Evidence map›Paper›PMID 33636371›Full record

ReviewThe journal of pain2021

Mechanisms and Pathways of Pain Photobiomodulation: A Narrative Review.

Kevin Cheng, Laurent F Martin, Marvin J Slepian, Amol M Patwardhan, Mohab M Ibrahim

3 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in The journal of pain, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 67 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 5 pooled it
10.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05561270 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Investigation of Light Exposure on Pain Severity and Quality of Life in Individuals With Hypermobile Ehlers-Danlos Syndrome: A Pilot Study

TypeinterventionalSponsorNew York Institute of TechnologyRan2022 to 2025Enrolled30ConditionsEhlers-Danlos Syndrome, Pain, ChronicArmsWhite LED light, Green LED light
NCT05738239 nacompletednot on this mapstarted 2023, after this paper: background citation

Application of Photo-biomodulation as Part of Multimodal Analgesia to Improve Pain Relief and Wound Healing for Patients Having Elective Caesarean Section: a Randomized Controlled Trial

TypeinterventionalSponsorMcMaster UniversityRan2023 to 2025Enrolled180ConditionsPainArmsLaser therapy
NCT07317284 nacompletednot on this mapstarted 2024, after this paper: background citation

Evaluation of Peripheral Neurological Integrity and Synergistic Treatment of Photobiomodulation and Therapy Ultrasound in Patirnts With Diabetes Mellitus (Type II): Clinical Study

TypeinterventionalSponsorUniversity of Sao PauloRan2024 to 2025Enrolled60ConditionsDiabetic Neuropathy PeripheralArmsActive Comparator, Sham Group Arm
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 5 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Acupuncture for procedural pain in newborn infants.The Cochrane database of systematic reviews · 2025
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7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Kevin ChengDepartment of Pharmacology, College of Medicine, University of Arizona, Tucson, Arizona.
Laurent F MartinDepartment of Pharmacology, College of Medicine, University of Arizona, Tucson, Arizona; Department of Anesthesiology, College of Medicine, University of Arizona, Tucson, Arizona.
Marvin J SlepianDepartment of Medicine, College of Medicine, University of Arizona, Tucson, Arizona; Department of Biomedical Engineering, University of Arizona, Tucson, Arizona; Sarver Heart Center, University of Arizona, Tucson, Arizona; Arizona Center for Accelerated Biomedical Innovation, University of Arizona, Tucson, Arizona.
Amol M PatwardhanDepartment of Pharmacology, College of Medicine, University of Arizona, Tucson, Arizona; Department of Anesthesiology, College of Medicine, University of Arizona, Tucson, Arizona; Department of Neurosurgery, College of Medicine, University of Arizona, Tucson, Arizona; Comprehensive Pain and Addiction Center, University of Arizona, Tucson, Arizona.
Mohab M IbrahimDepartment of Pharmacology, College of Medicine, University of Arizona, Tucson, Arizona; Department of Anesthesiology, College of Medicine, University of Arizona, Tucson, Arizona; Department of Neurosurgery, College of Medicine, University of Arizona, Tucson, Arizona. Electronic address: mibrahim@anesth.arizona.edu.
University of Arizona · US

Funding

Green Light Therapy for Chronic PainR01AT009716 · NCCIH · UNIVERSITY OF ARIZONA · PI IBRAHIM, MOHAB M · 2018 to 2022
$2.1M
Validation of Spinal Neurotensin Receptor 2 as an Analgesic TargetR01NS116694 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI PATWARDHAN, AMOL M · 2020 to 2025
$2.0M
Mechanism of intrathecal Contulakin-G induced analgesia without motor blockK08NS104272 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI PATWARDHAN, AMOL M · 2018 to 2022
$987k
NCCIH NIH HHS R01 AT009716NINDS NIH HHS K08 NS104272NINDS NIH HHS R01 NS116694
6 · The paper itself

Abstract

A growing body of evidence supports the modulation of pain by light exposure. As such, phototherapy is being increasingly utilized for the management of a variety of pain conditions. The modes of delivery, and hence applications of phototherapy, vary by wavelength, intensity, and route of exposure. As such, differing mechanisms of action exist depending upon those parameters. Cutaneous application of red light (660 nm) has been shown to reduce pain in neuropathies and complex regional pain syndrome-I, whereas visual application of the same wavelength of red light has been reported to exacerbate migraine headache in patients and lead to the development of functional pain in animal models. Interestingly visual exposure to green light can result in reduction in pain in variety of pain conditions such as migraine and fibromyalgia. Cutaneous application typically requires exposure on the order of minutes, whereas visual application requires exposure on the order of hours. Both routes of exposure elicit changes centrally in the brainstem and spinal cord, and peripherally in the dorsal root ganglia and nociceptors. The mechanisms of photobiomodulation of pain presented in this review provide a foundation in furtherance of exploration of the utility of phototherapy as a tool in the management of pain. PERSPECTIVE: This review synopsizes the pathways and mechanisms through which light modulates pain and the therapeutic utility of different colors and exposure modalities of light on pain. Recent advances in photobiomodulation provide a foundation for understanding this novel treatment for pain on which future translational and clinical studies can build upon.

Indexed as

Pain ManagementPhototherapyHumansLight Signal TransductionNeural PathwaysPaincomplementary medicinelight therapyPain managementphotoreceptionvisual exposure

Identifiers

PMID33636371
PMCPMC8277709
OpenAlexW3131086674

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.