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Article Publish Status: FREE
Abstract Title:

The Role of Hyperbaric Oxygen Therapy in Orthopedics and Rheumatological Diseases.

Abstract Source:

Isr Med Assoc J. 2017 Jul ;19(7):429-434. PMID: 28786258

Abstract Author(s):

Giuseppe Barilaro, Ignazio Francesco Masala, Renato Parracchini, Cesare Iesu, Giulia Caddia, Piercarlo Sarzi-Puttini, Fabiola Atzeni

Article Affiliation:

Giuseppe Barilaro

Abstract:

Hyperbaric oxygen therapy (HBOT) has been investigated as a primary/adjunctive treatment for a number of injuries and medical conditions including traumatic ischemia, necrotizing soft tissue injuries, non-healing ulcers and osteoradionecrosis, but the results are controversial. There is insufficient evidence to support or reject the use of HBOT to quicken healing or to treat the established non-union of fractures. However, in patients with fibromyalgia, HBOT reduces brain activity in the posterior cortex and increases it in the frontal, cingulate, medial temporal and cerebellar cortices, thus leading to beneficial changes in brain areas that are known to function abnormally. Moreover, the amelioration of pain induced by HBOT significantly decreases the consumption of analgesic medications. In addition, HBOT has anti-inflammatory and oxygenatory effects in patients with primary or secondary vasculitis. This review analyzes the efficacy and limitations of HBOT in orthopedic and rheumatologic patients.

Study Type : Review

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