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Hyperbaric Oxygen Therapy

Experience the healing power of oxygen

HBOT & General Practice 1 Aug 2116, 8:47 am

HBOT & General Practice

Hyperbaric Oxygenation Effects on Blood Flow

Normal blood flow
There is 21% oxygen in the air that we breathe, and our lungs transfer this oxygen to our red blood cells (via hemoglobin). These oxygen-filled red blood cells are carried around the body by the plasma (fluid), which travels through the blood vessels. The oxygen diffuses into the surrounding tissue ensuring that it is delivered to where it is needed most.

 

Restricted blood flow (ischemia) causes Hypoxia
When there is a restriction (occlusion) in blood flow due to surgery, illness, or injury, the red blood cells block the blood vessel and are unable to transfer oxygen to the cells on the other side of the occlusion. This causes swelling and starves the area of oxygen, causing hypoxia (a lack of oxygen); when this occurs the tissue begins to break down. Hypoxia triggers ‘apoptosis’ (programmed cellular degeneration – clumping and clustering of damaged nerve cells surrounded by healthy neuronal tracts).

Apoptosis modifies the expression of plasticity (the ability of the body to repair). Apoptotic bodies and altered DNA fragmentations are observed in the avascular ischemic region with increased inhibitory biochemical factors (proteins) released into the damaged parts of the brain and spinal cord causing further deterioration. Apoptosis has been identified in all neurodegenerative disorders including brain and spinal cord injury. Apoptosis fosters the cycle of continued dysfunction, degeneration and ultimate neuronal death.

 

Hyperbaric Oxygenation
Breathing 100% oxygen under pressure causes the oxygen to diffuse into the blood plasma. This oxygen-rich plasma is able to travel past the restriction, diffusing up to 3 times further into the tissue. The pressurized environment helps to reduce swelling and discomfort, while providing the body with at least 10-15 times its normal supply of oxygen to help repair tissue damaged by the original occlusion or subsequent hypoxic condition. Hyperbaric Oxygenation (HBOT) directly increases the saturation of tissue oxygenation, slowing and reversing hypoxic induced apoptosis – restoring blood supply to the compromised region by the development of new capillary networks (neovascularization) enabling the body to alter the course and impact of the disease process.

 

Neurovascular Regeneration
HBOT mobilizes the body’s circulating stem cells. American Journal Physiology – Heart and Circulatory Physiology (Nov 05)] reports a single 2-hour exposure to HBOT at 2 ATA doubles circulating CD34+ progenitor stem cells (primordial cells targeted to salvage and restore damaged structures); and at approx. 40-hours of HBOT; circulating CD34+ cells increases eight fold (800%).

 

Images by Malcolm R Hooper – HyperMED Australia

Case Studies

HBOT and Fibromyalgia

Fibromyalgia is characterized by longstanding multifocal pain with generalized allodynia/ hyperalgesia. We conducted a randomized controlled study to evaluate the effect of hyperbaric oxygen therapy in FMS (HBO group: n = 26; control group: n = 24). Tender points and pain threshold were assessed before, and after the first and fifteenth sessions of therapy. Pain was also scored on a visual analogue scale (VAS). There was a significant reduction in tender points and VAS scores and significant increase in pain threshold of the HBO group after the first and the fifteenth therapy sessions. There was also a significant difference between the HBO and control groups for all parameters except the VAS scores after the first session. We conclude that HBO therapy has an important role in managing FMS.

HIV-Related Fatigue and HBO

Hyperbaric Oxygen Therapy (HBO) is being evaluated to determine the effectiveness in relieving HIV-related fatigue and determine the clinical and immunological effects on HIV-infected individuals.

Twenty-five patients have been enrolled over a two-year period. Admission criteria include chief complaint of fatigue, seropositivity as confirmed by ELISA and Western Blot for HIV infection, 500 CD4 cells or less, and absence of active opportunistic infections which might compromise pulmonary or neurologic function. Twenty patients received 2 ATA, for 90 minutes, three times per week. Five patients voluntarily received surface air at the same parameters to control for a placebo effect, and then received 100% oxygen; all patients were treated simultaneously in the HBO chamber. Laboratory, clinical assessment, and Karnofsky Performance Scores were completed monthly on all patients.

The results show that all patients indicated relief of debilitating fatigue within two weeks. Karnofsky Scores improved 10% to 30% within one month. Weights for all patients remained stable or increased; CD4, Hemoglobin, and Hematocrit counts remained stable and/or increased. Tumor Necrosis Factor decreased in 13 patients. P-24 antigens remained non-reactive or decreased if reactive. All patients returned to their six-month Karnofsky Score, which indicated significant improvement in their fatigue levels. Twenty-three of the twenty-five patients have shown no clinical disease progression; 80% of patients enrolled in the study have 50 CD4 cells or less. Further, HBO appeared to relieve pain associated with peripheral neuropathy in two patients and was a beneficial adjunct to the treatment of mild PCP; the investigators have established protocols to further investigate these findings.

The conclusion is that HBO appears to be effective in relieving HIV-related fatigue and improving the quality of life of individuals with HIV/AIDS. Preliminary research indicates a probable correlation with an increase in length of employment capability, delayed disability requirement, and reduction in number and length of hospitalizations by incorporating HBO as a component in the medical management of HIV disease. The investigators believe HBO may relieve fatigue by inhibiting the activity of certain cytokines, enhancing red blood cell production, and enhancing the ability of HIV-impaired monocytes to absorb and utilize oxygen.

