Cold Laser Treatment in Half Moon Bay, CA
Non-Invasive Photobiomodulation for Pain, Mobility, and Musculoskeletal Recovery
Pain and stiffness can interfere with nearly every part of daily life—from working and exercising to sleeping, walking, driving, and enjoying time with family.
At Newbold Chiropractic in Half Moon Bay, Dr. Sidhartha Jandial, DC, an experienced and highly rated Half Moon Bay chiropractor, offers Cold Laser Therapy using the Multi Radiance Medical MR4 system as part of an individualized approach to musculoskeletal care.
Cold laser therapy, also known as low-level laser therapy (LLLT) or photobiomodulation therapy (PBMT), is a non-invasive treatment that uses therapeutic wavelengths of light applied to targeted tissues.
Depending on the patient's condition and examination findings, cold laser therapy may be incorporated alongside:
- Chiropractic care
- Manual therapy
- Myofascial therapy
- Therapeutic exercise
- Stretching
- Neuromuscular reeducation
- Mobility work
- Home-care recommendations
The goal is to help patients reduce musculoskeletal discomfort, move more comfortably, and return to the activities they enjoy.
Newbold Chiropractic provides cold laser therapy for patients from Half Moon Bay, El Granada, Moss Beach, Montara, and surrounding Coastside communities.
What Is Cold Laser Therapy?
Cold laser therapy is a form of photobiomodulation, sometimes referred to as:
- Low-level laser therapy
- LLLT
- Photobiomodulation therapy
- PBM
- PBMT
- Therapeutic laser therapy
Photobiomodulation uses red and near-infrared light energy applied to targeted tissues.
Unlike surgical lasers, cold laser therapy is non-invasive and does not cut or remove tissue.
The light interacts with biological tissue and cellular signaling processes. Research has investigated these effects in relation to pain modulation, inflammation, circulation, cellular metabolism, and musculoskeletal recovery.[1]
What Is the Multi Radiance Medical MR4?
At Newbold Chiropractic, we use the Multi Radiance Medical MR4 therapeutic laser system.
Multi Radiance Medical's technology incorporates super-pulsed laser and multiple wavelengths of therapeutic light.
Depending on the MR4 emitter being used, the system can incorporate:
- 905 nm super-pulsed laser
- 875 nm infrared light
- 640 nm visible red light
- Magnetic field technology
The MR4 platform allows treatment to be directed toward specific areas based on the patient's symptoms, examination findings, and treatment goals.
This provides Newbold Chiropractic with another non-invasive treatment option that can be incorporated into an individualized musculoskeletal care plan.
Why Do Patients Choose Cold Laser Therapy?
Many patients are interested in cold laser therapy because it is:
- Non-invasive
- Drug-free
- Comfortable for most patients
- Easily incorporated with chiropractic treatment
- Appropriate for many musculoskeletal treatment plans
- Useful for targeting specific painful areas
- Compatible with active rehabilitation and exercise
There are no needles or surgical incisions involved.
Treatment can also be used alongside other conservative therapies rather than requiring patients to choose only one form of care.
How Does Photobiomodulation Work?
Photobiomodulation involves exposing tissue to specific wavelengths of red or near-infrared light.
One of the most researched mechanisms involves interaction between light and cellular structures involved in energy metabolism.
Research suggests PBM can influence:
- Mitochondrial activity
- Cellular signaling
- ATP-related cellular energy processes
- Local inflammatory signaling
- Oxidative stress pathways
- Blood flow and microcirculation
These biological effects are among the mechanisms being studied to explain PBM's effects on pain and musculoskeletal recovery.[1]
Rather than presenting laser therapy as a stand-alone cure, we incorporate it strategically into a broader treatment plan when it fits the patient's condition.
What Does Cold Laser Therapy Feel Like?
Cold laser therapy is generally comfortable.
During treatment, the applicator is positioned over or moved across the targeted region.
Many patients experience little sensation during treatment. Some may notice mild warmth or another subtle sensation depending on the treatment area and device configuration.
There are:
- No needles
- No incisions
- No injections
Patients can generally resume normal activities immediately following a routine treatment session unless their underlying condition requires activity modification.
How Long Does Cold Laser Therapy Take?
Treatment time depends on:
- The area being treated
- Size of the treatment region
- Condition being addressed
- Treatment protocol
- Individual response to care
Many treatments can be completed relatively quickly and incorporated into a chiropractic visit.
