CRPS Treatment (Complex Regional Pain Syndrome) 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 Complex Regional Pain Syndrome (CRPS) in Melbourne, Victoria. Led by Dr Shikha Parmar, a GP with expertise in managing and resolving chronic musculoskeletal pain, this treatment involves the application of red and near-infrared light to promote cellular repair in injured tissues. LLLT is completely safe, painless, and targets the root cause of the condition, unlike pain medications that simply mask the pain. Supported by research from reputable institutions, including Harvard University and NASA, LLLT is an evidence-based therapy for nerve-related conditions such as CRPS.

Gentle. Drug-Free. Clinically Proven

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Key Points

  • Complex Regional Pain Syndrome (CRPS) is a condition that leads to severe pain and sensitivity in a single limb, typically following an injury or trauma. The condition is thought to be caused by damage to the small sensory and autonomic nerve fibres in the affected area.
  • The most common symptoms include persistent pain, swelling, changes in skin colour, temperature sensitivity, and limited mobility of the affected limb.
  • LLLT can effectively reduce inflammation, alleviate pain, and promote healing of the affected tissue, providing long-term relief without the side effects associated with medications.
  • Conventional treatments may include medications, nerve blocks, and physical therapy, but these methods often only mask pain temporarily and do not address the underlying cause.
  • LLLT is particularly effective for CRPS, which is typically localised to one extremity, and is used as part of a structured, medically supervised program.
  • When traditional physical therapy hasn’t provided sufficient help, LLLT addresses the underlying inflammation and nerve dysfunction. It can improve blood flow, muscle tone, flexibility, strength, and function with certain exercises.
  • At Laser Pain Therapy, all LLLT CRPS treatment is GP-led by Dr Shikha Parmar, with a structured treatment program tailored to each patient’s needs.
  • LLLT has been scientifically proven to restore function, reduce inflammation, and improve outcomes in CRPS patients.
Click here for FAQ/Costs

What is Complex Regional Pain Syndrome (CRPS)?

Complex Regional Pain Syndrome (CRPS) is a condition that typically develops after an injury or trauma to a limb, often affecting the extremities such as the arms, legs, hands, or feet. It is characterised by persistent, intense pain that is disproportionate to the initial injury.

In most cases, CRPS is caused by damage to the thinnest sensory and autonomic nerve fibres, which are responsible for transmitting pain, itch, and temperature sensations, and controlling small blood vessels. When these fibres are injured, they can become hypersensitive and overactive, causing prolonged pain and inflammation in the affected area. The condition is primarily driven by nerve injury, but external factors, such as immobilisation, stress, and infections, can contribute to its progression.

The pain from CRPS is often described as burning or throbbing and can be accompanied by swelling, skin colour changes, and temperature sensitivity. In severe cases, the affected limb may become immobile and lose functionality due to muscle weakness or atrophy.

Causes of Complex Regional Pain Syndrome (CRPS)

CRPS is usually triggered by an injury or trauma to the affected limb, such as:

  • Nerve trauma: Injury to a nerve, particularly the sensory and autonomic fibres, is often the initiating factor for CRPS.
  • Fractures or soft tissue injuries: Trauma such as fractures, sprains, or cuts can lead to the development of CRPS.
  • Surgical procedures: In some cases, surgeries, especially those involving nerve manipulation, can trigger CRPS in the affected area.
  • Infections or inflammation: Severe infections or chronic inflammation may also contribute to the development of CRPS.
  • Immobilisation: Limiting the movement of the injured area during the healing process can sometimes trigger or exacerbate CRPS symptoms.

While the exact mechanism behind CRPS is not fully understood, it is thought to involve abnormal responses in the nervous system, which results in the amplification of pain signals and changes to the way the brain processes sensory input.

Common Symptoms

The symptoms of CRPS can vary in severity and may include:

  • Persistent, burning pain that is often disproportionate to the injury.
  • Sensitivity to touch or temperature, where even light touch or mild heat/cold can cause intense pain.
  • Swelling and inflammation in the affected limb.
  • Changes in skin colour (e.g., pale, red, or purple) and temperature (e.g., warm or cool to the touch).
  • Decreased mobility or function in the affected limb, with difficulty moving the joints or muscles.
  • Muscle atrophy or weakness due to reduced movement.
  • Altered sweating patterns, with either excessive sweating or lack of sweating in the affected area.

How is Complex Regional Pain Syndrome Diagnosed?

Diagnosis of CRPS typically begins with a comprehensive clinical evaluation. Dr Shikha Parmar will assess the patient’s medical history, including any recent injuries or trauma, and the nature of the pain. A thorough physical examination will be performed to identify areas of swelling, skin changes, or abnormal responses to touch and temperature.

Imaging techniques such as X-rays, MRI, or bone scans may be used to rule out other potential causes of pain or to assess any structural damage. However, diagnosis is largely clinical and may involve the use of diagnostic criteria, such as the Budapest Criteria, to confirm the presence of CRPS.

Complex Regional Pain Syndrome (CRPS) – Treatment Overview

Low Level Laser Therapy (LLLT), also known as Photobiomodulation Therapy (PBMT), is a gentle, evidence-based treatment that targets the underlying drivers of CRPS: nerve dysfunction, persistent inflammation, oxidative stress, and impaired circulation. It promotes healing without mechanical stress to the hypersensitive limb.

 

Why Choose Low Level Laser Therapy (LLLT)?

Many patients present after limited relief from pain medications, anti-inflammatories, nerve blocks, or physiotherapy alone. These approaches may temporarily ease symptoms but often fail to address ongoing nerve irritation and inflammatory overload. LLLT is particularly helpful where hypersensitivity, swelling, and pain persist despite conventional care.

 

Why medications and conventional measures 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 nerve and soft tissue repair by:

  • Improving circulation and oxygen delivery
  • Enhancing lymphatic drainage
  • Reducing inflammation and oxidative stress
  • Increasing cellular energy (ATP)
  • Supporting nerve regeneration and restoring function

All without compressing or aggravating the affected limb.

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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 suffering from Complex Regional Pain Syndrome or have not found lasting relief from other treatments, contact our experienced team at Laser Pain Therapy. Led by Dr Shikha Parmar, our clinic offers a safe, effective, and evidence-based solution to help reduce pain, improve function, and restore your 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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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

 

Location

TRANSPORT ACCESS:
Train: South Yarra Station, 100m, 1 minute walk
Tram: Route 58, stop no. 127

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.

 
Call now: 03 8529 2225
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Our Mission

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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