Reillo, M, R.N., B.S.N., Myers, R., M.D., HBO Staff, MIEMSS, Baltimore, Maryland, USA

RSD and HBOT as an adjunct to Sympathectomy.

Thomas PS; Hakim TS; Trang LQ; Hosain SI; Camporesi EM,Department of Anesthesiology, State University of New York Health Science Center, Syracuse 13210, USA. hschosp.umag.thomasp. Anesth Analg, 88(1):67-71 1999 Jan

The aim of this study was to determine whether regional sympathectomy attenuates this vasoconstriction response and thus improves oxygen delivery. In a double-blinded manner, healthy volunteers were subjected to HBO2 in a monoplace chamber on two occasions separated by at least 1 wk. Transcutaneous oxygen (tcPO2) and carbon dioxide (tcPCO2) on the forearm were monitored continuously, and blood flow in the axillary artery was measured using angiodynography before and after exposure to HBO2. During one visit, each volunteer received a sympathetic block to the upper extremity by an injection of lidocaine into the brachial plexus at the axilla. During a second visit, the volunteer received a placebo injection of isotonic sodium chloride solution into the brachial plexus of the same side. Skin temperature was recorded on the back of the hand.

All subjects exhibited a small but significant increase in skin temperature (2.5%) and in upper limb blood flow (23%) (P < 0.05%) after sympathectomy, but not after isotonic sodium chloride solution injection. Sympathectomy increased tcPO2 marginally while in room air.

However, during HBO2, tcPO2 was substantially and significantly higher (409.8+/-98.8 mm Hg) after sympathectomy compared with that after isotonic sodium chloride solution injection (171.3+/-38.1 mm Hg). tcPCO2 did not change significantly after sympathectomy or during HBO2. Thus, sympathectomy presumably improved oxygen delivery by preventing vasoconstriction during hyperoxia. The results suggest that sympathectomy may be a useful adjunct to HBO2 therapy in patients in whom vascular resistance is increased because of sympathetic tone or hyperoxia.

IMPLICATIONS: Sympathetic nerve block of the extremities markedly enhances tissue oxygen delivery during hyperbaric oxygen treatment. Sympathectomy may be a beneficial adjunct treatment to hyperbaric oxygen in peripheral vascular insufficiency.

Hyperbaric Oxygen Therapy Process Indications

Many patients, when following closely the prescribed protocol for Hyperbaric Oxygen Therapy notice the following cumulative benefits from the oxygen:

 

 

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The Benefits of Hyperbaric Chamber Therapy: A Comprehensive Guide 15 Jul 2024, 6:16 pm

The Benefits of Hyperbaric Chamber Therapy: A Comprehensive Guide

In the realm of holistic health and wellness, Hyperbaric Chamber Therapy (HBOT) has gained significant attention. This innovative treatment involves breathing pure oxygen in a pressurized environment, which can accelerate healing and improve overall health. In this article, we’ll explore the benefits, uses, and frequently asked questions about Hyperbaric Chamber Therapy.

 

What is Hyperbaric Chamber Therapy?

Hyperbaric Chamber Therapy is a medical treatment that enhances the body’s natural healing process by inhaling 100% oxygen in a pressurized chamber. This process increases the amount of oxygen your blood can carry, promoting faster healing of tissues and organs.

Benefits of Hyperbaric Chamber Therapy

     

      1. Accelerated Wound Healing

           

            • HBOT is renowned for its ability to speed up the healing process of chronic wounds, such as diabetic foot ulcers and pressure sores. By increasing oxygen supply to the affected tissues, the therapy promotes cell repair and regeneration.

        1. Improved Oxygenation

             

              • Enhanced oxygen delivery to tissues can be beneficial for individuals suffering from conditions like anemia or severe infections. This increased oxygenation helps in better cell function and recovery.

          1. Reduction of Inflammation

               

                • Hyperbaric oxygen therapy is known to reduce inflammation and swelling. This is particularly useful for athletes recovering from sports injuries or individuals with inflammatory conditions like arthritis.

            1. Enhanced Immune Function

                 

                  • The therapy can boost the immune system by increasing the efficiency of white blood cells, making it easier for the body to fight infections and bacteria.

              1. Neurological Benefits

                   

                    • Emerging studies suggest that HBOT can aid in the recovery of brain injuries and neurological conditions such as stroke, traumatic brain injury, and even some cognitive disorders.

              Common Uses of Hyperbaric Chamber Therapy

                 

                  • Treatment of Decompression Sickness: Commonly experienced by divers, decompression sickness can be effectively treated with HBOT.

                  • Carbon Monoxide Poisoning: Hyperbaric oxygen therapy is a primary treatment for carbon monoxide poisoning, as it helps to quickly remove the toxin from the bloodstream.

                  • Infection Control: Severe infections like gangrene can be treated with HBOT, which helps inhibit the growth of harmful bacteria and promotes healing.

                Frequently Asked Questions

                Is Hyperbaric Chamber Therapy Safe? Yes, HBOT is generally safe when administered by trained professionals. However, like any medical treatment, it has some risks and potential side effects, such as ear pain or sinus discomfort due to pressure changes.