Dr. Jandial determines the appropriate treatment parameters based on the individual patient's clinical presentation.
What Conditions May Be Treated With Cold Laser Therapy?
Photobiomodulation has been studied across a variety of musculoskeletal conditions.
At Newbold Chiropractic, laser therapy may be considered as part of an individualized treatment plan for patients with conditions such as:
- Neck pain
- Shoulder pain
- Joint pain
- Knee pain
- Muscle strains
- Sports injuries
- Tendon-related pain
- Plantar fasciitis
- Tennis elbow
- Soft-tissue injuries
- Repetitive-use injuries
- Myofascial pain
- Arthritis-related pain
- Musculoskeletal injuries
Whether cold laser therapy is appropriate depends on the patient's diagnosis, examination findings, health history, and treatment goals.
Cold Laser Therapy for Neck Pain
Neck pain may involve:
- Muscle tension
- Joint stiffness
- Restricted movement
- Postural strain
- Repetitive stress
- Sports injuries
- Work-related stress
- Previous injuries
Photobiomodulation has been specifically studied for neck and shoulder conditions.
A 2024 comprehensive review evaluated 36 clinical studies involving photobiomodulation for neck and shoulder pain and disability and reported promising findings, particularly for pain relief and functional improvement.[2]
At Newbold Chiropractic, cold laser therapy may be combined with chiropractic care, manual therapy, mobility exercises, and other treatment depending on the patient's examination findings.
Cold Laser Therapy for Shoulder Pain
Shoulder discomfort can interfere with:
- Reaching
- Lifting
- Sleeping
- Exercise
- Sports
- Dressing
- Work activities
Photobiomodulation has been studied for a variety of shoulder-related musculoskeletal conditions.
The 2024 review of PBM for neck and shoulder disorders found particularly promising results for pain relief and functional improvement, with shoulder conditions accounting for the majority of included studies.[2]
Treatment may be incorporated alongside:
- Chiropractic care
- Joint mobilization
- Myofascial therapy
- Exercise
- Mobility work
Cold Laser Therapy for Back Pain
Patients with back pain frequently have more than one contributing musculoskeletal factor.
These can include:
- Joint stiffness
- Muscle tension
- Reduced mobility
- Previous injuries
- Repetitive activity
- Prolonged sitting
- Exercise-related strain
When appropriate, cold laser therapy can be incorporated into a broader plan addressing the patient's overall musculoskeletal presentation.
Care may combine laser therapy with:
- Chiropractic adjustments
- Flexion-distraction
- Manual therapy
- Stretching
- Mobility exercises
- Strengthening
- Home-care recommendations
Cold Laser Therapy for Knee Pain
Knee pain can interfere with:
- Walking
- Stairs
- Squatting
- Exercise
- Hiking
- Running
- Golf
- Everyday movement
Photobiomodulation has been studied extensively for knee osteoarthritis.
A 2024 systematic review and meta-analysis involving 10 studies and 542 participants found that PBM reduced pain at rest compared with placebo and may improve disability, supporting its consideration as a complementary therapy alongside established treatments.[3]
Another 2024 systematic review and network meta-analysis involving 13 studies and 673 participants found low-level light therapy was superior to sham therapy for reducing knee osteoarthritis pain overall.[4]
For patients with knee discomfort, treatment can also include mobility, strengthening, and other conservative care based on the underlying condition.
Cold Laser Therapy for Arthritis-Related Pain and Stiffness
Osteoarthritis commonly contributes to:
- Joint pain
- Stiffness
- Reduced movement
- Difficulty exercising
- Difficulty performing everyday activities
Cold laser therapy does not reverse arthritis.
However, photobiomodulation has been studied for pain associated with knee osteoarthritis, with systematic reviews reporting positive effects on pain in appropriately selected patients.[3,4]
Our goal is to use laser therapy as one component of a broader plan designed to help patients remain mobile and active.
Cold Laser Therapy for Plantar Fasciitis and Heel Pain
Plantar fasciitis can make walking, standing, exercising, and getting out of bed in the morning uncomfortable.
Photobiomodulation has a substantial research base involving plantar fasciitis.
