44 Participants Needed

Light Therapy for Osteoarthritis

KM
MO
Overseen ByMelissa O'Brien, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Nova Scotia Health Authority
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it requires stable pain medication use for the previous 14 days. This suggests you should continue your current medications without changes.

What data supports the effectiveness of the treatment Light Therapy for Osteoarthritis?

Research shows that light therapy can help reduce pain and improve disability in elderly patients with knee osteoarthritis. Additionally, studies suggest that incorporating phototherapy into exercise programs may benefit individuals with knee osteoarthritis.12345

How is light therapy different from other treatments for osteoarthritis?

Light therapy for osteoarthritis is unique because it uses specific wavelengths of light to stimulate photochemical reactions in cells, which may help with cartilage repair and reduce pain and disability. Unlike traditional treatments that might involve medication or surgery, this non-invasive approach focuses on using light to promote healing and improve joint function.13456

What is the purpose of this trial?

Managing joint pain is one of the main goals for treating osteoarthritis (OA) and other musculoskeletal disorders. Alleviating chronic pain pharmacologically has several potential drawbacks including diminishing efficacy, toxicity, adverse side-effects, and patient anxiety. Non-pharmacological approaches (eg. weight loss) have also been found to be effective at controlling joint pain and can provide supplementary benefits. The development of efficacious, alternative treatments for arthritis pain which provide analgesia without adverse side-effects would be advantageous.Recently, preclinical and clinical studies have demonstrated that green ambient light using light-emitting diodes (LEDs) produced profound analgesia in animal models and chronic pain patients. Both migraineurs and fibromyalgia patients have both reported significant reductions in pain following 10 weeks of green LED exposure.It is unknown how green light reduces pain, but it is believed to be in the connections between the visual and pain control centres in the brain. Investigators will examine whether green light reduces OA knee pain by altering pain processes in the brain. To assess this, we will recruit 44 participants and randomly assign them to one of two groups: one group will receive light treatments every day for 20 weeks and the other group will not. We will ask both groups to report pain in daily pain diaries and ask both groups to have a series of 3 MRI brain scans to determine if light exposure changes how the brain processes pain.

Research Team

KM

Karim Mukhida, MD, PhD

Principal Investigator

NS Health

Eligibility Criteria

This trial is for individuals with knee osteoarthritis who are seeking non-pharmacological pain management options. Participants will be required to use light therapy daily and keep a pain diary. They must also be willing to undergo MRI brain scans.

Inclusion Criteria

Right-handedness
I have osteoarthritis in my knee.
I can get onto an MRI table with little help.
See 3 more

Exclusion Criteria

Currently enrolled in other clinical trial involving a pharmaceutical treatment
Presence of any contraindications to MRI scanning. For example: cardiac pacemaker, metal implants, fear of closed spaces, pregnancy
I am scheduled for knee surgery within the next 8 months.
See 2 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Placebo Light Treatment

Participants in the active group receive daily placebo (white) light intervention for 10 weeks

10 weeks
Daily home sessions

Green Light Treatment

Participants in the active group receive daily green light intervention for 10 weeks

10 weeks
Daily home sessions

Follow-up

Participants are monitored for changes in pain and brain activity through MRI scans and questionnaires

4 weeks
3 MRI scans

Treatment Details

Interventions

  • Light Therapy
Trial Overview The study is testing the effectiveness of green and white LED light therapy in reducing knee pain caused by osteoarthritis. It aims to understand if this treatment can alter brain processes related to pain, without adverse side effects.
Participant Groups
2Treatment groups
Active Control
Group I: No light therapy groupActive Control1 Intervention
Participants will not receive light intervention but will be asked to complete daily pain diaries and a series of 3 MRI brain scans.
Group II: Light therapy groupActive Control2 Interventions
Participants will be asked to use two different colours of light for 1-2 hours/day in a dark room in their home for 20 weeks. They will first use a white light for 10 weeks, followed by a green light for 10 weeks. They will be asked to complete daily pain diaries and a series of 3 MRI brain scans.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Nova Scotia Health Authority

Lead Sponsor

Trials
302
Recruited
95,300+

References

In Vitro and In Vivo Effects of Light Therapy on Cartilage Regeneration for Knee Osteoarthritis: A Systematic Review. [2022]
Short-term effects of 890-nanometer radiation on pain, physical activity, and postural stability in patients with knee osteoarthritis: a double-blind, randomized, placebo-controlled study. [2022]
Low level laser therapy (classes I, II and III) for the treatment of osteoarthritis. [2018]
Improvement of pain and disability in elderly patients with degenerative osteoarthritis of the knee treated with narrow-band light therapy. [2019]
Effectiveness of phototherapy incorporated into an exercise program for osteoarthritis of the knee: study protocol for a randomized controlled trial. [2021]
Low level laser therapy (Classes I, II and III) for treating osteoarthritis. [2019]
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