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Key takeaways

  • Ozone therapy is a form of alternative medicine that involves the administration of ozone gas to the body for therapeutic purposes.
  • In ozone therapy, medical-grade ozone gas is generated and administered to patients through various routes, such as ozone gas injections, ozone-infused water or oil, or ozone gas delivered rectally or vaginally.
  • Ozone therapy is believed to have anti-inflammatory effects, reducing inflammation in tissues and alleviating symptoms associated with inflammatory conditions such as arthritis, colitis, and dermatitis.
  • The side effects linked to ozone therapy include but are not limited to respiratory irritation, ozone toxicity, skin irritation, infection risk, and potential interactions with medications or medical conditions.
  • Inhaling ozone gas can irritate the respiratory tract, leading to symptoms such as coughing, throat irritation, chest tightness, and shortness of breath.
  • Improperly administered ozone therapy or the use of contaminated equipment may increase the risk of infection.

Alternative medicine like ozone therapy has gained popularity over the years as a possible means of dealing with several conditions including microbial infections, skin diseases, detoxification and wound healing. In this article, we would look at how ozone therapy works while also evaluating its safety.

What is ozone therapy?

Ozone therapy is a form of alternative medicine that involves the administration of ozone gas to the body for therapeutic purposes. Ozone (O3) is a molecule composed of three oxygen atoms and is a highly reactive form of oxygen. In ozone therapy, medical-grade ozone gas is generated and administered to patients through various routes, such as ozone gas injections, ozone-infused water or oil, or ozone gas delivered rectally or vaginally.

Ozone therapy has been used to treat a wide range of medical conditions, including chronic infections, autoimmune diseases, cardiovascular disorders, chronic pain, and even cancer. However, its effectiveness and safety remain controversial, and it is not widely accepted as a mainstream medical treatment.

How does ozone therapy work?

Ozone therapy operates by introducing ozone gas into the body through a variety of administration routes, each tailored to suit specific medical conditions and patient preferences. These methods include injections, insufflations, topical applications, and even intravenous infusions. The diverse administration routes of ozone therapy allow for targeted, localized, or systemic delivery of therapeutic effects, depending on the nature of the medical condition being treated and the desired outcome.

Injections involve directly injecting ozone gas into targeted areas of the body, such as joints, muscles, or soft tissues, to deliver localized therapy. This approach is commonly used for treating musculoskeletal conditions, including arthritis, tendonitis, and herniated discs.

Insufflations involve introducing ozone gas into body cavities, such as the rectum, vagina, or ears, to deliver therapy to mucous membranes or affected organs. This method is often used to treat conditions such as gastrointestinal disorders, vaginal infections, and ear infections.

Topical applications of ozone therapy involve applying ozone-infused oils, creams, or gels to the skin to deliver therapeutic effects locally. This approach can be used to promote wound healing, reduce inflammation, and treat skin conditions such as eczema, psoriasis, and fungal infections.

Intravenous infusions of ozone therapy involve mixing ozone gas with a patient’s blood or saline solution and then administering it directly into the bloodstream. This method allows for systemic delivery of ozone therapy, enabling its therapeutic effects to reach various organs and tissues throughout the body. Intravenous ozone therapy is often used to support immune function, improve circulation, and treat systemic infections.

What are the therapeutic benefits of ozone therapy?

Ozone therapy may offer a variety of therapeutic benefits, although scientific evidence supporting these claims varies and may be limited. Some of the commonly suggested therapeutic benefits of ozone therapy include:

  1. Antimicrobial properties: Ozone has potent antimicrobial properties, capable of killing bacteria, viruses, fungi, and parasites. It can help combat various infections, including bacterial infections, viral infections (such as herpes and hepatitis), fungal infections (such as candidiasis), and parasitic infections.
  2. Anti-inflammatory effects: Ozone therapy is believed to have anti-inflammatory effects, reducing inflammation in tissues and alleviating symptoms associated with inflammatory conditions such as arthritis, colitis, and dermatitis.
  3. Detoxification: Ozone therapy is thought to support detoxification processes by stimulating the production of antioxidant enzymes and enhancing cellular metabolism. It can help neutralize toxins, free radicals, and heavy metals in the body, promoting the elimination of waste products and supporting liver and kidney function.
  4. Immune modulation: Ozone therapy is believed to modulate the immune system, enhancing its ability to recognize and destroy foreign invaders while regulating autoimmune responses. This immune-modulating effect may help combat infections, boost immune function, and reduce the risk of autoimmune diseases.
  5. Pain relief: Ozone therapy has been reported to alleviate pain by reducing inflammation, improving circulation, and promoting tissue repair. It is used to treat various painful conditions, including musculoskeletal pain, neuropathic pain, and chronic headaches.
  6. Wound healing: Ozone therapy can promote wound healing by increasing oxygen delivery to tissues, stimulating collagen production, and enhancing immune function. It is used to treat chronic wounds, diabetic ulcers, pressure sores, and other types of non-healing wounds.
  7. Improved circulation: Ozone therapy is believed to improve blood circulation by dilating blood vessels and increasing oxygen delivery to tissues. This enhanced circulation can promote tissue repair, reduce edema, and improve cardiovascular health.

What are the risks associated with ozone therapy?

