Effect of adding Ozone Sauna in Low Back Pain treatment [abstract]

Abstract

PURPOSE: To evaluate the effect of adding ozone sauna with local ozone (O3) injection in low back treatment and comparing it to local O3 injection alone. MATERIAL and METHODS: This study was conducted on 40 patients suffering from chronic low back pain ( < 6 month), (Age: 35-65 years.), (L1/L2 to L5/S1), and Pain Assessment depends on Pain Scale before treatment and after 2, 4, 6, 8, 10, 12 sessions. Patients are divided randomly into 2 groups; each is 20 patients 12 males and 8 females. Group (A): received local O3 injection (7-12 mcg./ml.) for 12 sessions twice weekly. Group (B): received local O3 injection as group (A) followed by OZONE SAUNA for 12 sessions twice weekly. RESULTS: 0 4 16 - - - - - - - 2 4 8 5 3 - - 8 = (40%) 3 = (15%) - 4 4 6 4 4 - - 8 = (40%) 4 = (20%) - 6 3 4 4 4 1 - 9 = (45%) 5 = (25%) 1 = (5%) 8 2 3 3 6 6 - 15 = (75%) 12 = (60%) 6 = (30%) 10 2 2 1 7 6 2 16 =(80%) 15 = (75%) 8 = (40%) 12 2 1 2 4 8 3 17 =(85%) 15 = (75%) 11 = (55%) 0 Pain Scale (A) <60% (B) <40% (C) <20% 10-9 8-7 6-5 4-3 2-1 Group A No. of PT.their pain scale become less than No.of sessions 0 5 15 - - - - - - - 2 4 4 4 5 2 1 12 = (60%) 8 = (40%) 3 = (15%) 4 4 1 1 4 8 2 15 = (75%) 14 = (70%) 10 = (50%) 6 3 1 2 3 9 2 16 = (80%) 14 = (70%) 11 = (55%) 8 2 1 2 2 11 2 17 = (85%) 15 = (75%) 13 = (65%) 10 1 1 1 1 11 5 16 = (90%) 17 = (85%) 16 = (80%) 12 1 1 1 1 10 6 18 = (90%) 17 = (85%) 16 = (80%) 8-7 6-5 4-3 2-1 0 Pain Scale Group B No. of PT.their pain scale become less than (A) <60% (B) <40% (C) <20% 10-9 No. of sessions (D)Conclusion: Adding Ozone Sauna to local O3 injections in treating chronic low back pain resulted in fast improvement and better outcome (more patients) than using local O3 injections alone. (E)Discussion: (A) Previous studies were done proving that treating chronic low back pain by antibiotics for long periods gives good results. (B) Systemic effect of Ozone Sauna (its bactericidal effect) could be the reason standing behind the fast and sustained improvement of patients receiving it and local ozone injections (its anti-inflammatory effect) at the same time. (F)References: 1- Ear spine j.2013 April 22 Antibiotic treatment in patient with Ch. Low back pain and vertebral bone edema (modic type 1 changes ): A double –blind randomized clinical controlled trial efficiency (ALBERT HB, SORENSEN JS, CHRISTENSEN BS, MANNICHE C.). 2- Paravertebral local ozone injections 10-12 sessions, twice weekly (200-400mcg.), Showed good results: (A) 40% optimal improvement. (B) 35-40% marked improvement. (C) 15-25% minimal or no improvement. ( Cinnella and Brayda – Bruno , 2001).