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Published on: May 6, 2014
Hyperbaric Oxygen Therapy in Orthopaedics: An Adjunct Therapy with an Emerging Role
Madhan Jeyaraman1,2, Abdus Sami3, Arulkumar Nallakumarasamy4
1Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, Tamil Nadu 600056 India.
Hyperbaric oxygen therapy (HBOT) shows promise for musculoskeletal conditions by reducing inflammation and aiding healing. Further research and optimized protocols are needed to establish its full potential and evidence base.
Area of Science:
- Orthopedics
- Rheumatology
- Hyperbaric Medicine
Background:
- Hyperbaric oxygen therapy (HBOT) is an adjunct treatment for orthopedic and rheumatological conditions.
- The Undersea and Hyperbaric Medical Society (UHMS) has established guidelines for HBOT protocols.
- HBOT has 14 absolute indications, with this review focusing on musculoskeletal applications.
Purpose of the Study:
- To explore the mechanisms of action of HBOT in musculoskeletal disorders.
- To review the evidence for HBOT's efficacy in accelerating healing in various musculoskeletal conditions.
- To discuss the potential and limitations of HBOT in managing musculoskeletal diseases.
Main Methods:
- A comprehensive literature search was conducted using PubMed, SCOPUS, and other medical databases.
- The review focused on identifying, evaluating, and synthesizing data from clinical trials, research studies, and review articles.
- The search specifically targeted the use of HBOT in musculoskeletal disorders.
Main Results:
- HBOT demonstrates cellular and biochemical benefits, including allodynic, anti-inflammatory, and pro-oxidant effects in musculoskeletal patients.
- Evidence from avascular necrosis and wound healing studies supports exploring HBOT for other musculoskeletal conditions.
- Potential complications associated with HBOT therapy have been documented in the literature.
Conclusions:
- Current HBOT protocols require optimization for diverse musculoskeletal disorders.
- Large-scale, blinded, randomized controlled trials (RCTs) are necessary to establish robust evidence for HBOT's use in various musculoskeletal scenarios.
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