Texas Orthobiologics — Advanced Technology

Class IV MLS Laser Therapy

Clinically validated, drug-free pain relief and healing — powered by patented dual-wavelength laser technology and delivered with robotic precision.

FDA Cleared
Treatment
40+ Years
Research
85–90%
Patient Efficacy
Understanding the Technology

What Is a Class IV Laser?

Medical lasers are classified by the FDA based on power output and biological effect. Class IV lasers — the most powerful therapeutic category — penetrate deeply into the body, reaching joints, tendons, and muscles that lower-class devices cannot access. They stimulate the body's natural repair processes at the cellular level through a process called photobiomodulation (PBM).

ClassPower OutputCommon ExamplesClinical Use
Class I< 0.39 mWCompletely safe — energy too low to cause tissue damage
Class II0.39 – 1 mWSafe under normal use; blink reflex protects the eye
Class IIIB1 – 500 mWSuperficial tissue penetration — limited depth and power
Class IVMLS®> 500 mWDeep tissue penetration — high therapeutic power with proper protocols

How Does It Work? The Science of Photobiomodulation

01
Light Penetrates Tissue
Infrared laser light passes through skin into deeper tissue without heat damage
02
Mitochondria Absorb Energy
Photons trigger mitochondria to boost ATP (cellular energy) production
03
Healing Cascade Activates
Increased cellular energy drives repair, reduces inflammation, and modulates pain

The MLS Dual-Wavelength System

MLS® precisely synchronizes two different wavelengths simultaneously — something no other therapy laser can do. Each targets a different aspect of pain and healing:

808 nm
Continuous Wave
Anti-Inflammatory

Stimulates blood flow and lymphatic drainage, inducing reabsorption of fluid buildup and modulating inflammatory mediators

Inflammatory cytokines
Lymphatic vessels
Edema & swelling
Blood circulation
Result
Reduces inflammation and accelerates resolution of post-injury swelling
905 nm
Pulsed Wave
Analgesic (Pain Relief)

Affects pain transmission at nociceptors and afferent nerve fibers, raising the cell's pain stimulation threshold

Nociceptors
Afferent nerve fibers
Deep joint tissue
Pain threshold
Result
Reduces pain sensation — both immediately and with lasting effect over a treatment course
+
The MLS Synergistic Effect

When synchronized by the patented MLS system, these wavelengths produce an immediate and long-lasting synergistic effect that neither achieves alone — faster pain relief, more effective inflammation control, and deeper tissue penetration, all while maintaining a safety profile comparable to lower-class lasers.

Historical Context

The History of Laser Therapy in Orthopedics

Six decades of scientific discovery, clinical research, and technological innovation.

1960

First Laser Invented

Theodore Maiman builds the world's first working laser — a ruby laser — at Hughes Research Laboratories. This breakthrough would eventually transform modern medicine.

1967

Therapeutic Laser Research Begins

Hungarian physician Endre Mester discovers that laser light accelerates wound healing and tissue regeneration — the birth of laser therapy in medicine.

1980s

Low-Level Laser Therapy (LLLT) Emerges

LLLT gains traction across Europe and Asia for musculoskeletal pain. Early clinical research establishes the foundations of photobiomodulation (PBM).

1993

FDA Begins Classifying Therapy Lasers

The FDA establishes formal laser classifications (Class I–IV), giving laser therapy regulatory credibility in the United States.

Early 2000s

Class IV Lasers Enter Orthopedics

High-power Class IV lasers emerge for treating joints, tendons, and spinal structures — opening orthopedics and sports medicine to laser therapy.

2009

MLS® Technology Patented

ASA S.r.l. (Italy) patents the Multiwave Locked System (MLS) — the first technology to precisely synchronize dual infrared wavelengths for synergistic therapeutic effects.

2010

FDA Clearance for MLS® Laser Therapy

MLS Laser Therapy receives FDA clearance, backed by controlled clinical trials at the University of Turin and University of Padova.

2018

Robotic Laser Delivery Introduced

The M6 robotic laser launches — the world's first robotic therapy laser — enabling automated scanning without a dedicated technician.

2022

MLS M7 — Most Advanced Robotic Laser Launched

The MLS M7 launches with dual robotic arms and advanced scanning algorithms. Texas Orthobiologics offers this system to patients.

2023–Present

Orthobiologic Integration Becomes Standard of Care

Real-world data from 6,850+ patients confirms MLS Laser + biologics (PRP/BMAC) produces significantly better outcomes than biologics alone.

Clinical Applications

Common Uses in Orthopedics & Regenerative Medicine

Class IV MLS Laser Therapy is effective for a wide range of acute and chronic musculoskeletal conditions.

Very Common

Knee Osteoarthritis

Reduces joint inflammation and pain, improving mobility without surgery. Many patients see meaningful relief within the first few sessions.

Very Common

Low Back & Spine Pain

Addresses acute and chronic lumbar pain at the cellular level — effective for disc-related pain, muscle spasm, and degenerative changes.

Common

Shoulder Pain & Rotator Cuff

Treats rotator cuff tendinopathy, bursitis, and impingement syndromes by stimulating tissue repair and reducing chronic inflammation.

Very Common

Tendinopathy

Particularly effective for Achilles tendinopathy, patellar tendinopathy, lateral epicondylitis (tennis elbow), and other stubborn tendon conditions.

