra Station, 100m, 1 minute walk Tram: Route 58, stop no. 127
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We are dedicated to helping our patients with the most technically advanced, proven and affordable medical therapies. Our treatment modalities offer evidence-based, safe, non-invasive and painless solutions to improve health, well-being and quality of life.

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The contents of this website have not been evaluated by the Australian Government Department of Health. The information of this site is not intended to diagnose, treat, cure or prevent any disease. Individual articles are based upon the opinions of the author, who retains copyright as listed…..Continue Reading

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