Repetitive Strain Injury Treatment with LLLT/PBMT

Low-Level Laser Therapy (LLLT), also known as Photobiomodulation Therapy (PBMT), involves the application of red and near-infrared light to injuries to stimulate cellular repair. Led by Dr. Shikha Parmar, a GP with expertise in the management of chronic musculoskeletal pain, Laser Pain Therapy incorporates LLLT as part of a holistic treatment plan. LLLT is a highly effective, painless, and completely safe treatment in Melbourne, Victoria. LLLT treats the underlying cause of the injury. Supported by scientific research from respected institutions such as Harvard University and NASA, LLLT is an evidence-based Repetitive Strain Injury treatment.

Gentle. Drug-Free. Clinically Proven

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Key Points:

  • LLLT (Low-Level Laser Therapy) is a scientifically validated, non-invasive treatment that effectively addresses Repetitive Strain Injury (RSI), offering pain relief and promoting healing.
  • RSI typically affects the upper limbs, including the shoulders, elbows, wrists, and hands, and is caused by repetitive movements and poor ergonomics.
  • LLLT helps in reducing inflammation, promoting tissue regeneration, and improving circulation, making it an ideal treatment option for RSI recovery.
  • Traditional treatments such as icing, anti-inflammatory medication, and steroid injections may only mask symptoms and can delay the natural healing process, while LLLT targets the root cause by stimulating cellular repair.
  • The treatment is ideal for cases where inflammation and micro-trauma persist, and where mechanical stress must be avoided during recovery.
  • LLLT is a primary repetitive strain injury treatment that can significantly improve recovery outcomes, rather than simply relieving symptoms.
Click here for FAQ/Costs

What is RSI?

Repetitive Strain Injury (RSI) is a condition caused by repetitive movements, overuse, or prolonged pressure on a specific part of the body. These movements or postures result in strain on the tendons, muscles, and nerves, leading to pain, discomfort, and inflammation. RSI most commonly affects the upper limbs, including the shoulders, elbows, wrists, and hands. It is often associated with occupations or activities involving repetitive motions, such as typing, heavy lifting, or assembly work. Over time, the repeated strain can cause degenerative changes in the tendons and surrounding tissues, resulting in chronic pain and restricted movement.

Causes of RSI

Several factors contribute to the development of RSI:

  • Repetitive Movements: Engaging in repetitive actions such as typing, gripping, or lifting can strain muscles and tendons, leading to RSI over time.
  • Poor Ergonomics: Incorrect posture or improper positioning during tasks can exacerbate strain on muscles and tendons, increasing the risk of injury.
  • Prolonged Activity: Long periods of continuous movement without adequate breaks can overwhelm the body’s ability to recover, leading to damage and inflammation in the affected area.
  • Lack of Rest: Insufficient recovery time between activities or repetitive motion can prevent tissues from healing, resulting in cumulative damage.
  • Age-Related Changes: With age, tendons lose their elasticity and the body’s natural ability to repair itself declines, making older individuals more susceptible to RSI.

Common Tendons/Sites Involved

RSI typically affects the following tendons and areas:

  • Wrist Tendons: Tendonitis in the wrist is common in people who engage in repetitive hand movements, such as typing, using a mouse, or assembly work.
  • Elbow Tendons (Tennis Elbow): The lateral epicondyle of the elbow can be irritated from repetitive wrist movements, causing pain and inflammation.
  • Shoulder Tendons: Overhead activities, such as lifting or repetitive reaching motions, can strain the tendons of the shoulder, leading to discomfort and reduced mobility.
  • Neck and Upper Back Muscles: Poor posture or repetitive motions can cause strain on the muscles of the neck and upper back, leading to pain and stiffness.

Symptoms

The symptoms of RSI can range from mild to severe and may include:

  • Pain: A dull or sharp pain in the affected area that worsens with activity.
  • Swelling: Mild to moderate swelling may occur around the tendon or joint.
  • Stiffness: A limited range of motion due to tension in the muscles and tendons.
  • Tingling or Numbness: Sensations of tingling or numbness may occur, especially in the hands or fingers, due to nerve compression.
  • Weakness: Difficulty performing tasks that require strength or coordination in the affected area.

Diagnosis

Diagnosing RSI involves:

  • Medical History: Dr. Shikha Parmar will take a detailed history, assessing symptoms, lifestyle, and any repetitive activities or movements that may have contributed to the condition.
  • Physical Examination: A thorough examination will assess tenderness, range of motion, strength, and function of the affected area.
  • Imaging: In some cases, X-rays, ultrasound, or MRI may be used to assess the extent of tissue damage, inflammation, or structural changes.

Repetitive Strain Injury Treatment Using LLLT/PBMT

Why Choose Low Level Laser Therapy (LLLT)?

Many patients come to us after trying various other approaches with only limited or temporary relief. LLLT offers a scientifically validated, gentle, and highly effective treatment option. By addressing the root cause of RSI, it promotes true healing from the inside out without side effects. LLLT restores balance to the inflammatory process, supports tissue healing, and reduces pain.

