Light is a form of energy that behaves like a wave and also as a stream of particles called photons. The development of monochromatic light sources with single or narrow spectra of wavelengths paved the way for studies, which continue to show that appropriate doses and wavelengths of light are therapeutically beneficial in tissue repair and pain control. Evidence indicates that cells absorb photons and transform their energy into adenosine triphosphate (ATP), the form of energy that cells utilize. The resulting ATP is then used to power metabolic processes; synthesize DNA, RNA, proteins, enzymes, and other products needed to repair or regenerate cell components; foster mitosis or cell proliferation; and restore homeostasis.
Other reported mechanisms of light-induced beneficial effects include modulation of prostaglandin levels, alteration of somatosensory evoked potential and nerve conduction velocity, and hyperemia of treated tissues. The resultant clinical benefits include pain relief in conditions such as carpal tunnel syndrome (CTS), bursitis, tendonitis, ankle sprain and temporomandibular joint (TMJ) dysfunction, shoulder and neck pain, arthritis, and post-herpetic neuralgia, as well as tissue repair in cases of diabetic ulcer, venous ulcer, bedsore, mouth ulcer, fractures, tendon rupture, ligamentous tear, torn cartilage, and nerve injury. Suggested contraindications include treatment of cancer; direct irradiation of the eye, the fetus, and the thyroid gland; and patients with idiopathic photophobia.
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