Ozone therapy as a treatment for low back pain secondary to herniated disc: a systematic review and meta-analysis of randomized controlled trials

Magalhaes FN, Dotta L, Sasse A, et al. Pain Physician, 2012.

View the abstract on PubMed

Study type
Systematic review / meta-analysis
People studied
Total not recorded
Population
Patients with chronic low back pain secondary to herniated disc
Published
2012, Pain Physician
Identifiers
PMID 22430658
Group
Ozone therapy more broadly

What the authors reported

A systematic review of 8 observational studies and meta-analysis of 4 randomized trials found percutaneous ozone injection (intradiscal or paravertebral) associated with positive pain outcomes and low morbidity, graded as evidence level II-1 to II-3 depending on route of injection.

What limits this result

The authors themselves note a lack of precise diagnostic criteria and frequent use of mixed therapeutic agents across studies, that included trials were mainly active-control, and that no placebo-controlled trial was found.

Other ozone methods, such as major autohemotherapy, that clinics cite in support of EBO2. A result for one method does not transfer automatically to another. One study rarely settles a medical question; our guides weigh each paper against the rest of the evidence.

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