How do these tendon pains feel?
Distal biceps pain may increase at the front of the elbow with pulling, lifting, and supination; triceps tendon pain may increase behind the elbow with pushing and elbow extension.
How can laser help?
The goal is to reduce pain and facilitate the transition to controlled tendon loading. Tendon rupture or severe structural damage is not treated with laser.
The role of 980 nm
It is the more rational main wavelength for superficial to intermediate depth tendons.
The role of 1470 nm
It may be considered selectively for very superficial insertional tenderness; there is no direct efficacy data.
What does the scientific evidence say?
Level of evidence: C+. General HILT tendinopathy data is positive, but evidence specific to the distal biceps/triceps is scarce.
Our approach at our Bodrum clinic
At our Bodrum clinic, a distinction is made between tendinopathy and partial/complete rupture; if laser is used, it is added to progressive strengthening and load management.
When is a different evaluation required?
An evaluation for rupture is required in the presence of a sudden popping sensation, bruising, deformity, or significant loss of strength.
References
- PMID 41964853 — HILT for tendinopathy, systematic review/meta-analysis.
Information
This content is general health information.