                How Long Does a Session Last? A typical HBOT session can last anywhere from 60 to 90 minutes, depending on the condition being treated.

                How Many Sessions Are Needed? The number of sessions required varies based on the individual’s health condition and the severity of the ailment. Some people may need 20 to 40 sessions, while others might require more.

                Can Anyone Undergo Hyperbaric Chamber Therapy? While HBOT is beneficial for many, it’s not suitable for everyone. People with certain medical conditions, such as lung diseases or ear problems, should consult their doctor before starting the therapy.

                Conclusion

                Hyperbaric Chamber Therapy offers a range of health benefits, from accelerated wound healing to improved neurological function. As research continues to explore its potential, HBOT stands out as a promising treatment for various conditions. If you’re considering this therapy, consult with a healthcare provider to determine if it’s right for you.

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                Hyperbaric Oxygen Therapy May Be the First, Only Clinically Effective Treatment for Long COVID 5 Mar 2024, 9:33 pm

                Hyperbaric Oxygen Therapy May Be the First, Only Clinically Effective Treatment for Long COVID

                “I’m better than I was before I had long COVID, and in so many ways,” said a patient in an interview with Pharmacy Times.

                “I’m better than I was before I had long COVID, and in so many ways,” said a patient in an interview with Pharmacy Times.

                After suddenly developing a series of severely debilitating neurological and physical disorders, Lynette Milakovich, a yoga teacher currently living in The Villages, Florida, spent almost 2 years and $20,000-plus on doctors’ appointments and failed therapies to treat her symptoms. It took nearly this duration of time before she learned the cause of her illness was long COVID-19 (long COVID), she told Pharmacy Times in a recent interview. It was not until receiving hyperbaric oxygen therapy (HBOT) treatment that she found lasting relief.

                HBOT is currently the only treatment protocol that has been proven clinically effective in the treatment of long COVID in a controlled clinical trial, according to Shai Efrati, MD, the co-founder and chairman of the Medical Advisory Board to Aviv Scientific, and director of the Sagol Center for Hyperbaric Medicine & Research at Shamir Medical Center, in an interview with Pharmacy Times.

                Additionally, there are findings from a new longitudinal study published in Scientific Reports —which evaluated patient outcomes after 1 year of finishing an HBOT intervention— that show that the benefits sustained from HBOT might be long-term. According to Efrati. HBOT can repair brain tissue damaged by COVID-19, and this can actually lead to permanent changes.1

                “When we take care of the brain damage, it heals [the long COVID] symptoms,” Efrati told Pharmacy Times.

                Hyperbaric Oxygen Therapy - Dublin - Brook Park - Pickerington - Jacksonville Clinics

                HBOT is currently the only treatment protocol that has been proven clinically effective in the treatment of long COVID in a controlled clinical trial, according to Shai Efrati, MD, the co-founder and chairman of the Medical Advisory Board to Aviv Scientific, and director of the Sagol Center for Hyperbaric Medicine & Research at Shamir Medical Center, in an interview with Pharmacy Times.

                Additionally, there are findings from a new longitudinal study published in Scientific Reports —which evaluated patient outcomes after 1 year of finishing an HBOT intervention— that show that the benefits sustained from HBOT might be long-term. According to Efrati. HBOT can repair brain tissue damaged by COVID-19, and this can actually lead to permanent changes.1

                “When we take care of the brain damage, it heals [the long COVID] symptoms,” Efrati told Pharmacy Times.

                What Is Long COVID?
                There are estimates that more than 65 million people around the world have had long COVID, although this number is likely to be higher, according to investigators of a study published in Nature Reviews Microbiology.2 Long COVID (also referred to as post–COVID-19 condition) is a syndrome characterized by mild-to-severe symptoms of COVID-19 that can last for weeks, months, or years after overcoming initial COVID-19 infection.3

                There are more than 200 symptoms associated with long COVID.3 Symptoms can be an extension of those experienced during acute infection, or they can appear as new symptoms altogether—and although symptoms can impact many different organ systems, they largely affect the brain and central nervous system (CNS).2,3

                “We understand that COVID may penetrate the brain through blood vessels or the cribriform plate that is located above our nose and cause brain damage in the neurons,” Efrati said. “So, what we are dealing with is brain damage.”

                Milakovich had suffered from many symptoms related to dysregulation of the brain and CNS: total body neuropathy, tinnitus, postural tachycardia syndrome (PoTS), tachycardia, high blood pressure, tremors, convulsions, insomnia, and severe mental symptoms (cognitive decline, depression, anxiety, suicidal ideations, apathy, and post-traumatic stress disorder).

                Long-Term Impact of HBOT for Patients With Long COVID

                The purpose of HBOT is to increase oxygen absorption into tissue, which can support brain injury recovery;1 it may be particularly effective for brain/CNS symptoms because it triggers brain neuroplasticity, or “the ability of the brain to repair itself,” Efrati explained. In essence, neuroplasticity enables the brain to reverse the damage and dysregulation caused by the virus.

