Use of low-level laser therapy (LLLT) or photobiomodulation (PBM) for the management of the hand-foot syndrome (HSF) or palmo-plantar erythrodysesthesia (PPED) associated with cancer therapy

Support Care Cancer. 2020 Jul;28(7):3287-3290. doi: 10.1007/s00520-019-05099-z. Epub 2019 Nov 21.

Abstract

The purpose of this pilot study was to determine whether photobiomodulation (PBM) might be effective for chemotherapy-induced palmo-plantar erythrodyesthesia (PPED), as it is for mucositis or radio dermatitis; no standard therapy exists for PPED. Patients were allocated to PBM or sham irradiation and were blindly assessed after 2 weeks. Pain and satisfaction with treatment were also evaluated. We found a significant benefit from PBM in comparison with sham treatment (p < 0.03) and a decrease of pain in 49% of the patients. No adverse reactions were observed. We concluded that PBM might represent a useful approach for the management of PPED.

Keywords: Chemotherapy-induced toxicity; Low-level laser; Palmo-plantar erythrodysesthesia; Photobiomodulation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Female
  • Hand-Foot Syndrome / etiology
  • Hand-Foot Syndrome / pathology
  • Hand-Foot Syndrome / therapy*
  • Humans
  • Low-Level Light Therapy / methods*
  • Male
  • Neoplasms / complications*
  • Pilot Projects