Ozonioterapia em lombociatalgia

Abstract

BACKGROUND AND OBJECTIVES: Most adults have several low back pain episodes during their lives. Ozone therapy is a minimally invasive method able to promote analgesia for most patients, with few reports of complications. This study aimed at reviewing the literature on the use of ozone therapy to treat low back pain and lumbosciatic pain. CONTENTS: Virtual Health Library was searched using the following keywords: ozone, therapy, pain, back, lumbodynia. Search sources included: LILACS, Medline, Cochrane, Pubmed, Ibecs and scientific journals, looking for articles originally published in English, Spanish and Portuguese in recent years. Fifty-four articles were selected. Two were randomized multicenter studies, four were systematic reviews, one was a meta-analysis with more than 8 thousand patients from different centers, one was a national Italian consensus, many were double-blind studies, some had control groups and many were observational studies. The level of evidence to support a stronger recommendation is still low (II-3 for intradiscal administration and II-1 for paravertebral or intraforaminal muscular administration), however this scenario seems to be dynamic with a trend toward the indication of ozone therapy. CONCLUSION: Ozone therapy was effective to treat low back pain with our without sciatic pain, being associated to few adverse events.

Use of ozone therapy in chronic laminitis in a horse.

“…This therapy has been associated with few adverse effects and can be used in place of nonsteroidal antiinflammatory drugs (NSAIDs) and their associated adverse effects when given for prolonged periods of time. Oliveira Junior and Lages [12] claim that the NSAIDs are indicated mainly in inflammatory conditions; however, their use should be discouraged for a long period of time. NSAIDs are used in horses to treat a myriad of diseases, including colic, respiratory disease, and lameness.…”

“…NSAIDs are used in horses to treat a myriad of diseases, including colic, respiratory disease, and lameness. Their positive effects include pain relief (analgesia) and the reduction of inflammation and fever, but no NSAID is free of risk even at recommended doses [12]. The main side effects seen in horses occur in the gastrointestinal tract and kidneys.…”

“…Oliveira Junior and Lages [12] reported that the oxygen/ozone therapy was effective and had few side effects in treating muscle pain of various etiologies, in particular those related to the accumulation of lactic acid and subsequent reduction in local pH.…”

Analgetic effect of ozone therapy: myths of reality?

“…14,20,21 The condition �or participating in the study was com� pliance of symptoms with fibromyalgia survey quesion� naire (FSQ) and fibromyalgia impact questionnaire-revised (FIQR) scoring recommended by the American College o� Rheumatology. 49,50 The widsperead pain inde�, the symp� toms severity scale, and the commonly accepted visual analogue scale (VAS) were used to determine the treatment efficacy. The study design involved 12 daily sessions of intravenous ozone therapy.…”

Ozonioterapia em lombociatalgia

“…The above-mentioned article 1 is a judicious analysis of the therapeutic use of ozone therapy to treat low back pain and lumbosciatic pain. However, physicians should not forget that in 07/09/2009 the Federal Council of Medicine (CFM), answering a request of the Brazilian Ozone Therapy Association, has considered ozone therapy an experimental procedure, since in 08/11/04, the Federal Council of Medicine Plenary has approved the Opinion-Consultation CFM 27/04 3 with the following conclusion: "The literature review shows that ozone therapy has been used in some projects, but there are still no well justified, randomized double-blind and placebo-controlled studies showing its efficacy in medicine.…”