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Injection of Intradiscal O2-O3 to Reduce Pain and Disability of Patients With Low Back Pain Due to Prolapsed Lumbar Disk

AUTHORS

Masoud Hashemi 1 , * , Majid Poorfarokh 1 , Seyed Amir Mohajerani 1 , Parviz Jalili 1 , Vahid Akhyani 1 , Ameneh Barikani 2 , Farshad Farivar 1

1 Department of Anesthesiology and Pain Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Epidemiology and Public Health, Ghazvin University of Medical Sciences, Ghazvin, Iran

How to Cite: Hashemi M, Poorfarokh M, Mohajerani S A, Jalili P, Akhyani V, et al. Injection of Intradiscal O2-O3 to Reduce Pain and Disability of Patients With Low Back Pain Due to Prolapsed Lumbar Disk, Anesth Pain Med. 2014 ; 4(5):19206. doi: 10.5812/aapm.19206.

ARTICLE INFORMATION

Anesthesiology and Pain Medicine: 4 (5); 19206
Published Online: November 20, 2014
Article Type: Research Article
Received: April 4, 2014
Accepted: July 9, 2014
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Abstract

Background: Disk herniation (DH) is one of the most common disk lesions, inducing low back pain (LBP). Various therapeutic options have been proposed for treatment of disk herniation (DH). Intradiscal injection of ozone has been suggested for treatment of DH.

Objectives: To determine the effect of intradiscal ozone injection on pain score and disability in patients with LBP from disk prolapsed.

Patients and Methods: Patients with LBP diagnosed with DH were enrolled in this clinical trial study. After prep and drape the area and under the fluoroscopy guide (c-arm), intradiscal injection of ozone/oxygen mixture (4 mL, 40 g/mL) was performed. Pain score and functional ability of the patients according to Oswestry Disability Index (ODI) were measured prior to the injection (baseline) and then at 2 and 4 weeks and then at 3 and 6 months after the injection.

Results: Thirty patients (17 females, 13 males) with the mean age of 58.6 y (range, 42-73 y) enrolled in the study. The mean standard deviation (SD) of pain score before intervention was 8.1 0.8. After two weeks, it was reduced to 3.2 0.6 (P < 0.001) and finally dropped to 2.0 0.6 sixth months after intervention (P = 0.0001). Functional status of ODI was 28.5 2.1 before intervention and showed significant reduction after two weeks (with the mean of 12.3), and it was almost sustained till sixth months after intervention, with the mean of 11.4 (P = 0.001).

Conclusions: Altogether, ozone had significant positive effects on patients with disk herniation unresponsive to other conservative and minimally invasive treatments.

Keywords

Low Back Pain Ozone Prolapsed Disk

© 2014, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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