Ozone Therapy
- Ozone is a gas that normally exists in the atmosphere and is produced by the effect of UV rays of sun’s light on the oxygen. Medical ozone is the mixture of oxygen and ozone, in variable concentrations according to how it is applied.
- Ozone therapy is a treatment method used in pain management where a mixture of ozone and oxygen gas is injected directly into affected areas, like joint, muscle, disc, to potentially reduce inflammation, improve blood circulation and alleviate pain associated with conditions like arthritis, tendonitis, back pain and mildly herniated disc with or without radicular pain.
- We are doing ozone therapy regularly in our clinic along with PRP & BMAC treatment. Usually, we are not using steroid injection in most of our treatments, in that case, ozone is the choice of drug in our treatment.
- It should be done according to the evidence-based protocol published in the literature. Though it is much safer than operative procedures, more robust clinical trials are needed to establish its efficacy and safety.
Indications
- Low back pain / sciatica
- Degenerative disc disease
- Lumber or cervical spine radicular pain in hand or legs
- Annular tear in disc
- Paracervical muscle pain / Trepezitis
- Knee joint arthritis
- Shoulder joint pain
- Muscular trigger point injection
Contraindication
- Infection
- Hematoma
- Tumour
- Trauma
- Allergic reactions to ozone
Procedure Details
- Ozone injection is to be given in pain generator area under image guidance with live x-ray (IITV) or Sonography.
- Procedure is to be done in OT set up with all aseptic and antiseptic precautions.
- We are using bacterial air filter to collect ozone from machine.
Complications
- Infection
- Nerve root injury
- Bleeding
Mechanism of actions
- Anti-inflammatory effect
- Improved tissue oxygenation
- Shrinkage of disc and nucleolysis
- Decrease the compression over nerve roots