with initial reference to fig1 - 3 , the present invention may be in the form of a wrap 10 , dimensioned and configured to be placed around a portion of the patient &# 39 ; s body to which the therapy is to be applied , such as the wrist or other portion of the arm . the wrap comprises a main , therapy - applying portion 12 , and attachment means to allow the wrap to be maintained in the proper position on the body . the attachment means may comprise , for example , a strap 14 extending from one end of the therapy - applying portion 12 and a mating element 16 located at the opposite end of the therapy - applying portion . the strap and mating element may be provided with inter - engaging hook and loop fastener elements to secure them together , or other inter - engaging or cinching elements as known in the art . the main therapy - applying portion 12 may be configured as a pad having an outer wall or jacket 18 of a non - allergenic material which may be safely placed in intimate contact with the skin without adverse effects , and may be , for example , medical - grade rubber , fabric or the like . the pad wall 18 creates an inner compartment 20 in which is located cooling element 22 . the cooling element 22 may be , for example water , which may be frozen when the wrap 10 is placed in a freezer , the wrap then being removed for use . alternatively , the cooling element may be a chemical composition which when activated generates an endothermic reaction , drawing heat from the surrounding area , or an electrical cooling device , such as an semiconductor cooling module . the cooling element 22 may be located directly within the inner compartment 20 , preferably in a self - contained sub - assembly , particularly when the cooling element is in the form of a liquid or chemical composition . further , the sub - assembly is in the form of an insertable module or package . in such a case the module or package , such as an ice pack , may be insertable and removable through a resealable or closable slit or opening 24 in the pad jacket 18 , as depicted in fig3 . preferably , the cooling element 22 extends substantially completely within the compartment 20 , such that its cooling effect migrates outwardly over the entirety of the skin - contacting portion of the pad . in that regard , the construction of the pad may be such as to channel the cooling effects towards the skin . for example , the inner surface of the outwardly - lying side of the therapy - applying portion 12 may be provided with a layer of insulation 26 to lessen the loss of cooling effect directed outwardly and away from the skin and to assist in maximizing the cooling effect applied to the skin . located on the skin - facing surface of the therapy - applying portion 12 is a matrix 28 of light - generating elements , such as light - emitting diodes 30 . other emitters , such as fiber optic bundles from one or more light sources , or “ micro dot ” technology light emitter , can similarly be used . the matrix 28 may be contained in a self - contained electrical assembly 32 positioned within the pad directly adjacent to the skin - directed portion of wall 18 , with the diodes or other emitting elements projecting slightly through apertures in the wall . the assembly 32 is preferably packaged to be protected from possible deleterious effects resulting from contact with the cooling element 22 . alternatively , the assembly 32 may be mounted to the exterior surface of the pad wall 18 , or may be accommodated in a recess formed therein . a variety of light emitters can be used , within a wide spectral range in the visible , ir and uv spectra as desired . the light energy or flux may likewise be chosen in accordance with intended effects and available technology . typically , the arrangement of the individual light emitters 30 within the matrix are chosen to provide a generally consistent light output over an area adapted to the geometry of the area to be treated , which can range for small targeted areas to several square inches . the density and nature of the emitters can vary over the therapy area as may be required or desired . when the light therapy is to be combined with other modalities , the appropriate transducers , as illustrated by magnetic induction coil elements 50 , may be incorporated into the matrix assembly . using appropriate semiconductor / integrated circuit technology , the matrix assembly 32 may also include an appropriate electronic drive controller 34 for the light matrix and other transducers , if present . the controller may include systems to vary the intensity of the light from individual emitter elements , to switch emitter individual elements on and off in various patterns , to integrate the multiple modalities , if present , and to vary the wavelength of the emitted light in connection with light emitters that may have such capacity . micro - switches or other programming means ( not shown ) may be used to program the controller . the matrix assembly 32 may be connected to a series of electrical conductors that extend from the therapy portion 12 as cable 34 that allows the matrix assembly to be powered by a remotely - located power supply ( not shown ) which can be a battery pack for portable use or a line - powered power pack . while the controller may include a power supply , it is anticipated that a remote power supply would be beneficial , as volume constraints in the pad itself limit the amount of energy storage ( e . g . batteries ) to be accommodated therein . the remote power supply may further include the functionality of controller 46 . again , it may be advantageous to include at least portions of the controller circuitry with a remote power supply to lessen the size of the matrix assembly 32 . it is further contemplated that an interface , represented schematically by connector 36 , be provided between the matrix assembly 32 and cable 34 . this can facilitate interconnection between the assembly and a variety of control power supply units and can facilitate interchange of matrix assemblies 32 as may be appropriate for desired therapy purposes . with reference to fig4 , an ankle wrap embodiment of the invention is depicted . the therapy - applying portion 12 may be constructed with an elongated central portion 40 bounded by tapered side portions 42 . interconnectable fastening straps 14 extend outwardly from the opposed edges of the side portions . such a construction allows the wrap to be placed over and about the ankle , the fastening straps 14 interconnecting at the rear of the ankle . the light matrix may be arranged in a plurality of sections , sub - arrays 44 a and 44 b being located to generally overlie the talus bone and the medial and lateral malleolus , while the centrally - positioned array 44 c generally overlies the superior extensor retinaculum . arrays 44 d embrace the achilles tendon . cable 34 extends centrally from therapy - applying portion 12 . this figure also depicts a remote power supply / controller 52 connected to the cable , which may allow selective operation of each of the sub - arrays . as seen in fig5 , the wrap 10 may also be provided in a configuration adapted for the application of therapy to the neck . therapy - applying portion 12 is in the form of an elongated pad , dimensioned to be placed vertically against the rear of the neck . fastening straps 14 are located at opposite sides of the portion 12 , proximate an end thereof , and are adapted to wrap horizontally around the neck , and may be provided with inter - engagable elements 48 , such as complementary hook and loop fastener elements .
a therapeutic device for human and animal use comprises light emitters for applying light energy to a chosen target area of a patient in combination with target area cooling . control over the intensity , duration and / or sequencing of the light energy is provided , and the light energy therapy may be combined with other modalities . the device may be in the form of a pad , capable of being affixed against the portion of the body , such as a wrist , ankle or neck by a strap .