Laser therapy, also known as photobiomodulation, has transformed the field of physical rehabilitation by offering a safe, non-invasive, and highly effective method for managing pain, promoting tissue repair, and improving overall function. Among the most advanced technologies available today is the MLS® (Multiwave Locked System) Class IV Laser, developed by ASA Laser. The ASA MLS® Mphi model, in particular, is renowned for its combination of continuous and pulsed emissions (808 nm and 905 nm) that deliver deep and uniform tissue stimulation.
At Bruno Physical Rehabilitation, we use this sophisticated laser system to treat a range of conditions with measurable clinical results. Below we explore three major applications of this technology in greater depth.
1. Musculoskeletal Pain and Inflammation
Musculoskeletal disorders are among the leading causes of disability worldwide. The MLS® Mphi laser has been extensively studied and shown to reduce inflammation, enhance blood flow, and alleviate pain in soft tissues and joints. The dual-wavelength synchronisation allows for deep penetration (up to 5 cm), reaching structures like tendons, ligaments, and joint capsules.
Mechanisms of Action:
- Reduces the production of pro-inflammatory cytokines
- Stimulates the lymphatic system to remove excess fluids and waste
- Increases microcirculation and oxygen delivery
- Modulates pain via the release of endogenous opioids
Clinical Examples:
- Tendinitis and bursitis: Effective in reducing swelling and pain in areas such as the shoulder or hip.
- Chronic low back pain: Multiple sessions improve lumbar mobility and reduce dependency on medication.
Protocol Example:
- Duration: 5–10 minutes per area
- Frequency: 2–3 sessions per week for 3–4 weeks
Scientific Reference: Santamato, A., et al. (2012). Effectiveness of MLS laser therapy in chronic low back pain. Photomedicine and Laser Surgery, 30(9), 505–509. https://pubmed.ncbi.nlm.nih.gov/22678054/
2. Peripheral Neuropathy and Nerve Regeneration
Peripheral neuropathy, especially due to diabetes or compression syndromes, can significantly impair quality of life. MLS laser therapy offers a non-invasive approach to promote nerve healing and relieve neuropathic symptoms.
Mechanisms of Action:
- Stimulates mitochondrial ATP production
- Enhances axonal regeneration and Schwann cell activity
- Improves nerve conduction velocity
- Reduces oxidative stress and inflammation in nerve tissue
Clinical Examples:
- Diabetic neuropathy: Reduces pain, tingling, and burning sensations.
- Carpal tunnel syndrome: Reduces pressure on the median nerve and improves wrist function.
Protocol Example:
- Duration: 8–12 minutes per session
- Frequency: Twice weekly for 6–8 weeks
Scientific Reference: Yamany, A. A., & El-Banna, M. F. (2013). Efficacy of laser therapy on peripheral diabetic neuropathy. Lasers in Medical Science, 28(6), 1455–1463. https://pubmed.ncbi.nlm.nih.gov/23513700/
3. Post-Surgical Recovery and Scar Management
Laser therapy plays a critical role in post-operative recovery by accelerating tissue repair, reducing inflammation, and minimising scar formation. The MLS® Mphi system enhances fibroblast activity and collagen synthesis, essential for proper healing.
Mechanisms of Action:
- Enhances fibroblast proliferation and collagen alignment
- Increases angiogenesis (formation of new capillaries)
- Reduces oedema and haematomas
- Speeds up epithelial regeneration
Clinical Examples:
- Orthopaedic surgery recovery: Faster healing and less reliance on painkillers after ACL reconstruction.
- Plastic surgery follow-up: Reduces hypertrophic scar formation and enhances skin regeneration.
Protocol Example:
- Duration: 5–8 minutes per surgical site
- Frequency: 2–3 times per week in the first 3 weeks post-surgery
Scientific Reference: van Breugel, H. H. F. I., & Bär, P. R. D. (1992). Power density and exposure time of He-Ne laser irradiation are more important than total energy dose in stimulation of human fibroblast proliferation. Lasers in Surgery and Medicine, 12(5), 528–537. https://pubmed.ncbi.nlm.nih.gov/1402204/
A Key Part of Holistic Therapy
At Bruno Physical Rehabilitation, laser therapy using the ASA MLS® Mphi system is integrated with:
- Kinesiotherapy for neuromuscular re-education
- Electrical Stimulation (Aussie, Russian, EMS)
- Microcurrent Therapy (MENS) for cellular repair
- Therapeutic Ultrasound for deep tissue pain relief
This multidisciplinary approach ensures that each patient receives a personalised and effective care plan based on the best available scientific evidence.
For more details, visit www.brunophysicalrehabilitation.co.uk or email hello@brunophysicalrehabilitation.co.uk.
