Cold Laser Therapy for Rheumatoid Arthritis (RA) in Perth

Introduction
RA is a systemic autoimmune disorder characterised by joint inflammation, synovitis, pain, stiffness, swelling, and over time potential for joint damage and reduced function. While pharmacologic agents (DMARDs, biologics) are central, adjunctive therapies that can reduce symptoms, improve function, and enhance quality of life are very valuable.
Common Symptoms
- Persistent pain and swelling in multiple joints (hands, wrists, knees, etc.)
- Morning stiffness often lasting > 30 minutes
- Reduced grip strength, difficulty with daily tasks (opening jars, turning taps, writing)
- Possibly fatigue, general malaise, sometimes systemic symptom.

How Laser Therapy Helps

- Anti-inflammatory effects: lower expression of inflammatory cytokines (e.g. IL-6), reduce synovitis, reduce joint swelling in animal/human models.
- Pain relief: via peripheral and possibly central modulation; reduction in pain improves ability to move joint and reduce stiffness.
- Improve function: better mobility, strength (especially hands), easier to perform daily activities.
- Promote reversible tissue repair: may help cartilage, synovial membrane health in early disease when damage is not permanent.
Integration with Chiropractic, Laser & Other Modalities

For RA, the best approach is multi-pronged:
- Medical treatment: Continue DMARDs/biologics under rheumatology supervision; laser does not replace these.
- Physical / hand therapy: ROM exercises, strengthening, joint protection, splinting where needed.
- Chiropractic care: Joint mobilisations possibly, spinal support, posture, to aid mobility and reduce compensatory stress.
- Lifestyle: Nutrition, sleep, stress management; avoid flares.
- Laser therapy: Regular sessions targeting affected joints, paired with exercise and therapy to maximise functional gains.
Recent Research
o Included multiple controlled trials, found that LLLT significantly improved grip strength and reduced morning stiffness.
o Analysis of 22-23 studies, found similar results: improvements in grip strength and morning stiffness but inconsistent pain relief; heterogeneity in laser parameters.
Book an Appointment
If you're having persistent pain and swelling in multiple joints, book in for an assessment to find out if rheumatoid arthritis is behind it. Cold laser therapy may be a helpful part of your recovery.
📍 Find us in Joondalup
📅 Book online at coldlaserperth.com.au
While outcomes can vary, many patients find this multi-modal approach helps improve over time. If you are having any pain, feel free to contact Cold Laser Perth at Lakeside Chiropractic at 9300 0095 to see how we may be able to help or visit our website at www.coldlaserperth.com.au for more information.
📍 Serving the Joondalup & Northern Suburbs of Perth Lakeside Chiropractic is central to the northern suburbs of Perth, located in the City of Joondalup. If you are in the surrounding suburbs such as Yanchep - 6035, Tapping - 6065, Carramar - 6031, Currambine - 6028, Wanneroo - 6065, Heathridge - 6027, Edgewater - 6027, Gnangara - 6077, Mullaloo - 6027, Padbury - 6025, Kingsley - 6026, Woodvale - 6026, Banksia Grove - 6031, or Duncraig - 6023, our team is here to assist you.
References:
- Lourinho, I., Sousa, T., Jardim, R., Pinto, A. C., & Iosimuta, N. (2023). Effects of low-level laser therapy in adults with rheumatoid arthritis: A systematic review and meta-analysis of controlled trials. PLoS ONE, 18(9), e0291345. https://doi.org/10.1371/journal.pone.0291345
- Salajegheh, A., Yazdi Yahyaabadi, F., & Yazdi, F. (2024). Low level laser therapy and rheumatoid arthritis: A systematic review and meta-analysis study. European Journal of Translational Myology, 34(4), 13107. https://doi.org/10.4081/ejtm.2024.13107
