High-intensity laser, at the surface or at the heart of the tissue.
High-intensity laser delivers light energy capable of acting at depth. At the clinic, it is applied in two ways: through the skin, or percutaneously, via a fine fibre guided by ultrasound, in direct contact with the tissue involved.
- Tendinopathies: Achilles, patellar, shoulder, elbow, hip.
- Joint pain and osteoarthritis, alongside rehabilitation.
- Muscle injuries and the after-effects of sprains.
- Persistent back and neck pain.
An assessment always precedes treatment. It clarifies the indication, chooses between transcutaneous and percutaneous application, locates the area on ultrasound and sets the number of sessions.
The same light, two routes.
Transcutaneous
The probe is moved over the skin above the area concerned. Application is quick, non-invasive and easily combined with exercise.
Ultrasound-guided percutaneous
A fine optical fibre is introduced under ultrasound control to the target tissue. The light acts where the lesion is, rather than through the superficial layers.
Within LIRA-Ortho®
Percutaneous application is one of the pillars of the LIRA-Ortho® protocol, which combines it, depending on the case, with ultrasound-guided PRP and measured rehabilitation.
- UltrasoundLatest-generation high-resolution ultrasound, to see the tendon, muscle or joint and to guide the procedure.
- Infrared thermographyAn image of surface heat, to identify asymmetries and follow how they change over the course of treatment.
- Advanced testingStrength, mobility, motor control and sporting technique, measured and compared at each reassessment.
- Review of your scansMRI, X-rays and reports, with the support of the FMH radiologist where useful.
Assess, treat, measure.
- 01Thorough assessment and ultrasound localisation
- 02Laser sessions, transcutaneous or percutaneous
- 03Exercise programme alongside
- 04Measured reassessment of pain and function
Our technologies
LIRA-Ortho® protocol
Ultrasound-guided percutaneous laser and a PRP injection performed by the radiologist, followed by measured rehabilitation.
Discover →Ultrasound-guided focused shockwave therapy
Focused, not radial, shockwaves concentrated at depth on the area identified by ultrasound. STORZ MEDICAL device, designed and made in Switzerland. Available from December 2026.
Discover →EMTT®, magnetotransduction
High-frequency magnetic field by STORZ MEDICAL, alongside shockwave therapy and rehabilitation.
Discover →MBST® therapeutic magnetic resonance
Painless, contact-free sessions delivered as a series. Used clinically for osteoarthritis, cartilage, tendons and certain nerve protocols.
Discover →Rehabilitation and reconditioning
Dosed exercise, progressive loading and measured criteria for the return to activity.
Discover →The choice of techniques follows from the assessment. Not all of them suit everyone; that is precisely what the assessment establishes.
Within a programme
Laser is not a stand-alone treatment: it is part of a programme set after assessment, with exercise and, where appropriate, other technologies at the clinic.
Autonomy and network
Our physiotherapists lead your care autonomously, in coordination with the doctors and specialists who follow you. Where useful, and with your consent, we liaise with your doctor or specialists. At the clinic, Dr Massimo Donalisio, FMH radiologist specialised in interventional radiology, provides imaging review, second opinions and regenerative medicine procedures.
Are the sessions painful?
Transcutaneous application produces a sensation of warmth, adjusted to your tolerance. Percutaneous application is a delicate procedure, performed under ultrasound, which is explained to you beforehand.
How many sessions should I expect?
It depends on the indication and the mode of application. The written plan provided after the assessment specifies it.
Are there contraindications?
Yes, in particular certain areas and situations, such as pregnancy or a suspicious skin lesion in the area to be treated. They are checked at the assessment.
Is laser treatment reimbursed?
This is a private service; supplementary insurance may contribute depending on your policy. See the Fees and insurance page.
A first appointment, to understand.
A thorough assessment, a study of your case, a written plan, a single point of coordination: E2 Clinic®. ITU Clinic, Route du Stand 66, 1260 Nyon.
The information on this page is general and does not replace a consultation. Life-threatening emergency: 144.