Post on 15-Aug-2020
FOLLOW-UPS IN OZONE THERAPY
DR. DIVYA CHOKSHI(M.D. ANESTHESIA)
Giriraj Pain Clinic (Ahmedabad)9825500860
www.paingujarat.com
My profile
• Worked as a private practitioner as an anesthesiologist for 24 years and started pain management practice and ozone therapy since 7 Yrs.
• My pain clinic
Giriraj pain clinic,Kankaria Polio foundation
Ozone therapy is useful in many conditions in orthopedics, but we utilize ozone in certain conditions
Arthritis
• Ankylosingspondylitis
• Degenerative arthritis
• Gouty arthritis
• Rheumatoid arthritis
Trauma
• Simple fracture
• Compound fracture
• Crush injury
Auto immune
disease
• Diabetes
• Rheumatoid arthritis
• Thyroiditis
• Psoriasis
Ozone in shoulder pathology
• Shoulder pain can be associated with impairments and marked disabilities.
• The first step is to determine whether shoulder pain originates from the shoulder region, or from the cervical region.
• Most shoulder problems fall into four major categories:
– Tendon inflammation (bursitis or tendinitis) or tendon tear
– Instability
– ARTHRITIS
– Fracture (broken bone)
• Other much less common causes of shoulder pain are tumors, infection, and nerve-related problems.
“Shoulder” Pain
Pain originating from the shoulder region
Gleno-Humeral Joint
Reduced Passive ROM
Adhesive CapsulitisNormal Passive ROM
Impingement
Syndrome
Rotator Cuff Tears
Instability
HX of Luxation or Instability
A/C Joint
Referred Pain Cervical region
From the survey of our own patients, in last 3 years, out of 100 patients
Results Pain disappeared and the results were satisfactory with functional mobility
Pain disappeared but the functional mobility was restricted to certain extent
No relief
Ozone in knee pain
Some of the causes of knee pain include:
• Arthritis
• Hemartrosis
• Ligament sprain
• Meniscal tear
• Muscle strain
• We have treated ‘n’ number of cases of knee arthritis in our clinic.
Stage 1<55 years of
agePhysiotherapy 100% result
Stage 265 years of
agePhysiotherapy 70% result
Stage 3 >65 years of ageMuscle weakness
, difficult to do physiotherapy
50% result
Stage 475-85 years of
ageNot able to do physiotherapy
No result – pain relief for 1-2 months only
From the survey of our patients, in last 5 years, out of 100 patients
Results
Pain relief for long time
Pain come back after 2 years
No result
Ozone in spine conditionsNECK PAIN may be caused by many conditions
• Trapezitis
• Bursitis around scapula
• Fibromyalgia
• Arthritis
• Prolapsed disc
• Tumour or infection
• Trauma
• For prolapsed intervertebral disc in cervical spine, ozone nucleolysis has been popular, but we have less number of patients.
• For fibromyalgia ,bursitis, trapezitis, I/M injection ozone at tender points gives good results.
LUMBAR SPINE PAIN includes many conditions, but we treat following conditions by ozone.
• Prolapsed intervertebral disc
• Facet joint arthritis
• For prolapsed intervertebraldisc, ozone nucleolysis gives very good results.
• In our clinic, 70% patients are satisfied with ozone nucleolysis.
• The remaining 30% had central protrusion, where caudal epidural was more effective than ozone nucleolysis.
OZONE NUCLEOLYSIS
Satisfactory result
Not satisfactory
• It should not be done in dessicated and degenerated disc.
• Ozone in lateral foramen gives good results as it reduces inflammation around dorsal root ganglion, but one should take care that ozone should not be delivered in epidural space.
SACROILIAC JOINT PAIN
• 80% patients has good pain relief.
• Many patients get relief by medicines and physiotherapy.
Ozone in ankle and foot pathology
There are many conditions like,
• Calcaneal spur
• Plantar fascitis
• Synovitis in small joints
• Tarsal tunnel syndrome
• Tenderness due to osteoporosis
• We give local injection of ozone with or without steroid.
Ozone in Rheumatoid Arthritis
• A lady, doing labor job had severe joint pain (shoulder pain, neck pain, back ache, leg pain) and was not able to perform routine work.
Ozone in Compound injury
Ozone in non healing ulcer
Conclusion
• In musculoskeletal disease, anti inflammatory drugs, anti biotics and steroids are effective in improving pain, Range of motion and disability during the early stage.
• The ozone therapy is also effective but has delayed onset of action as compared to the medicines.
• Combination of low power medicines and ozone therapy gives better results in late stages also.
• Ozone therapy is safe on– Blood pressure
– Infection
– Blood sugar
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