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FOLLOW-UPS IN OZONE THERAPY
DR. DIVYA CHOKSHI(M.D. ANESTHESIA)
Giriraj Pain Clinic (Ahmedabad)9825500860
www.paingujarat.com
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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
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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
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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.
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• 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.
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“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
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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
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Ozone in knee pain
Some of the causes of knee pain include:
• Arthritis
• Hemartrosis
• Ligament sprain
• Meniscal tear
• Muscle strain
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• We have treated ‘n’ number of cases of knee arthritis in our clinic.
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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
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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
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Ozone in spine conditionsNECK PAIN may be caused by many conditions
• Trapezitis
• Bursitis around scapula
• Fibromyalgia
• Arthritis
• Prolapsed disc
• Tumour or infection
• Trauma
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• 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.
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LUMBAR SPINE PAIN includes many conditions, but we treat following conditions by ozone.
• Prolapsed intervertebral disc
• Facet joint arthritis
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• 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.
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OZONE NUCLEOLYSIS
Satisfactory result
Not satisfactory
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• 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.
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SACROILIAC JOINT PAIN
• 80% patients has good pain relief.
• Many patients get relief by medicines and physiotherapy.
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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
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• We give local injection of ozone with or without steroid.
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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.
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Ozone in Compound injury
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Ozone in non healing ulcer
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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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Medicine Ozone Surgery
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