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[Ozone therapy in lumbar sciatic pain]

M D'Erme1, A Scarchilli, A M Artale

  • 1Istituto Chirurgico Ortopedico Traumatologico (I.C.O.T.), Latina. pa4504@pan-service.it

La Radiologia Medica
|June 24, 1998
PubMed
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Medical ozone therapy offers a minimally invasive, outpatient solution for lumbar sciatic pain caused by herniated discs. This study found it to be a safe and effective alternative to surgery, with significant clinical and imaging improvements in most patients.

Area of Science:

  • Minimally Invasive Procedures
  • Pain Management
  • Medical Ozone Applications

Background:

  • Medical ozone, a mixture of oxygen and ozone, has various clinical applications.
  • Intradiscal ozone administration was explored for treating herniated nucleus pulposus.
  • This study introduces intradiscal ozone as an alternative to surgery for lumbar sciatic pain.

Purpose of the Study:

  • To evaluate the efficacy and safety of intradiscal ozone therapy for lumbar sciatic pain.
  • To present ozone therapy as a viable alternative to surgical interventions.

Main Methods:

  • Prospective analysis of 50 patients with lumbar sciatic pain due to herniated discs.
  • Intradiscal injection of 12 ml oxygen-ozone mixture (20-30 µg/ml) under CT/fluoroscopic guidance.

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  • Treatment repeated 2-3 times, with follow-up examinations including CT and MRI.

    • Main Results:

    • 68% positive clinical response (40% excellent, 28% good).
    • 82% positive CT response (36% excellent, 46% good) indicating disc changes.
    • Low rate of patients requiring surgery (10%) or further medical treatment (22%).

    Conclusions:

    • Intradiscal ozone therapy is an effective, non-invasive outpatient treatment for lumbar sciatic pain.
    • It demonstrates a favorable safety profile and good outcomes compared to other treatments.
    • Ozone therapy is a recommended treatment of choice and a valid surgical alternative.