Laser Therapy

Laser therapy (LLLT) in foot and ankle surgery: Perioperative Use

Pre-surgical use

Low-level laser therapy (LLLT) may be considered in the pre-surgical management of chronic foot and ankle conditions that have not responded to standard conservative treatment. It has been used in conditions such as Plantar fasciitis and Achilles tendinopathy, where evidence suggests it can reduce pain and improve function in the short to medium term.

LLLT is not a stand-alone treatment and should be used as an adjunct to established conservative therapies, including physical therapy, orthotic support, and activity modification. In appropriate patients, its use may help delay or potentially reduce the need for surgical intervention.

Post-surgical use

The application of LLLT in the post-operative period is emerging but may be appropriate on a case-by-case basis. It may help to modulate inflammation, reduce post-operative pain, and support soft tissue healing, particularly after procedures involving tendon or soft tissue repair. Evidence for post-operative use is currently limited to small pilot studies and experimental data; therefore, LLLT will not replace established post-surgical rehabilitation, pain management, or wound care protocols. Its role in routine perioperative care is not yet established.

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