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Analgesic Effect of Hyperbaric Oxygen Therapy


Authors: J. Čelko 1;  M. Malay 2;  J. Kresánek 2
Authors‘ workplace: Fakulta zdravotníctva, Trenčianska univerzita Alexandra Dubčeka v Trenčíne 1;  Fakulta ošetrovateľstva a zdravotníckych odborných štúdií Slovenskej zdravotníckej univerzity v Bratislave 2
Published in: Rehabil. fyz. Lék., 24, 2017, No. 2, pp. 76-82.
Category: Original Papers

Overview

 

Background:
Chronic painful condition insufficiently responding to traditional analgesic treatment significantly worsens the patients´ quality of life.

Objectives:
This study aimed to determine whether the hyperbaric oxygen therapy (HBOT) can influence pain and other symptoms in severe algic conditions with insufficient effect of pharmacotherapy.

Methods:
In the paper, we present findings from studies published in electronic databases and journals up to May 2015, aimed at the effect of HBOT on neuropathic pain, fibromyalgia and complex regional pain syndrome.

Results:
In animal experiments, neuropathic pain has been demonstrated by deployment of ligatures on nervus ischadicus. Repeated application of HBOT leads to a long-term antinociceptive phase, to inhibition of astrocytes activation as well as inflammation alleviation. Patients with trigeminal neuralgia got a quick and long-lasting analgesic effect after HBOT. In patients with fibromyalgia, brain function modification has increased pain threshold, decreased the number of tender points and reduced the use of analgesics. In addition, it improved sleep, cognitive functions and increased the energy for daily tasks. In the complex regional painful syndrome, the higher oxygen concentration of HBOT influenced the local hypoxia resulting in reduced pain and edema and increased the range of motion.

Conclusion:
In the above mentioned serious diagnoses, HBOT had a significant analgesic effect and additionally it also influenced other symptoms that negatively affect the quality of life.

Keywords:
hyperbaric oxygen therapy, analgesic effect, neuropathic pain, fibromyalgia, complex regional pain syndrome.


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