                Previous studies affirm these neuroplastic benefits in patients with stroke and traumatic brain injury who had improved cognitive and motor function and quality of life measures following HBOT. Findings from previous studies also show that HBOT creates positive microstructural changes in the brain.1

                However, no studies had evaluated the long-term clinical benefits associated with HBOT for patients with long COVID.In the present longitudinal study, 31 patients—having originally completed 40 sessions of HBOT the year prior at Aviv Clinics—filled out a series of questionnaires about quality of life, quality of sleep, and psychiatric and pain symptoms.1

                Patients were treated with hyperoxic-hypoxic paradox (HHP), an HBOT protocol that exposes the patient to elevated atmospheric pressure (compression/decompression rate of 1.0 m/min) and fluctuating oxygen levels (100% oxygen for 90 minutes with intermittent breaks of medical-grade air with normal 21% oxygen levels). 1

                Based on the results, HBOT was found to be associated with persistent improvements in quality of life, quality of sleep, psychiatric and pain symptoms. There was a moderate magnitude of improvement in neuropsychiatric symptoms (ie, depression, anxiety) and sleep quality that lasted long term, along with a significant reduction in pain and significant increase in quality of life at the time of analysis.1

                “[Although] I still have a bit of tinnitus, the rest of the symptoms are gone,” says Milakovich. “I have full cognition and feeling back… no more tremors and convulsions, no more PoTS.”

                Prior to HBOT, Milakovich used various pharmacologic agents to try and treat symptoms individually: low-dose naltrexone for nerve pain/neuropathy, a nitric-oxide supplement (Cardio Miracle [manufactured by a brand of the same name]) for PoTs and tachyardia, and temazepam (Restoril; Mallinckrodt Pharmaceuticals) for insomnia. Milakovich also found anecdotal evidence supporting the use of other supplements like nattokinase (Cardiokinase; Plamed), curcumin, and bromelain for long COVID.

                Efrati noted it may be worth trying different methods and treatments for long COVID, however, none offer evidence-based outcomes besides HBOT.

                In time, Efrati believes that HBOT clinics will begin to create a multi-strategy treatment protocol to treat patients more effectively. Additionally, Efrati explained that going forward, there will need to be more research on the specific minimum number of sessions required for recovery. Currently, Efrati and other HBOT practitioners have made it a practice to calibrate the number of treatments needed for patients based on their response.

                Long COVID and The Patient Perspective of Medical Gaslighting

                It’s worth noting that long COVID can have many possible symptoms, which makes it difficult to diagnose. Moreover, there are no laboratory tests that can technically prove an individual is suffering from long COVID.4

                Given the myriad of symptoms, continued knowledge gaps, diagnostic difficulty, and other factors, there have been reports that long COVID is being improperly diagnosed; as a result, patients have reported that they feel like they are experiencing medical gaslighting, according to findings from a qualitative study that aimed to understand the experience of patients with long COVID in seeking care in the United States.5

                Investigators observed that patients thought that their providers dismissed symptoms, met patients with a lack of empathy, and some providers were reported to have disqualified the patient experience and their ability to report symptoms. This can make the patient feel as though they must “prove” that their illness is real, and it can ultimately prolong the time it takes to receive adequate care.5

                According to 1 study participant, it took over a year to prove that their symptoms were not psychosomatic.5 In Milakovitch’s case, it took nearly 2 years and countless providers before receiving a proper diagnosis, and she cautions pharmacists and providers to not “make the patient believe it is all in their head.”

                “Patients need to be validated because long COVID is real,” Milakovich said.

                Conclusion

                Therapies like HBOT are an exciting innovation that can transform the treatment of long COVID. HBOT can provide long term improvements to neuroplasticity and reduce brain damage—it is the only therapy that has been proven safe and effective, improving psychological symptoms, pain symptoms, and quality of life in patients with long COVID.1

                “I’m better than I was before I had long COVID,” Milakovich said. “And in so many ways, I have my life back!”

                REFERENCES

                1. Hadanny A, Zilberman-Itskovich S, Catalogna M, Elman-Shina K, et al. Long term outcomes of hyperbaric oxygen therapy in post covid condition: longitudinal follow-up of a randomized controlled trial. Sci Rep 14, 3604 (2024). doi:10.1038/s41598-024-53091-3
                2. Davis HE, McCorkell L, Vogel JM, Topol EJ. Long COVID: major findings, mechanisms and recommendations. Nat Rev Microbiol 21, 133–146 (2023). Doi:10.1038/s41579-022-00846-2
                3. COVID-19 and the Nervous System. NIH. Article. Last reviewed on January 30, 2024. Accessed on February 18, 2024. https://www.ninds.nih.gov/current-research/coronavirus-and-ninds/covid-19-and-nervous-system#:~:text=Since%20COVID%2D19%20can%20affect,twitching%20or%20jerking%20(myoclonus).
                4. Katella K, What Happens When You Still Have Long COVID Symptoms? Yale Medicine. News Release. October 27, 2023. Accessed on February 26, 2024. https://www.yalemedicine.org/news/long-covid-symptoms
                5. Au L, Capotescu C, Eyal G, Finestone G. SSM Qual Res Health. 2022 Dec; 2: 100167. Published online 2022 Sep 7. doi: 10.1016/j.ssmqr.2022.100167

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                Enhance Your Game with Hyperbaric Oxygen Therapy! 🏌️‍♂️ 11 Jan 2024, 10:26 pm

                The Fairways of Healing: How Hyperbaric Oxygen Therapy Works

                Imagine each session of Hyperbaric Oxygen Therapy (HBOT) as a golf course for your body, guiding healing through elevated oxygen levels. HBOT boosts cell performance and rejuvenates the body, enhancing healing for both body and mind. From reducing inflammation to keeping cognitive focus, HBOT supports joint health, recovery from injuries, and keeps golfers swinging with ease. Discover how HBOT can be your ultimate wellness partner for every round.

