May 16, 2026

PBM on Rheumatoid Arthritis and Osteoarthritis: In Vitro and In Vivo Evidence, Fonseca et al 2025

Condition Focus: RA and OA — Edema Reduction and Wavelength Optimisation

This 2025 review from Fonseca and colleagues in Photochemistry and Photobiology synthesizes both in vitro and in vivo evidence for LED-based PBM in rheumatoid arthritis and osteoarthritis. While many PBM studies use laser sources, this review focuses specifically on LED delivery — the same technology used in the G.O.A.T. — making it directly relevant to LED-based device design.

The review’s most important finding for device development is the wavelength-dependent edema response: longer NIR wavelengths (685, 830, and 940 nm) consistently outperformed shorter red wavelengths (628 nm) for edema reduction. This wavelength dependence likely reflects the greater tissue penetration of NIR light — edema in a joint involves fluid in the synovial space, subchondral tissue, and periarticular soft tissue, all of which sit beneath the skin surface and require deeper-penetrating wavelengths.

The review also confirmed reduced inflammatory infiltrate and cartilage protection across multiple arthritis models (collagen-induced RA, zymosan-induced arthritis, OA models). The combination of edema reduction, inflammatory cell suppression, and cartilage preservation represents a comprehensive anti-arthritic effect from a single LED-based intervention.

G.O.A.T. for Gout Alignment:
The G.O.A.T.’s 850 nm wavelength falls squarely within the NIR range identified here as superior for edema reduction. As an LED-based device, the G.O.A.T. directly benefits from this LED-specific evidence base. The wavelength advantage for edema reduction supports the device’s dual-wavelength design: 660 nm for surface anti-inflammatory effects and 850 nm for deep-tissue edema reduction.

Link to original research here


 

Editor’s note: The wavelength-dependent edema response documented here is complemented by the dose-dependent edema data in Al Musawi et al 2026. The bioimpedance-measured swelling reduction is demonstrated clinically in Chia et al 2025. For the 660 nm anti-edema effect via cannabinoid receptor pathways, see Neves et al 2018. The cartilage-protective effects are explored with human chondrocytes in Oliveira et al 2025.

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Key Takeaways

  • NIR wavelengths (685–940 nm) outperform shorter wavelengths for joint edema reduction
  • LED-specific evidence — directly relevant to LED-based device design
  • Reduced inflammatory infiltrate and cartilage protection across multiple arthritis models
  • Supports the G.O.A.T.’s dual-wavelength approach: 660 nm surface + 850 nm deep edema

Study Overview

Study Type:Review
Wavelength(s):Red (628–660 nm) + NIR (685–940 nm)
Treatment Protocol:Varies across reviewed studies
Sample Size:Review of in vitro and in vivo arthritis studies
Primary Outcome:Edema↓ (NIR superior); inflammatory infiltrate↓; cartilage protection

 

Full Citation

Fonseca ASF, et al. (2025). LED photobiomodulation on rheumatoid arthritis and osteoarthritis: in vitro and in vivo evidence. Photochemistry and Photobiology. View Publication

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