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painmoderate evidence

Chronic Low Back Pain

Published: Last updated:

Source: WALT Guidelines / Clinical Consensus

Protocol for chronic non-specific low back pain using NIR wavelengths applied to paraspinal muscles, facet joints, and trigger points of the lumbar region. Treatment covers the area from L1 to S1 bilaterally.

Protocol Parameters

ConditionLow Back Pain
Wavelengths810nm, 830nm, 850nm
Dosage6 J per point, 8-10 points
Irradiance50-100 mW/cm²
Duration30-60 seconds per point
Frequency3x per week for 4-6 weeks
Body Zoneback
Evidence LevelModerate

Mechanism of Action

NIR light reduces paraspinal muscle spasm, decreases inflammatory mediators in facet joints and disc-related structures, and modulates pain signals in dorsal root ganglia. Enhanced ATP production in muscle cells reduces fatigue and tension.

Key Studies

  • Djavid et al. (2007) - RCT showing PBM effective for chronic low back pain
  • Vallone et al. (2014) - PBM combined with exercise superior to exercise alone
  • Koldas Dogan et al. (2017) - PBM effective for lumbar disc herniation symptoms

Treatment Tips

  • *Cover the full lumbar paraspinal area bilaterally
  • *Include the gluteal trigger points if referred pain is present
  • *Panel-based treatment (broad coverage) can complement point treatment
  • *Core strengthening exercises enhance long-term results

Contraindications

  • !Cauda equina syndrome (medical emergency)
  • !Active spinal infection
  • !Malignancy in the lumbar spine

Related Body Zone

Back & Spine Zone Guide

The back is treated for chronic low back pain, thoracic pain, muscle spasm, and post-exercise recovery. Due to the depth of spinal structures and thic...

Research Basis

This content is informed by 47+ published peer-reviewed studies on photobiomodulation.