                Swinging Away Inflammation

                Golfers, whether in the prime of their game or recovering from an injury, often grapple with inflammation. The constant motion, impact, and torque on joints can take a toll. Enter HBOT, the golf swing against inflammation. By saturating your system with oxygen, this therapy acts as a potent anti-inflammatory agent, helping you stay on course without the hindrance of joint discomfort.

                Putting the Mind in the Zone

                Golf is as much a mental game as a physical one. For golfers in the golden years or those recovering from injuries, cognitive sharpness is crucial. HBOT isn’t just about physical rejuvenation; it’s your mental coach. Research suggests that increased oxygen levels may support cognitive function, ensuring your mind stays in the zone, strategizing each swing with precision.

                Teeing Off Against Injuries

                Shoulder, hip, or knee injuries can be a hazard on the golf course. HBOT steps in as your golfing ally, aiming to minimize downtime due to injuries. By accelerating the body’s natural healing processes, this therapy assists in repairing and regenerating tissues, allowing you to get back to what you love – teeing off with passion and prowess.

                The 19th Hole of Recovery: A Conclusion

                As an avid golfer, your journey goes beyond the 18 holes. Hyperbaric Oxygen Therapy is your 19th hole, a sanctuary for recovery and rejuvenation. If you are dealing with golf-related injuries, HBOT is your ticket to maintaining a swing that echoes through the fairways of health and vitality.

                Whether you’re a dedicated golfer or looking to up your game, Hyperbaric Oxygen Therapy (HBOT) offers benefits that support joint health, reduce inflammation, and boost mental clarity—essential for every swing. From accelerating recovery to enhancing endurance, HBOT is the ultimate recovery and performance tool for golfers everywhere. Take the next step in your game with HBOT!

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                Unveiling the Fountain of Youth: Hyperbaric Oxygen Therapy and Longevity 11 Jan 2024, 10:05 pm

                As we journey through life, the quest for health and longevity becomes a paramount concern, especially as we gracefully age beyond 60.

                Imagine a treatment that acts as a rejuvenating elixir, not from a mythical spring, but from the very air we breathe. Welcome to the world of Hyperbaric Oxygen Therapy (HBOT), a promising avenue for enhancing well-being and vitality in our golden years.

                The Breath of Life: Understanding Hyperbaric Oxygen Therapy

                In the simplest terms, Hyperbaric Oxygen Therapy involves breathing pure oxygen in a pressurized room or chamber. Now, let’s dive into the story of how this breath of life can benefit individuals aged 60 and beyond.

                Our Body’s Inner Repair Mechanism

                Picture your body as a finely tuned machine. As the years go by, wear and tear become inevitable. Here’s where HBOT steps in as a hero, boosting the body’s natural ability to repair and regenerate. The increased pressure and oxygen levels during therapy create a superhero environment, empowering cells to heal more efficiently.

                The Quest Against Inflammation

                 Inflammation, often dubbed the silent enemy, tends to increase with age, contributing to various health issues. Enter HBOT, the valiant defender against inflammation. By flooding the body with oxygen, this therapy assists in calming the flames of inflammation, potentially slowing down the aging process.

                Revitalizing the Mind: A Cognitive Oasis

                Beyond physical well-being, HBOT ventures into the realm of mental acuity. As we age, cognitive decline can be a concern. Imagine a rejuvenating oasis for the mind, where increased oxygen sparks cognitive vitality. Studies suggest that HBOT may play a role in supporting brain health, potentially enhancing memory and cognitive function.

                A Shield Against Chronic Conditions

                Aging often brings an unwelcome entourage of chronic conditions. HBOT emerges as a stalwart shield, with research hinting at its potential to mitigate the risk of certain age-related ailments. From cardiovascular health to diabetes, this therapy stands as a formidable guardian against the challenges that often accompany aging.

                Unlocking the Fountain of Youth: A Conclusion 

                In the tapestry of life, reaching the age of 60 is a milestone deserving of celebration. Hyperbaric Oxygen Therapy emerges not as a mere treatment but as a key to unlocking the fountain of youth within us. By enhancing our body’s innate healing mechanisms, combating inflammation, revitalizing the mind, and standing guard against chronic conditions, HBOT becomes a beacon of hope for a healthier, more vibrant journey through the golden years.

                In the symphony of health and longevity, Hyperbaric Oxygen Therapy takes center stage, offering a melody of rejuvenation that resonates with the heartbeats of those aged 60 and beyond. Embrace the breath of life, embrace the promise of a revitalized tomorrow.

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                Hyperbaric Oxygen Therapy (HBOT): A Deep Dive into Wound Healing 21 Sep 2023, 6:57 pm

                Wounds, whether from injuries, surgeries, or chronic conditions, can be incredibly disruptive to our lives. Slow healing and complications can lead to pain, discomfort, and even severe health issues. Fortunately, there’s a remarkable treatment that’s gaining recognition for its effectiveness in wound healing: Hyperbaric Oxygen Therapy (HBOT). In this article, we’ll take a deep dive into the world of HBOT and how it can accelerate the healing process.

