Ozone disc nucleolysis as an alternative to open disc surgery for slip disc

Authors

  • Kawsar Sardar Department of Anaesthesiology, BIRDEM General Hospital and Ibrahim Medical College, Dhaka
  • Gautam Das Chairman, India, Pakistan and Sri Lankan chapter of World Institute of Pain.
  • Palak Mehta Pain consultant, HCG Medisurge Hospitals, Navrangpura, Gujrat, India
  • Shantanu Mallick Pain consultant, Dr D Y Hospital and Research Centre, Mumbai
  • Richard Hubbard Resident physician, University of Pitsburgh medical center, Pitsburgh, Pennsylvania

DOI:

https://doi.org/10.3329/bmj.v43i1.21380

Keywords:

Slip disc, ozon, pain management

Abstract

Back pain associated with herniated disks has become an important and increasingly general health problem, both in Bangladesh and across the world. After all methods of conservative treatment have been exhausted, nucleolysis may be a minimally invasive alternative to surgery. In nucleolysis, chondrolytic substances, or other substances which reduce the pressure within the disk by other means, are injected into the nucleus pulposus under CT scan or fluroscopic guidance. Among various substances, which have been employed for nucleolysis, an ozone-oxygen mixture appears to be very promising. The water-binding capacity of ozone results in a reduction of pain. Moreover, it has an anti-inflammatory effect and results in an increase in perfusion to the affected area. Ozone is converted into pure oxygen in the body and has a low allergic potential. Recent minimally invasive therapeutic methods such as percutaneous nucleotomy or laser treatment have not been shown to be superior when compared with ozone nucleolysis.

DOI: http://dx.doi.org/10.3329/bmj.v43i1.21380

Bangladesh Med J. 2014 January; 43 (1): 51-55

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Published

2014-12-30

How to Cite

Sardar, K., Das, G., Mehta, P., Mallick, S., & Hubbard, R. (2014). Ozone disc nucleolysis as an alternative to open disc surgery for slip disc. Bangladesh Medical Journal, 43(1), 51–55. https://doi.org/10.3329/bmj.v43i1.21380

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Section

Original Articles