Article Sidebar

pdf
Date Published: 23/06/2025
Abstract Views: 56
Views pdf: 33
DOI: https://doi.org/10.51298/vmj.v551i1.14522
Issue
Vol. 551 No. 1 (2025)
Section
Các bài báo
How to Cite
Đỗ Đình, T., Đinh Trung, T., & Nguyễn Văn, N. (2025). STUDY ON THE EFFECTIVENESS OF PAIN RELIEF ACCORDING TO THE VAS SCALE IN PATIENTS TREATED FOR LUMBAR DISC HERNIATION WITH CT-GUIDED PERCUTANEOUS OZONE THERAPY. Vietnam Medical Journal, 551(1). https://doi.org/10.51298/vmj.v551i1.14522

STUDY ON THE EFFECTIVENESS OF PAIN RELIEF ACCORDING TO THE VAS SCALE IN PATIENTS TREATED FOR LUMBAR DISC HERNIATION WITH CT-GUIDED PERCUTANEOUS OZONE THERAPY

Tùng Đỗ Đình, Thành Đinh Trung, Nghĩa Nguyễn Văn

Main Article Content

Abstract

Objective: To evaluate the pain relief effectiveness, based on the VAS scale, of MRI-guided percutaneous ozone therapy in the treatment of lumbar disc herniation at Saint Paul General Hospital. Methods: This interventional study was conducted on 147 patients (intervention group: 100 patients; control group: 47 patients). Percutaneous ozone and corticosteroid therapy were administered under MRI guidance. Results: The primary needle insertion route into the disc was posterolateral at a 45-degree angle (81%), while the remaining cases (19%) followed a midline approach through the vertebral lamina. Disc localization was rated as good in 74% of cases, moderate in 20%, and poor in 6%. The VAS score significantly decreased from 8.1 to 2.8 after 6 months. Short-term and mid-term treatment outcomes (at 1 and 3 months) were similar between the two groups. However, at 6 months, the intervention group exhibited lower pain levels and better functional outcomes than the control group. Conclusion: MRI-guided percutaneous ozone therapy is an effective intervention for lumbar disc herniation, providing significant pain relief and better preservation of motor function in long-term follow-up.

Article Details

Keywords

Lumbar disc herniation, Magnetic resonance imaging, VAS

References

1. Andersson GB. Epidemiological features of chronic low-back pain. Lancet. Aug 14 1999;354(9178):581-5.
2. Rimeika G, Saba L, Arthimulam G, et al. Metanalysis on the effectiveness of low back pain treatment with oxygen-ozone mixture: Comparison between image-guided and non-image-guided injection techniques. Eur J Radiol Open. 2021;8:100389.
3. Bhatia A, Munk P, Lee D, Elias G, Murphy K. Percutaneous Ozone Treatment for Herniated Lumbar Discs: 1-Year Follow-up of a Multicenter Pilot Study of a Handheld Disposable Ozone-Generating Device. J Vasc Interv Radiol. May 2019;30(5):752-760.
4. Migliorini F, Maffulli N, Eschweiler J, Bestch M, Tingart M, Baroncini A. Ozone injection therapy for intervertebral disc herniation. Br Med Bull. Dec 15 2020;136(1):88-106.
5. Somma F, D'Agostino V, Negro A, et al. Radiation exposure and clinical outcome in patients undergoing percutaneous intradiscal ozone therapy for disc herniation: Fluoroscopic versus conventional CT guidance. PLoS One. 2022;17(3):e0264767.
6. Ercalik T, Kilic M. Efficacy of Intradiscal Ozone Therapy with or without Periforaminal Steroid Injection on Lumbar Disc Herniation: A Double-Blinded Controlled Study. Pain Physician. Sep 2020;23(5):477-484.
7. Bruno F, Palumbo P, Tommasino E, et al. Evaluation of intervertebral disc using T2 mapping sequences in patients undergoing O2-O3 chemiodiscolysis: an instrumental study with clinical correlation. Neuroradiology. Jan 2020; 62(1):55-61.
8. Hidalgo-Tallon FJ, Torres-Morera LM, Baeza-Noci J, Carrillo-Izquierdo MD, Pinto-Bonilla R. Updated Review on Ozone Therapy in Pain Medicine. Front Physiol. 2022;13:840623.
9. J. C. Fairbank and P. B. Pynsent. The Oswestry Disability Index. Spine (Phila Pa 1976) 2000 Vol. 25 Issue 22 Pages 2940-52; discussion 2952.