Pressure injuries are areas of necrosis where soft tissues are compressed between bony prominences and external hard surfaces. They are caused by unrelieved mechanical pressure in combination with friction, shearing forces, and moisture. Pressure necrosis is an unwarranted, preventable complication and can be influenced by various internal and external factors. Low level laser therapy (LLLT) has gained its importance in medical field since it was found to have wound healing and scar modifying properties. We present an unusual case of fingertip pressure necrosis that occurred during the management of a hand burn injury for which use of Low level laser therapy (LLLT) was incorporated into the management.