Low Level Laser Therapy (LLLT) has gained foothold as a valuable tool for chronic pain, musculoskeletal-skeletal injuries and wounds (contaminated and otherwise). There is a growing bank of data in the human field showing proof of benefit in many applications (most recently in healing of indolent ulcers but established in rotator cuff injuries, for example). Like ECSWT it promotes neovascularisation but also has an immediate analgesic effect and also biochemically increases tissue oxygen and energy availability.