Ozone remedy for low again ache. A scientific evaluate.
Acta Reumatol Port. 2018 Jul 18;
Authors: Costa T, Linhares D, Ribeiro da Silva M, Neves N
BACKGROUND: Low again ache related to lumbar disc herniation is widespread within the normal inhabitants, with evident repercussion in high quality of life and a major financial burden. Sufferers refractory to conservative remedy search further remedy and minimally invasive interventions have been proposed as legitimate choices. Ozone remedy has been recommended as a substitute resulting from its potential analgesic and anti inflammatory impact.
OBJECTIVE: This systematic evaluate goals to research the effectiveness and security of ozone remedy for low again ache in sufferers with lumbar disc herniation.
MATERIAL AND METHODS: A scientific search was carried out in Pubmed and Scopus, adopted by a three-step choice course of. Knowledge was processed by 2 impartial reviewers and data was gathered primarily based in pre-defined variables. Solely articles carried out in people; unique and English written; on remedy with ozone; evaluating the results of ozone remedy (experimental group) with one other non-ozone intervention (management group); and on sufferers with lumbar ache and disc hernia, have been included.
RESULTS: From 439 references retrieved after duplicates elimination, inclusion and exclusion standards have been utilized, and seven research have been included within the remaining revision. One article in contrast remedy with ozone versus placebo, one ozone and world postural re-education versus world postural re-education alone, two the mixture of ozone with steroid versus steroid alone, two ozone versus steroid and one ozone versus micro-discectomy. All however the research evaluating ozone software with micro-discectomy, confirmed related or higher ends in the experimental group. Solely three research evaluated the presence of unintended effects. In two papers no complication was reported, and within the different, a low proportion of adversarial results was noticed, not considerably completely different between the 2 research teams.
CONCLUSIONS: Solely a small variety of poor high quality research on ozone impact in low again ache and disc herniation have been out there for inclusion in our evaluate. Nonetheless, these reported an enchancment in ache and practical scores with its software. Issues, largely minor, however doubtlessly severe are underreported. Extra research with enough and constant methodologies are wanted earlier than the position of ozone might be established within the administration of low again ache.
PMID: 30095803 [PubMed – as supplied by publisher]