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New diagnostic and therapeutic approaches: the 'Ozone

The use of a gas mixture consisting of oxygen - ozone is more widely used in the treatment of persistent pain of back pain. After the first uses in spinal pain, whether due to a degenerative disease of the spine or in the presence of a herniated disc, this gas appears to play an important role in the conservative treatment of spine disorders, traumatic or not, that also affect the muscles, tendons and joints.
The scientific literature now widely recognized in this particular "drug" a greater efficacy than other treatments * , emphasizing both the low incidence of side effects due to the action of its gas, is one of complications related to the techniques of application, if it is implemented "by expert hands and in compliance with the Guidelines." The

Dr. Marco Leonardi, Primary neuroradiologist Bellaria Hospital in Bologna, in its report has shown multiple mechanisms of action that are triggered by the administration of ozone in the tissues that make up the spine. In this action one can recognize at least three factors:

1) lower production of mediators of inflammation (inflammation)

2) inactivation metabolites acting on the nerve endings cause the pain

3) a net improvement of local microcirculation, with better and faster elimination of toxic substances. This allows a regeneration of the injured anatomic structures and this would explain the frequent effects of repair of the lesion may be present in instrumental diagnostic checks performed after the treatment.

use techniques of 'Oxygen-Ozone in the pain of spinal origin

1) Technical intraforaminale

After locating a RM hernia (Figure A pictured), under CT guidance and in compliance with infertility is accessed percutaneously to the intervertebral foramen through which the nerve roots exit from the spinal canal. (B figure in the photo )
obtained confirmation of correct placement of radiation, and after the intake test (which prevent the accidental puncture of a blood vessel), it may slow the delivery of the gas mixture in volumes suitable concentrations and clinical condition.
(C figure in the photo )
appears to be the most effective technique is valid in both hard-root diseases (hernia) is in the facet joint syndrome in case of inflammation paravertebral ligamentous and muscular.

2) Technical intradiscal
under CT guidance and in compliance with the absolute sterility is accessed percutaneously directly into the intervertebral disc, and after execution of the discography, we proceed to the administration of the mixture of ozone in the manner above reported.

3) paravertebral infiltration
proceed with the administration of the gas mixture at a distance of about two cm. from the midline of the spinous processes. The administration of ozone is performed after a negative aspiration test, slowly and at different depth levels: muscle and skin.


* Bonetti M, Fontana A, Cotticelli B, Volta GD, Guindani M, Leonardi
intraforaminale O (2)-O (3) versus periradicular steroidal infiltrations in lower back pain: randomized controlled study.