Ozone therapy, like any medical intervention, carries potential risks and side effects, particularly when not administered properly or by untrained individuals. Some of the risks associated with ozone therapy include:

  1. Respiratory irritation: Inhaling ozone gas can irritate the respiratory tract, leading to symptoms such as coughing, throat irritation, chest tightness, and shortness of breath. Individuals with respiratory conditions such as asthma or chronic obstructive pulmonary disease (COPD) may be at increased risk of experiencing these symptoms.
  2. Ozone toxicity: Ozone is a highly reactive gas that can cause oxidative damage to tissues when present in high concentrations. Ozone toxicity can manifest as lung irritation, inflammation, and damage (pulmonary edema), particularly when ozone is inhaled at high doses or for prolonged periods.
  3. Skin irritation: Topical application of ozone-infused oils, creams, or gels may cause skin irritation, redness, itching, or rash in some individuals, particularly those with sensitive skin or allergies.
  4. Mucous membrane irritation: Insufflation of ozone gas into body cavities such as the rectum, vagina, or ears can cause irritation of mucous membranes, leading to discomfort, burning sensation, or inflammation.
  5. Infection risk: Improperly administered ozone therapy or the use of contaminated equipment may increase the risk of infection. Infections associated with ozone therapy can include bacterial, fungal, or viral infections, particularly if sterile techniques are not followed.
  6. Ozone embolism: In rare cases, intravenous administration of ozone therapy may lead to the formation of gas emboli (air bubbles) in the bloodstream, which can block blood vessels and cause tissue damage or organ dysfunction.
  7. Potential interactions: Ozone therapy may interact with certain medications or medical conditions, potentially leading to adverse effects or complications. It’s essential for individuals undergoing ozone therapy to disclose their full medical history and current medications to their healthcare provider to avoid potential interactions.
  8. Contraindications: There are certain medical conditions for which ozone therapy may be contraindicated or require caution, such as acute respiratory distress syndrome (ARDS), severe lung disease, bleeding disorders, and certain genetic conditions. It’s crucial for healthcare providers to assess individual health status and risk factors before recommending ozone therapy.

Frequently asked questions

Is ozone therapy safe?

While ozone therapy is generally considered safe when administered by qualified healthcare professionals, there are potential risks and side effects associated with the treatment. These risks include respiratory irritation, ozone toxicity, skin irritation, infection risk, and potential interactions with medications or medical conditions.

What are the different methods of administering ozone therapy?

Ozone therapy can be administered through various methods, including injections (intramuscular, intra-articular), insufflations (rectal, vaginal, ear), topical applications (ozone-infused oils, creams), and intravenous infusions. Each method may be used depending on the specific medical condition being treated.

How long does ozone therapy treatment last?

The duration of ozone therapy treatment varies depending on the specific medical condition being treated, the method of administration, and individual health factors. Treatment sessions may last from a few minutes to several hours and may be repeated over a series of sessions or as needed.

Is ozone therapy covered by insurance?

Ozone therapy may not be covered by health insurance plans, as it is considered an alternative or complementary therapy. Coverage may vary depending on the insurance provider and the specific medical condition being treated. It’s recommended to check with your insurance provider for coverage details.

Who can perform ozone therapy?

Ozone therapy should only be performed by qualified healthcare professionals who have received specialized training in its administration and safety protocols. This may include doctors, naturopathic physicians, or other licensed healthcare providers with expertise in ozone therapy.

Is ozone therapy regulated by health authorities?

The regulation of ozone therapy varies depending on the country and jurisdiction. In some regions, ozone therapy may be regulated as a medical device or as part of complementary and alternative medicine practices. It’s essential to ensure that ozone therapy is administered in compliance with local regulations and guidelines.

Are there any clinical trials supporting the use of ozone therapy?

Yes, there have been clinical trials examining the effects of ozone therapy for certain medical conditions, including chronic wounds, musculoskeletal disorders, and infections. However, many of these studies have limitations, such as small sample sizes or lack of control groups, highlighting the need for further research.

Has ozone therapy been approved by regulatory agencies for medical use?

Ozone therapy is not universally approved or regulated for medical use by regulatory agencies such as the U.S. Food and Drug Administration (FDA) or the European Medicines Agency (EMA). In many countries, it is considered an alternative or complementary therapy and may not undergo the same regulatory scrutiny as conventional medical treatments.

Sources

Gadelha Serra, M. E., Baeza-Noci, J., Mendes Abdala, C. V., Luvisotto, M. M., Bertol, C. D., & Anzolin, A. P. (2022). The role of ozone treatment as integrative medicine. An evidence and gap map. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.1112296

Smith, N. L., Wilson, A. L., Gandhi, J., Vatsia, S., & Khan, S. A. (2017). Ozone therapy: An overview of pharmacodynamics, current research, and clinical utility. Medical Gas Research, 7(3), 212-219. https://doi.org/10.4103/2045-9912.215752

Serra MEG, Baeza-Noci J, Mendes Abdala CV, Luvisotto MM, Bertol CD and Anzolin AP (2023) The role of ozone treatment as integrative medicine. An evidence and gap map. Front. Public Health 10:1112296. doi: 10.3389/fpubh.2022.1112296

El Meligy, O. A., Elemam, N. M., & Talaat, I. M. (2023). Ozone Therapy in Medicine and Dentistry: A Review of the Literature. Dentistry Journal, 11(8), 187. https://doi.org/10.3390/dj11080187

Smith, Noel L.1; Wilson, Anthony L.2; Gandhi, Jason2,3; Vatsia, Sohrab4; Khan, Sardar Ali M.D.2,5,*. Ozone therapy: an overview of pharmacodynamics, current research, and clinical utility. Medical Gas Research 7(3):p 212-219, Jul–Sep 2017. | DOI: 10.4103/2045-9912.215752

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