A 2023 systematic review and meta-analysis included 19 randomized clinical trials involving 1,089 participants and found PBM improved short-term pain intensity in people with plantar fasciitis.[5]
An earlier systematic review involving 14 studies and 817 patients also found that low-level laser therapy improved short-term plantar fasciitis pain compared with placebo.[6]
Cold laser therapy may therefore be considered as part of a conservative treatment plan for selected patients with plantar heel pain.
Cold Laser Therapy for Tendon and Overuse Injuries
Repetitive activities can place substantial stress on muscles, tendons, and surrounding tissues.
Common examples include:
- Tennis elbow
- Shoulder tendon irritation
- Patellar tendon symptoms
- Achilles-region discomfort
- Repetitive strain
- Sports-related overuse
- Work-related overuse
Treatment depends on the specific diagnosis.
When appropriate, laser therapy can be combined with:
- Activity modification
- Manual therapy
- Mobility work
- Progressive exercise
- Strengthening
Cold Laser Therapy for Sports Injuries
Athletes frequently want two things from treatment:
Less pain and a safe return to activity.
Photobiomodulation has been specifically studied in injured athletes.
A 2024 systematic review and meta-analysis of randomized trials involving competitive and recreational athletes found a positive effect of PBM on musculoskeletal pain reduction.[7]
At Newbold Chiropractic, laser therapy can be incorporated into treatment for athletes dealing with appropriate musculoskeletal injuries alongside exercise, mobility work, manual treatment, and gradual return to activity.
Cold Laser Therapy for Active Coastside Patients
Half Moon Bay and the Coastside are home to an active community.
Our patients participate in activities such as:
- Surfing
- Running
- Hiking
- Cycling
- Golf
- Strength training
- Yoga
- Walking
- Recreational sports
Pain or injury can make it difficult to maintain these activities.
Rather than focusing only on where it hurts, treatment can address the movements and activities that are important to the patient.
For an active patient, the goal may be getting back to hiking Montara Mountain, surfing, running, cycling, golfing, working out, or simply walking comfortably around the Coastside.
Cold Laser Therapy for Seniors
Older adults may experience musculoskeletal discomfort related to:
- Arthritis
- Joint stiffness
- Reduced mobility
- Previous injuries
- Muscle tension
- Activity-related pain
Cold laser therapy provides a non-invasive treatment option that may be incorporated alongside gentle chiropractic care, mobility work, and exercise.
Treatment is individualized according to the patient's health history, physical condition, symptoms, and goals.
Cold Laser Therapy for Repetitive Strain and Work-Related Pain
Long hours at a computer, repetitive hand movements, lifting, physical work, and prolonged postures can contribute to musculoskeletal discomfort.
Patients may experience:
- Neck tension
- Shoulder pain
- Elbow pain
- Wrist or hand symptoms
- Upper-back tension
- Muscle soreness
Cold laser therapy may be incorporated into a broader plan that also addresses mobility, ergonomics, muscle tension, and movement habits.
Cold Laser Therapy After a Musculoskeletal Injury
Following an injury, patients often experience:
- Pain
- Muscle soreness
- Stiffness
- Restricted movement
- Difficulty exercising
- Difficulty returning to normal activities
Photobiomodulation may be incorporated into conservative care when clinically appropriate.
The overall treatment plan can also include chiropractic care, manual therapy, mobility exercises, and progressive strengthening.
Cold Laser Therapy After an Auto Accident
Patients involved in auto accidents may develop:
- Neck pain
- Shoulder discomfort
- Muscle soreness
- Upper-back pain
- Other soft-tissue symptoms
For selected patients, cold laser therapy may be incorporated into a broader auto injury treatment plan alongside:
- Chiropractic treatment
- Manual therapy
- Neuromuscular reeducation
- Stretching
- Exercise
- Home-care recommendations
Treatment is based on the patient's specific injuries and examination findings.
Why Combine Cold Laser Therapy With Chiropractic Care?
Cold laser therapy and chiropractic care address different components of the musculoskeletal presentation.
Chiropractic treatment may focus on:
- Joint mobility
- Restricted spinal movement
- Movement mechanics
- Functional mobility
Photobiomodulation provides an additional non-invasive modality directed toward painful musculoskeletal tissues.
Manual therapy may address muscle and soft-tissue tension, while exercise can help restore strength, mobility, and function.
Together, these therapies allow us to create an individualized plan rather than relying on a single treatment.
More Than Just Laser Therapy
At Newbold Chiropractic, we do not treat every patient with the same protocol.
