Medical Ozone in the Management of Pain

1. Medical Ozone in the Management of Pain Initial report Dr B Cantera et al Queen Street Practice Wairoa

2. Introduction and rationale • The use of medical Ozone is a controversial issue. In several countries ( including Germany, Spain and Cuba) medical ozone has a very extensive application in pain control with good results . • The use of medical ozone alone a as well as with steroids and steroids alone , for joint pain has been studied and compared with better results when ozone is implicated • GP manage chronic joint pain, back pain and fibromyalgia patients on a daily bases. • Application of medical ozone with or without steroids in these patients is a possible tool , simple enough to perform in a Primary Care set up.

3. Mechanisms OZONE applied intradiscally reacts with macromolecular glycoproteins ( proteoglycans and collage type II and IV) OZONE applied paravertebral produces moderate oxidative stress activating transcriptional factor(Nrf2) supressing NFkB and inflammatory response besides increasing oxygen contents METHODOLOGY Patients with chronic pain due to OA, herniated disc, fibromyalgia were offered medical ozone injection or rectal insufflationOne sportsman requested it for enhacement Strict protocol as per amount and concentration of medical ozone were followed as per Madrid Declaration on Use of Medical Ozone

4. Demographics and Regions Treated

5. RESULTS

6. conclusions

7. Bibliography and Contacts