                Understanding Hyperbaric Oxygen Therapy (HBOT)

                Hyperbaric Oxygen Therapy is a medical treatment that involves breathing pure oxygen in a pressurized chamber. While inside the chamber, the atmospheric pressure is increased, allowing your lungs to take in significantly more oxygen than would be possible at normal pressure levels.

                How HBOT Aids in Wound Healing

                1. Increased Oxygen Levels: Oxygen is a critical element for wound healing. It promotes collagen production, supports immune function, and helps kill bacteria. HBOT saturates your bloodstream with oxygen, delivering it to areas with compromised blood flow, which is common in chronic wounds.
                2. Stimulating Tissue Regeneration: Oxygen-rich blood aids in the formation of new blood vessels (angiogenesis) and stimulates the production of collagen, which is crucial for tissue repair.
                3. Fighting Infection: Oxygen is a natural antibiotic. It helps the body fight off bacteria and prevents infections, a common complication in slow-healing wounds.
                4. Reducing Inflammation: Inflammation is a natural response to injury, but when it becomes chronic, it can slow down the healing process. HBOT helps reduce inflammation, facilitating the healing process.

                Conditions Treated with HBOT

                HBOT is effective in treating a wide range of conditions, including:

                • Diabetic Foot Ulcers: A common complication of diabetes, these ulcers can be hard to heal due to reduced blood flow. HBOT promotes healing in these cases.
                • Radiation Injuries: Patients who have undergone radiation therapy for cancer may develop radiation injuries. HBOT can help mitigate these side effects.
                • Non-Healing Wounds: Some wounds simply don’t respond to traditional treatments. HBOT can provide the extra boost needed for healing.
                • Skin Grafts and Flaps: HBOT is used before and after skin graft and flap surgeries to ensure graft success and reduce complications.

                What to Expect During an HBOT Session

                During an HBOT session, you’ll relax in a comfortable chamber, typically for about 1-2 hours. It’s a painless and non-invasive treatment. Most patients feel a sense of relaxation and may even watch TV or read a book during their session.

                Insurance Coverage

                One of the significant advantages of HBOT is that many insurance plans cover it, making this cutting-edge treatment accessible to more patients.

                Conclusion

                Hyperbaric Oxygen Therapy (HBOT) is a revolutionary treatment that can significantly accelerate the healing process for a variety of wounds and conditions. Its non-invasive nature and minimal side effects make it an attractive option for many patients. If you or a loved one is struggling with a wound that refuses to heal, consider discussing HBOT with your healthcare provider. It might be the key to a faster, more comfortable recovery and an improved quality of life.

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                HBOT & Audiology 17 Aug 2021, 8:44 am

                HBOT & Audiology

                Conditions Benefited

                • Idiopathic sudden deafness
                • Tinnitus
                • Acoustic trauma or noise induced hearing loss
                • Barotrauma
                • Bone involvement in ENT Area (Osteomyelitus)
                • Retrocochlear hearing loss
                • Meniere’s Disease
                • Otitis externa maligna
                • Vertigo

                How can YOUR patient benefit?

                • Reduces swelling, inflammation and pain
                • Greatly increases the partial of oxygen in the inner ear
                • Angiogenesis created after oxygen saturation
                • Improves hemorheology and contributes to improved microcirculation
                • Lowers hemocrit and whole blood viscosity, and improves erythrocyte elasticity

                Literature survey:

                Some controlled trials concerning 1100 patients in 8 publications were performed, a majority of which were in Germany. After ineffective conservative treatment including plasmaexpander such as Hydroxyaethylstarch or others, normovolaemic haemodilution, cortisone and oral haemo-rheological substances, HBOT is effective in 50% of the cases to reduce hearing loss by 20 dB or more. Approximately 11% have a complete recovery. All authors confirm better results with earlier onset of HBOT.

                A randomized prospective trial of primary HBOT versus primary conservative treatment in Germany shows a better outcome in the HBOT group with substantial recovery in 80% of the patients. Another controlled prospective trial including patients after ineffective conservative treatment including cortisone shows substantial improvement in more than 30% of the cases even if the delay was more than 3 months.

                Evaluations of 7766 patients in 13 publications show reduction of molestation and intensity of Tinnitus by 50% in around 70% of the cases if treated within 3 months of the onset. Around 30% lose their Tinnitus completely. Chronic tinnitus with duration of more than 3 months or bilateral manifestation shows improvement rates of 50% and around 30% of the cases after ineffective conservative treatment.

                Based on 1200 cases of acoustic trauma – partially evaluated in prospective studies Pilgramm states that the best results by HBOT in combination with Haes. Because of 50% spontaneous remission within the first 48 hours HBOT should start immediately the third day after trauma. If hyperbaric oxygenation is begun later, the effectiveness decreases rapidly.

                A prospective controlled study was performed in 1996 : Out of 625 patients treated for tinnitus for a 2 month period 211 were included in the study for acute tinnitus.

                69 patients were treated with haemodilution and cortisone alone and had no HBOT. 142 patients had HBOT, 72 of these after unsuccessful haemodilution

                Results of Haemodilution for Tinnitus

                69 Cases 36.2% healed completely 63.8% unchanged (25% decompensation)

                Results of HBOT for Tinnitus

                142 Cases 64.1% completely healed 35.9% unchanged (18% decompensation)

                Results of secondary HBOT for Tinnitus

                72 cases 51.4% completely healed 37.5% improved 11.1 unchanged 0% worsened

                The post HBOT & Audiology appeared first on Hyperbaric Oxygen Therapy.

