Low Level Laser Therapy (LLLT) uses a light source that generates extremely pure light, of a single wavelength1. The effect is not thermal, but rather related to photochemical reactions in the cells. LLLT was introduced as an alternative non-invasive treatment for OA about 10 years ago, but its effectiveness is still controversial2. A Cochrane review of LLLT in osteoarthritis included five trials, and concluded that despite some positive findings, the meta-analysis lacked data on how LLLT effectiveness was affected by the important factors of wavelength, treatment duration of LLLT, dosage, and site of application over nerves instead of joints1, 3, 4, 5, 6, 7. A different review2 addresses some of these issues in a wider range of trials, and is broadly positive, if limited by numbers.