I love introducing LLLT to an audience of doctors oblivious and innocent of its effects on tissue regeneration, inflammation and pain. At first, the response is that no therapy can do all of this (heal diabetic wounds, improve recovery from sports injuries, neck pain, osteoarthritis and neuropathic pain etc), then I explain the mechanism by which LLLT increases ATP and reduces oxidative stress. By the time I have finished, the final question is not “what is LLLT?” or “how does it work?” or “is there clinical evidence?” but “why is this not used everywhere throughout medicine?”.
The truth is that evidence is not enough. I am involved in the early stages of putting together an international multicentre clinical trial for a pathology that already has 14 RCTs behind it. What difference will one more trial make? The difference may not be the trial itself, but the eminence of the doctors / scientists and their institutions doing it. I am also involved in the early stages of fund raising for another trial that has considerably less clinical data behind it and will be far less ambitious in its scale but, I suspect, will make greater progress. Why ? The focus on political influence. It is not enough to do good science, not enough to address a big unmet need, not enough to influence key opinion leaders, you have got to get the political bulldozers in.
Watch this space…..