                Health Provider Info 17 Aug 2021, 8:37 am

                Health Provider Info

                There are only a handful of Physicians, Surgeons and Dentists who are known for outstanding patient outcomes and nearly perfect records of healing. The secret weapon they all have in common? Hyperbaric Oxygen Therapy (HBOT). Medical professionals in hospitals, medical centers and in private practice refer patients for HBOT in every major city in the USA. Why do so many physicians refer, and why should YOU?

                1. The Science proves it works: Choose your specialty from the list to the right to see specifically how it can benefit your patients.
                2. The patients get results: When you refer patients to treatments that work, they remain loyal to your practice.
                3. The process is simple and safe: Many pharmaceuticals have extensive lists of undesirable side effects and contraindications. HBOT has never been blacklisted and is approved for a vast majority of illness and injury.
                4. It is approved by the FDA, it is covered by insurance in many cases and it is considered mainstream medicine by medical journals, medical textbooks and major medical hospitals and universities, nationwide.

                Remember, HBOT does NOT replace any medical treatments, but in fact augments treatment you have already initiated. Our office is an outpatient facility providing advanced medical grade HBOT, and we encourage your patients to follow up with you regularly. Protect your practice by enhancing your healing statistics. Welcome to a more efficient way to heal.

                Hyperbaric Oxygenation Effects on Blood Flow

                Normal blood flow There is 21% oxygen in the air that we breathe, and our lungs transfer this oxygen to our red blood cells (via hemoglobin). These oxygen-filled red blood cells are carried around the body by the plasma (fluid), which travels through the blood vessels. The oxygen diffuses into the surrounding tissue ensuring that it is delivered to where it is needed most.

                Restricted blood flow (ischemia) causes Hypoxia. When there is a restriction (occlusion) in blood flow due to surgery, illness, or injury, the red blood cells block the blood vessel and are unable to transfer oxygen to the cells on the other side of the occlusion. This causes swelling and starves the area of oxygen, causing hypoxia (a lack of oxygen); when this occurs the tissue begins to break down. Hypoxia triggers ‘apoptosis’ (programmed cellular degeneration – clumping and clustering of damaged nerve cells surrounded by healthy neuronal tracts). Apoptosis modifies the expression of plasticity (the ability of the body to repair). Apoptotic bodies and altered DNA fragmentations are observed in the avascular ischemic region with increased inhibitory biochemical factors (proteins) released into the damaged parts of the brain and spinal cord causing further deterioration. Apoptosis has been identified in all neurodegenerative disorders including brain and spinal cord injury. Apoptosis fosters the cycle of continued dysfunction, degeneration and ultimate neuronal death.

                Hyperbaric Oxygenation: Breathing 100% oxygen under pressure causes the oxygen to diffuse into the blood plasma. This oxygen-rich plasma is able to travel past the restriction, diffusing up to 3 times further into the tissue. The pressurized environment helps to reduce swelling and discomfort, while providing the body with at least 10-15 times its normal supply of oxygen to help repair tissue damaged by the original occlusion or subsequent hypoxic condition. Hyperbaric Oxygenation (HBOT) directly increases the saturation of tissue oxygenation, slowing and reversing hypoxic induced apoptosis – restoring blood supply to the compromised region by the development of new capillary networks (neovascularization) enabling the body to alter the course and impact of the disease process.

                Neurovascular Regeneration: HBOT mobilizes the body’s circulating stem cells. American Journal Physiology – Heart and Circulatory Physiology (Nov 05)] reports a single 2-hour exposure to HBOT at 2 ATA doubles circulating CD34+ progenitor stem cells (primordial cells targeted to salvage and restore damaged structures); and at approx. 40-hours of HBOT; circulating CD34+ cells increases eight fold(800%).

                Images by Malcolm R Hooper – HyperMED Australia

                The post Health Provider Info appeared first on Hyperbaric Oxygen Therapy.

                HBOT & Cardiology 17 Aug 2016, 8:46 am

                HBOT & Cardiology

                Conditions Benefited

                • Heart Attack, Myocardial Ischemia
                • Aid to cardiac surgery and rehabilitation
                   

                How will YOUR patient benefit?

                Mitochondiral respiratory rate is an essential component of myocardial function because it influences production of adenosine triphosphate during oxidative phosphorylation. This process requires oxygen tension, as provided by HBOT. Bondarenko et al (1981) studied the influence of HBO on certain indices of tissue metabolism in patients with acute cardiac inefficiencies. They found that the metabolic effects of HBO in patients with acute cardiac insufficiency are not secondary to changes of systemic circulation, but precede them due to direct action of hyperoxia on metabolic processes in the peripheral tissues. Moreover, improvement of regional blood flow and metabolism of peripheral tissues by HBO also exerts a beneficial effect on the systemic circulation thus breaking the vicious circle: Many patients, when following closely the prescribed protocol for Hyperbaric Oxygen Therapy notice the following cumulative benefits from the oxygen:

                 

                Circulatory hypoxia | Myocardial hypoxia | Circulatory hypoxia

                The above findings are confirmed by a decrease of both lactate level and metabolic acidosis, with an unchanged cardiac output. Further improvement in the hemodynamics of these patients is conditioned by a mechanism of compensation, including myocardial hypofunction, with removal of peripheral oxygen debt.

