Protocol Recommendations

Dosing parameters for Class IV laser therapy are guided by published photobiomodulation research and are individualized based on the condition, tissue depth, patient size, and skin type. The following provides a general clinical framework drawn from the evidence base.

Key Dosing Parameters

WAVELENGTHS‍ ‍

  • 500–1270 nm

  • Near-infrared preferred for deep tissue

ENERGY DENSITY  ‍ ‍

  • 3–60 J/cm² AT THE TARGET

  • Therapeutic window per Arndt-Schulz Law
    ‍ ‍

SESSION INTERVALS

  • 2–3x/week 

    • 3-6 Sessions Acute

    • 6-10 Sessions Chronic

SESSION DURATIONS

  • Average 2-5 minutes per area

  • 2-4 treatment areas per session

The therapeutic window AT THE TARGET— the range in which photons produce beneficial biological effects — falls between approximately 3 and 50 J/cm² for most conditions. Below this threshold, insufficient photonic energy reaches the target tissue. Above 80–100 J/cm², an inhibitory effect may occur.

Pre-Programmed Protocols

VLaser systems include pre-programmed, condition-specific protocols that automatically calculate power, energy density, and session duration based on clinical selection. This feature simplifies delivery and ensures consistency, particularly for less experienced operators.

Valerie Krossin

As a nurse and educator with over 16 years of experience in the field of photobiomodulation (PBM), I have witnessed firsthand the transformative impact of this innovative therapy on pain, healing and sports recovery and performance enhancement. As the Educational Director and Senior Account Manager for industry leaders ASPEN Laser and TheraLight, I have been instrumental in forming strategic alliances with health professionals, businesses, individuals and professional and collegiate teams.

PBM harnesses the power of specific wavelengths of light, particularly in the red and near-infrared spectrum, to stimulate cellular processes such as ATP production, enhance mitochondrial function, reduce inflammation, promote tissue repair, and modulate biological responses like gene expression and ion channel activity. These benefits make near-infrared light a versatile tool in PBM, with applications ranging from athlete recovery and performance improvement and pain management to potential treatments for complex neurological conditions.

My unique perspective, combining over two decades of nursing experience with expertise in cutting-edge PBM technology, has allowed me to bridge the gap between clinical practice and sports medicine. This is evident in my recent work, including an abstract accepted by the American Society for Laser Medicine and Surgery (ASLMS) for E-Poster Presentation on Transcranial PBM for treating neurodegenerative diseases.

As the field of PBM continues to evolve, I remain committed to advancing its science and application in sports medicine. We are opening new frontiers in athletic performance and recovery, providing athletes with safe, effective, and non-invasive methods to optimize their potential.

https://www.photobiomodulation.expert
Previous
Previous

Treatment Experience

Next
Next

Safety & Contraindications