High-Intensity Laser Acupuncture for Treating Patellofemoral Pain Syndrome

Patellofemoral pain syndrome (PFPS) is a common cause of anterior knee pain that limits activities such as stair climbing, squatting, running, and prolonged sitting, leading to reduced function and participation (Crossley et al., 2016; Gaitonde et al., 2019). Exercise therapy is considered a key conservative treatment, especially combined hip and knee exercises, but additional non-invasive modalities may help improve pain relief and recovery (Collins et al., 2018). Laser acupuncture provides non-invasive stimulation of acupuncture points and may offer analgesic and functional benefits without needle insertion. Recent studies suggest that laser acupuncture and high-intensity laser therapy may improve pain and function in patients with PFPS (Ozlu et al., 2024). Therefore, this study aims to evaluate the effect of high-intensity laser acupuncture on pain, knee function, and patient satisfaction in patients with PFPS.

Inclusion criteria

• Patients with patellofemoral pain syndrome (positive Clarkes sign and Waldron test)
• Age from 18 to 25 years
• Patients suffering from pain which aggravated by prolonged sitting, stair climbing, running, squatting, kneeling, hopping\\jumping, overuse activities and relieved by rest for at least 3 months
• Visual analog scale (VAS) greater than 3 points in daily activity
• The ability to participate in the study and follow the treatment schedule.

Exclusion criteria

• Physiotherapy in the last 12 months
• Intra-articular injection in the last 3 months
• Other knee disorders such as: (osteoarthritis, previous knee surgery, history of knee arthroplasty, or traumatic injury related joint deformity)
• BMI greater than or equal 30
• Pregnancy
• Pacemaker insertion
• Photosensitivity
• History of using oral analgesic or NSAIDs in the previous 4 weeks,
• History of malignancy, psychiatric disorder, mental retardation, neurologic dysfunction, diabetes mellitus, or uncontrolled hypertension.