                 

                 

                “Figure 1A, Figure 1B, Figure 1C, Figure 1D” Hyperbaric medicine practice, pg 1044 HBOT in acute myocardial infarction

                The post HBOT & Cardiology appeared first on Hyperbaric Oxygen Therapy.

                HBOT & Physical Therapy 1 Aug 2016, 8:50 am

                HBOT & Physical Therapy

                Conditions in Which HBO is a Useful Adjunct to Rehabilitation

                • Stroke
                • Peripheral Vascular disease
                • Head injury
                • Toxic encephalopathy, e.g., CO poisoning
                • Multiple Sclerosis
                • Paraplegia
                • Sports injuries
                • Coronary heart disease

                Physical therapy is an essential part of rehabilitation in many chronic diseases and in dealing with the sequelae of Cerebrovascular insufficiency and myocardial ischemia, as well as in many neurological disabilities. Physical exercise in various forms is an important component of physical therapy and preventative medicine programs. Hyperbaric oxygenation (HBO) has also proven useful in many medical problems, such as infections and gangrene. There has been very little work on the combination of HBO and physical exercise. Rehabilitation is a multidisciplinary undertaking to aid the functional recovery of patients and their integration into society. It has an important role to play in all branches of medicine, and particularly so in neurological disorders; rehabilitation is not only physical but psychological as well. Rehabilitation uses the techniques of physical medicine, and currently these include ultraviolet light, electrotherapy, and ultrasound. HBO can be added to these. Traditionally, rehabilitation therapy has followed recovery from an acute illness. In some cases rehabilitation measures should already start during the acute phase of an illness and should also aim to preventing further recurrences of the disease process.

                Role of HBO in Rehabilitation

                The combination of HBO (1.5 ATA) with physical therapy has the following advantages. Biochemical improvement. Excess concentrations of lactate, pyruvate, and ammonia, particularly in older people, and detrimental to fitness and contribute to fatigue, and there is significant increase of these substances during exercise. HBO reduces this. Increase of capacity for strenuous exercise. HBO allows more strenuous and prolonged exercise than is possible under normobaric conditions. This is of particular advantage in the rehabilitation of chronic ischemic heart disease patients, for treatment of mild hypertension, and for lowering blood lipids.Neurological disorders. HBO is beneficial in the acute stages of head injury with cerebral edema, and the evidence for HBO therapy in the rehabilitation of the head-injury patient is summarized in Table 35.3. Rehabilitation starts when the patient has regained consciousness and can be moved. The usefulness of HBO in the management of spinal cord injury is described in Chapter 20, and its role in intensive rehabilitation is summarized in Table 35.4. HBO has been found useful in the rehabilitation of patients with postoperative neurological deficits. In many neurological conditions, where the effect of HBO on the course of the disease remains uncertain, rehabilitation is greatly facilitated by conducting physical therapy during an HBO session, for example, in cases of multiple sclerosis and muscular dystrophy. The physical performance capacity of neurologically disabled patients is thus improved. Many patients, when following closely the prescribed protocol for Hyperbaric Oxygen Therapy notice the following cumulative benefits from the oxygen:

                Table 35.3

                Role of HBO in the Rehabilitation of Head Injury

                • Decreases cerebral edema in acute stage
                • Decreases spasticity
                • Accelerates recovery
                • Improves cognitive function recovery in combination with brain jogging
                • Relieves post-traumatic headaches

                Table 35.4

                HBO in Rehabilitation of Paraplegia

                • Relieves spasticity
                • Improves vital capacity
                • Increases exercise capacity
                • Decreases hyperammonemia resulting from exhaustive exercise

                Myocardial infarction. Exercise therapy is popular for the rehabilitation of patients who have recovered from acute episodes. Most of the beneficial effects of HBO in cardiovascular disease are associated with increased capacity for physical exercise. This is particularly true in cases with hypertension, where exercise therapy has been shown to reduce blood pressure. The role of HBO in rehabilitation of myocardial ischemia is shown in Table 35.5.

                Table 35.5

                HBO in Rehabilitation of Myocardial Ischemia

                • Improves exercise capacity
                • Prevents recurrence of ischemic episodes
                • Decreases BP in hypertensives
                • Long-term use reverses atherosclerosis

                Peripheral vascular disease. Exercise therapy for patients with ischemic leg pain is facilitated by the use of HBO in situations where it is possible to extend the limit of performance by the use of normobaric oxygen. A treadmill controlled by the patient can be installed in a hyperbaric chamber for training therapy for those suffering ischemic leg pain. The benefits of exercise under HBO conditions are summarized in Table 35.6.

                Table 35.6

                Benefits of Exercise under HBO in Patients with Ischemic Leg Pain

                • Increases painless exercise capacity
                • Relieves pain both at rest and on activity
                • Reduces biochemical disturbances resulting from exercise of ischemic muscles
                • Counteracts the vasoconstricting effect of HBO
                • Improvement is maintained after cessation of HBO when the ceiling effect is reached

                K.K. Jain, Textbook of Hyperbaric Medicine (pages 432-433). Copyright © 2009 by Hogrefe & Huber Publishers.

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