Clinical Outcome for Lumbar Disc Herniation Treatment with Intradiscal Oxygen-ozone Therapy

  • Rupesh Kumar Yadav Department of Anesthesiology, Critical Care and Pain Medicine, National Trauma Center, National Academy of Medical Sciences, Mahankal, Kathmandu
  • Tshering Sherpa Department of Anesthesiology, Critical Care and Pain Medicine, National Trauma Center, National Academy of Medical Sciences, Mahankal, Kathmandu
  • Pawan Kumar Hamal Department of Anesthesiology, Critical Care and Pain Medicine, National Trauma Center, National Academy of Medical Sciences, Mahankal, Kathmandu
  • Nabin Pokhrel Department of Anesthesiology, Critical Care and Pain Medicine, National Trauma Center, National Academy of Medical Sciences, Mahankal, Kathmandu
  • Jay Prakash Thakur Department of Anesthesiology, Critical Care and Pain Medicine, National Trauma Center, National Academy of Medical Sciences, Mahankal, Kathmandu
  • Shirish Prasad Amatya Nepal Pain Care and Research Center, New Baneswor, Kathmandu
  • Roshan Piya Nepal Pain Care and Research Center, New Baneswor, Kathmandu
DOI: https://doi.org/10.33314/jnhrc.v21i4.5070

Abstract

Background: Low back pain due to disc herniation is a common problem causing frequent hospital visits and loss of working days with major socio-economic impact. Conservative treatments like analgesics, physiotherapy do not work in all patients. Surgical treatment has been the mainstay of treatment when indicated but is associated with anesthetic and surgical complications. Intradiscal oxygen-ozone chemonucleolysis is a minimally invasive procedure done under local anesthesia and has promising role in shrinking the bulged disc and reducing nerve root compression and related symptoms. This retrospective study was done to see how intradiscal oxygen-ozone chemonucleolysis reduces pain severity in patients with discogenic low back pain.
Methods: Retrospective data were retrieved of those patients who underwent fluoroscopy guided intradiscal oxygen-ozone chemonucleolysis with 5-6 ml of an O2-O3 mixture (concentration of 30 microgram/ml) during a period of two years in Nepal pain care and research center. Numerical pain scale (NRS) at various follow ups were compared to preprocedural NRS.
Results: Preprocedural NRS was 8± 13. NRS at three hours, one week, one month, three months and six months were 2± 13 (73 percent reduction), 2± 53 (68 percent reduction), 2± 27 (72 percent reduction), 1± 08 (77 percent reduction) and 1± 67 (79 percent reduction) respectively.
Conclusions: Intradiscal oxygen-ozone chemonucleolysis can be a useful modality of treatment for discogenic low back pain in patients who fail to respond to conservative management and in whom surgery is not indicated.
Keywords: Chemonucleolysis; disc prolapse; fluoroscopy; low back pain; ozone.

Published
2024-03-31
How to Cite
YadavR. K., SherpaT., HamalP. K., PokhrelN., ThakurJ. P., AmatyaS. P., & PiyaR. (2024). Clinical Outcome for Lumbar Disc Herniation Treatment with Intradiscal Oxygen-ozone Therapy. Journal of Nepal Health Research Council, 21(4), 684-688. https://doi.org/10.33314/jnhrc.v21i4.5070
Issue
Vol. 21 No. 4 (2023): Issue 61 Oct-Dec,2023
Section
Original Article

Copyright (c) 2024 Rupesh Kumar Yadav, Tshering Sherpa, Pawan Kumar Hamal, Nabin Pokhrel, Jay Prakash Thakur, Shirish Prasad Amatya, Roshal Piya

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