Comparative Study between Treatment of Lumbar Disc Herniation with Intra Discal Ozone and Transforaminal Steroid Injection versus Steroid Injection only
Haseeb, A., Abd El Hares, A., Abd El Moez, K., Mustafa, A., Ahmed, O. (2019). Comparative Study between Treatment of Lumbar Disc Herniation with Intra Discal Ozone and Transforaminal Steroid Injection versus Steroid Injection only. EKB Journal Management System, 74(4), 705-720. doi: 10.21608/ejhm.2019.24068
Abd El Shafy Ahmed Haseeb; Abd El Hameed Abd El Hares; Khaled Mohamed Abd El Moez; Ashraf Ismail Mustafa; Osama Eid Ahmed Ahmed. "Comparative Study between Treatment of Lumbar Disc Herniation with Intra Discal Ozone and Transforaminal Steroid Injection versus Steroid Injection only". EKB Journal Management System, 74, 4, 2019, 705-720. doi: 10.21608/ejhm.2019.24068
Haseeb, A., Abd El Hares, A., Abd El Moez, K., Mustafa, A., Ahmed, O. (2019). 'Comparative Study between Treatment of Lumbar Disc Herniation with Intra Discal Ozone and Transforaminal Steroid Injection versus Steroid Injection only', EKB Journal Management System, 74(4), pp. 705-720. doi: 10.21608/ejhm.2019.24068
Haseeb, A., Abd El Hares, A., Abd El Moez, K., Mustafa, A., Ahmed, O. Comparative Study between Treatment of Lumbar Disc Herniation with Intra Discal Ozone and Transforaminal Steroid Injection versus Steroid Injection only. EKB Journal Management System, 2019; 74(4): 705-720. doi: 10.21608/ejhm.2019.24068

Comparative Study between Treatment of Lumbar Disc Herniation with Intra Discal Ozone and Transforaminal Steroid Injection versus Steroid Injection only

The Egyptian Journal of Hospital Medicine
Article 1, Volume 74, Issue 4, January 2019, Page 705-720  XML PDF (555.31 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.24068
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Authors
Abd El Shafy Ahmed Haseeb; Abd El Hameed Abd El Hares; Khaled Mohamed Abd El Moez; Ashraf Ismail Mustafa; Osama Eid Ahmed Ahmed email
Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, AlAzhar University
Abstract
Background: Oxygen-ozone therapy is a minimally invasive treatment for lumbar disc herniation that exploits the biochemical properties of a gas mixture of oxygen and ozone. Objective: The purpose of our study was to prospectively evaluate the clinical effectiveness of oxygenozone therapy and compared the therapeutic outcome of injection of oxygen-ozone combined steroid with injection of steroid alone at different follow-up period. Patients and Methods: One hundred patients were included for this study from al-Agouza Physical Medicine, Rheumatology and Rehabilitation center. From March 2014 to April 2016, we treated 100 patients (42 men, 58 women; age range, 23–65 years) with lumbar disk herniation (L3-4, 23 patients; L4-5, 61 patients; L5-S1, 75 patients) and radicular pain. The mean duration of radicular pain at the time of treatment was 8 weeks. Result: Satisfactory clinical outcomes were obtained in both groups after two weeks, three months and at 6 months. Treatment was successful in patients in group I and patients in group II. The difference between group I and group II was insignificant. Conclusion: O2–O3 seems to play a role in pain relief, and we suggest the administration of the O2– O3 mixture combined with transforaminal steroid injection as a first-choice treatment before recourse to surgery or when surgery is not possible. 
Keywords
Lumbar Disc Herniation; Intra Discal Ozone; Transforaminal Steroid; steroid injection
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