Common

Post-Surgical Recovery

Accelerates healing after orthopedic surgery — reducing post-op pain/swelling, minimizing scar tissue, and shortening recovery timelines.

Common

Sports Injuries

Enables faster return to play for athletes with muscle strains, ligament sprains, stress reactions, and acute soft tissue injuries.

Common

Hip Pain & Arthritis

Penetrates deep tissue to reduce hip joint inflammation, address bursitis, and support healing in degenerative hip conditions.

Common

Nerve Pain (Neuropathy)

Modulates nerve pain transmission for peripheral neuropathy, radiculopathy (pinched nerve), and post-surgical nerve sensitivity.

Key Application

PRP & BMAC Enhancement

Amplifies the cellular response to orthobiologic injections. MLS before and after PRP or BMAC accelerates the regenerative cascade for faster, more sustained results.

Common

Carpal Tunnel Syndrome

Reduces median nerve inflammation and compression — often providing significant relief and potentially avoiding surgery for mild-to-moderate cases.

Common

Plantar Fasciitis

Resolves heel and arch pain by stimulating tissue repair in the plantar fascia — one of the most stubbornly painful foot conditions.

Common

Muscle Strains & Contusions

Speeds recovery from acute and chronic muscle injuries through enhanced cellular repair and reduced localized inflammation.

This is not an exhaustive list. Dr. Buford evaluates each patient individually to determine the most appropriate treatment plan.

Why MLS M7?

The Advantages of the MLS® M7 Laser System

Not all Class IV lasers are the same. The MLS® M7 — available at Texas Orthobiologics — represents a significant leap forward.

World's Most Advanced Robotic Therapy Laser

Technology

The M7 features dual robotic arms that automatically scan the treatment area, delivering precise, uniform energy distribution — without requiring a dedicated technician.

Patented Dual-Wavelength Synchronization

Technology

Only the MLS system can simultaneously synchronize 808nm and 905nm wavelengths, producing a synergistic effect — anti-inflammatory AND analgesic action — that neither wavelength achieves independently.

Superior Safety vs Other Class IV Lasers

Safety

The patented MLS pulse modulates energy output to minimize thermal tissue damage — a risk with many other high-power Class IV lasers. Class IV efficacy with Class IIIB safety characteristics.

Deep Tissue Penetration

Efficacy

Reaches joints, tendons, discs, and deep musculoskeletal structures that cold lasers and LED devices cannot access.

FDA Cleared

Regulatory

Cleared by the FDA for pain relief and inflammation — backed by 40+ years of research including controlled clinical trials by major academic institutions.

Fast, Painless Sessions — No Downtime

Patient Experience

Completely painless and non-invasive. Sessions typically last 5–15 minutes per area. Resume normal activities immediately — no recovery period required.

Proven Orthobiologic Synergy

Regenerative

When combined with PRP or BMAC, MLS Laser Therapy amplifies the regenerative healing cascade — producing greater pain reduction and functional improvement at 12 and 24 months vs. biologics alone.

No Known Side Effects

Safety

No known negative side effects and non-habit forming — a safe, sustainable alternative to NSAIDs, corticosteroids, and opioid pain medications.

MLS® M7 — At a Glance
Available at Texas Orthobiologics, Dallas, TX
Wavelengths808 nm + 905 nm (synchronized)
System TypeDual-arm robotic scanner
DeliveryAutomatic scanning — hands-free
Session Duration5–15 minutes per area
FDA StatusFDA Cleared
Treatment Packages6 (acute) · 10–12 (chronic)
Side EffectsNone known
Patient Satisfaction85–90% report positive outcomes
Evidence Base

Clinical Research & Human Outcomes

The MLS® M7 uses the same patented dual-wavelength technology validated in the studies below. Click any study to expand details.

The M7/M8 are robotic delivery systems using the same MLS patented technology — all MLS research applies.

Disclosure: Studies listed represent a selection of published and real-world clinical evidence supporting MLS Laser Therapy. Individual outcomes may vary. DataBiologics data is patient-reported and not independently peer-reviewed. This content is for educational purposes only and does not constitute a guarantee of results.

Educational Videos

See MLS Laser Therapy in Action

These videos provide an overview of how MLS Laser Therapy works and how it integrates into orthobiologic treatment protocols at Texas Orthobiologics.

MLS Laser Therapy — Texas Orthobiologics

An overview of how MLS Laser Therapy is used at Texas Orthobiologics to enhance patient outcomes and accelerate recovery.

MLS Laser Therapy — Educational Overview

Additional educational content about MLS Laser Therapy and its role in orthobiologic and regenerative medicine treatment protocols.

Ready to Experience MLS Laser Therapy?

Dr. Buford and the team at Texas Orthobiologics will evaluate whether MLS Laser Therapy — alone or combined with orthobiologic treatments — is right for you.

Location
Dallas, Texas
Website
texasorthobiologics.com
Session Time
5–15 Minutes
Technology
MLS® M7 Laser
DB
Your Physician

Don Buford, MD — Texas Orthobiologics

Dr. Buford is an orthopedic surgeon and national thought leader in orthobiologic medicine, having served in leadership roles in two major biologics-focused professional associations in the USA. At Texas Orthobiologics in Dallas, he combines cutting-edge regenerative treatments — including PRP, BMAC, and MLS Laser Therapy — to help patients achieve lasting pain relief and improved function without surgery.

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MLS® is a registered trademark of ASA S.r.l. This page is for educational purposes only and does not constitute medical advice.