Details

Autor(en) / Beteiligte

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

Titel

The Role of Hyperbaric Oxygen Therapy in Orthopedics and Rheumatological Diseases

Ist Teil von

• The Israel Medical Association journal, 2017-07, Vol.19 (7), p.429-434

Ort / Verlag

Israel

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• 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.