Common, conventional approaches such as icing, stretching, exercises, massage, or anti-inflammatory medications may temporarily ease symptoms but do not target the underlying problem. In some cases, these approaches can even aggravate sensitive or damaged tissues, including exercise introduced too early.

  • Ice: Beyond the first 24 hours, ice can impede healing by reducing blood flow. Read more here
  • Anti-inflammatories: While they can reduce inflammation temporarily, they may delay natural healing and carry risks when overused.
  • Cortisone (or steroid) injections: May provide short-term relief but do not promote tissue repair and can weaken tendons, leading to recurrence.
  • PRP injections: These are invasive, painful, and only offer limited effects in specific areas. Evidence for their efficacy remains inconsistent.

At Laser Pain Therapy, we use Low Level Laser Therapy (LLLT) as a core component of a holistic, medically supervised six-week treatment program, including rehabilitation support tailored to each patient’s specific needs. Led by Dr. Shikha Parmar, a GP with a special interest in musculoskeletal injury and pain, our clinic provides safe, non-invasive, and evidence-based care under direct medical supervision.

LLLT is ideal for RSI where inflammation and micro-trauma persist, and where mechanical stress must be avoided during recovery.

How LLLT Works

Inflammation is the body’s natural response to injury, essential for initiating healing. However, when this response becomes chronic or excessive, it can disrupt the body’s own repair mechanisms, resulting in prolonged pain and dysfunction. LLLT addresses this imbalance by restoring proper immune function and creating optimal conditions for tissue regeneration.

Read how LLLT does this here.

LLLT uses red and near-infrared light to promote healing and tissue repair at the cellular level. Through scientific and clinical studies, LLLT has been shown to:

  • Improve blood flow and oxygen delivery to tissues, promoting healing.
  • Enhance lymphatic drainage and waste removal, supporting the detoxification process.
  • Reduce inflammation by addressing oxidative stress, a major cause of many musculoskeletal conditions.
  • Stimulate cellular energy (ATP) production, which accelerates tissue repair.
  • Support tissue regeneration, helping restore balance to the immune response.

Importantly, LLLT does all of this without applying mechanical stress to the injured area, facilitating true healing without aggravating the injury.

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Wrist Pain

Proven, Safe, and Effective

LLLT/PBM Therapy is supported by more than 700 randomised controlled trials and over 7,000 studies. It is used worldwide in thousands of clinics, hospitals, and elite sports institutions.

LLLT/PBMT offers numerous benefits:

  • Scientifically proven and evidence-based
  • Non-invasive, painless, and drug-free
  • No effect on normal tissues, safe, and non-toxic, with no side effects
  • Clinically proven to eliminate pain, promote natural healing and tissue regeneration, and restore function
  • Provides long-term relief, addressing the root cause of musculoskeletal pain

At our GP-led clinic, we combine expert medical assessment with the latest non-invasive therapies. Every patient is seen by Dr. Shikha Parmar to ensure accurate diagnosis and management planning. Treatment delivery is performed by highly trained assistants under direct medical supervision.

Clinical Outcome Goals

Treatment at Laser Pain Therapy is finite and aims to:

  • Relieve pain and reduce inflammation
  • Promote healing of the affected tissue
  • Improve strength, stability, flexibility, and overall function of the affected area
  • Safely rebuild strength through progressive rehabilitation as symptoms subside to support sustainable return to normal activity

Continuing LLLT during rehabilitation aims to enhance tissue quality, leading to stronger, more resilient tissues and superior long-term recovery outcomes compared to conventional methods.

Repetitive Strain Injury Treatment Plan

Our Low Level Laser Therapy (LLLT) program is structured, time-limited, and medically supervised by Dr. Shikha Parmar.

Each patient receives a comprehensive assessment that takes into account their health history, medications, lifestyle, work, personal activity demands, and any nutritional deficiencies. This holistic approach allows us to tailor the care plan with LLLT at the core, supported by personalised advice.

Our standard treatment program includes:

  • Up to 12 LLLT sessions, with a review after 6 to assess early progress

  • Individualised advice for managing the injury and activity modification

  • A guided rehabilitation and return-to-function plan to support long-term recovery

While outcomes vary, we typically expect a 15–20% improvement in pain or function within the first 6 sessions if the treatment is likely to be effective. If this threshold isn’t met – which is uncommon – we will reassess the treatment plan, and treatment is generally not continued. The number of sessions can be adjusted based on progress and discussed in detail with the patient. 

If there is a treatment response after the 2 to 3 weeks, we recommend 6 further treatments, along with introducing our protocol of light and gradual graded rehab, to effect a path to resolution of perhaps up to 70 to 90% improvement in best case scenario. Ongoing treatment beyond an anticipated 12-treatment protocol is not required, as your own immune system will continue the healing process once laser therapy is withdrawn.

All treatment decisions are made collaboratively, keeping the patient’s progress, preferences, and medical context in mind.

Ready for Lasting Relief?

If you are struggling with persistent pain from repetitive strain injury, 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
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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