Depending on your condition, your treatment plan may incorporate:
Chiropractic Adjustments
Used to address restricted joint movement and improve comfortable mobility.
Myofascial and Manual Therapy
Used to address muscle tension, trigger points, and soft-tissue restrictions.
Flexion-Distraction
A gentle, table-assisted treatment that may be appropriate for selected lower-back and disc-related conditions.
Neuromuscular Reeducation
Designed to improve coordination, postural control, and functional movement.
Therapeutic Exercise
Used to improve mobility, strength, and tolerance for everyday activities.
Cold Laser Therapy
Photobiomodulation may be added when it is appropriate for the patient's condition and treatment goals.
What Does the Research Say About Cold Laser Therapy?
Photobiomodulation has been studied in numerous musculoskeletal conditions.
Neck and Shoulder Pain
A 2024 comprehensive review evaluated 36 clinical studies using photobiomodulation for neck and shoulder conditions.
The authors reported promising results, particularly regarding pain relief and functional improvement.[2]
Knee Osteoarthritis
A 2024 systematic review and meta-analysis involving 542 participants found that PBM reduced pain at rest compared with placebo and may improve disability.[3]
A separate 2024 network meta-analysis involving 673 participants also reported overall pain reduction with low-level light therapy compared with sham treatment.[4]
Plantar Fasciitis
A systematic review and meta-analysis involving 19 randomized clinical trials and 1,089 participants found PBM improved short-term plantar fasciitis pain.[5]
Another review involving 817 patients similarly found short-term pain improvement compared with placebo.[6]
Sports Injuries
A 2024 systematic review and meta-analysis involving injured competitive and recreational athletes found a positive effect of photobiomodulation on musculoskeletal pain reduction.[7]
Biological Effects of Photobiomodulation
Research has also investigated how photobiomodulation interacts with cellular metabolism and inflammatory signaling.
A frequently cited review by Hamblin describes several potential biological pathways through which red and near-infrared light may influence cellular and inflammatory processes.[1]
Together, this research supports the use of photobiomodulation as a non-invasive adjunct within an individualized musculoskeletal treatment plan.
Cold Laser Therapy as Part of an Active Recovery Plan
Cold laser therapy is most useful when it is integrated into an overall plan rather than viewed as a substitute for movement and rehabilitation.
Depending on the patient's condition, we may combine treatment with:
- Chiropractic care
- Mobility exercises
- Strengthening
- Stretching
- Manual therapy
- Activity modification
- Ergonomic recommendations
- Progressive return to exercise
The objective is to help patients move forward rather than simply receive passive treatment indefinitely.
What to Expect at Your First Cold Laser Therapy Visit
Your first visit begins with an evaluation.
Dr. Jandial will discuss:
- Your symptoms
- When they started
- Previous injuries
- Activities that aggravate your symptoms
- Previous treatment
- Health history
- Exercise and activity level
- Treatment goals
The examination may evaluate:
- Range of motion
- Joint mobility
- Muscle tension
- Orthopedic findings
- Neurological findings when appropriate
- Functional movement
Dr. Jandial will determine whether cold laser therapy is appropriate and explain how it may fit into your treatment plan.
How Many Cold Laser Therapy Sessions Will I Need?
There is no single treatment schedule that applies to every patient.
Recommendations depend on:
- Condition being treated
- Duration of symptoms
- Severity of symptoms
- Examination findings
- Activity level
- Response to treatment
- Overall treatment plan
Progress is monitored so the treatment plan can be adjusted appropriately.
Why Choose Newbold Chiropractic for Cold Laser Therapy?
Dr. Sidhartha Jandial, DC, is an experienced and highly rated Half Moon Bay chiropractor providing individualized chiropractic and musculoskeletal care to the Coastside community.
At Newbold Chiropractic, patients benefit from:
- Personalized treatment plans
- One-on-one attention
- Cold laser therapy using the Multi Radiance Medical MR4
- Gentle and traditional chiropractic techniques
- Manual and myofascial therapy
- Flexion-distraction
- Neuromuscular reeducation
- Therapeutic exercise
- Practical home-care recommendations
We focus on helping patients move better, manage musculoskeletal pain, remain active, and return to the activities that matter to them.
Newbold Chiropractic has served Half Moon Bay and the Coastside since 1983.
We welcome patients from Half Moon Bay, El Granada, Moss Beach, Montara, and surrounding San Mateo County coastal communities.