Hyperbaric Oxygen Therapy

The following is a list of many conditions with documented benefit from hyperbaric oxygen therapy as an “off-label” treatment:

· Autism/ Autistic Spectrum Disorders

· Acquired Immune Deficiency Syndrome AIDS/ HIV

· Allergies, Asthma, Immunity

· ALS (Amyotrophic Lateral Sclerosis)

· Alzheimer’s

· Arthritis- Rheumatoid, Osteoarthritis, Osteoarthrosis

· Atherosclerosis

· Attention Deficit Disorder

· Bells Palsy

· Brain Injury / Encephalopathy

· Burns

· Cerebral Palsy

· Cancer

· Chronic Fatigue Immune Dysfunction/ CFIDS/ CFS

· Coma

· Cosmetic Surgery/ Plastic Surgery

· Crohn’s Disease

· Dementia

· Depression

· Diabetes

· Epilepsy/ Seizure Disorders

· Fibromyalgia

· General Health

· Hearing Loss

· Heart Disease/ Cardiac

· Hepatitis

· Infection

· Injury Healing

· Interstitial Cystitis

· Lupus

· Lyme Disease

· Macular Degeneration

· Memory Loss

· Menopause Symptoms

· Migraines

· Multiple Chemical Sensitivity

· Multiple Sclerosis

· Near Drowning

· Neuropathy

· Ocular (Eye) Conditions

· Orthopedic

· Osteoporosis

· Parkinson’s

· Post-Polio

· Post- Surgery / Plastic Surgery

· Reflex Sympathetic Dystrophy/ RSD

· Rheumatoid Arthritis

· Rheumatic Diseases

· Seizures

· Spinal Cord Injury

· Sports Performance & Injury

· Stroke

· Surgery/ Post Surgery

· Traumatic Brain Injury

· General Wound Healing and Post Surgery Healing

The following is a list of the fifteen conditions that are FDA approved for treatment with hyperbaric therapy. These conditions are typically reimbursed by insurance and include:

· Actinomycosis

· Air or Gas Embolism

· Carbon Monoxide Poisoning and Smoke Inhalation

· Clostridial Myonecrosis (Gas Gangrene)

· Cyanide poisoning

· Crush Injury, Compartment Syndrome, and other Acute Traumatic Ischemias

· Decompression Sickness

· Diabetic Wounds*

· Necrotizing Soft Tissue Infections

· Osteomyelitis (Refractory)

· Radiation Tissue Damage (Osteoradionecrosis)

· Severe Anemia

· Skin Grafts and Flaps (Compromised)

· Thermal Burns

*Must meet the following criteria

· Patient has Diabetes type I or II with a lower extremity wound due to the condition

· Patient has wound classified as Wagner grade II or higher

· Patient has failed adequate course of standard wound therapy

Contraindications

The following conditions and medications may not be compatible with hyperbaric treatments utilizing hyperbaric chambers:

Conditions

· Pregnancy- while in some cases, women are able to receive treatment utilizing mild hyperbaric oxygen chambers, the contraindication is absolute for traditional hard-shell hyperbaric chambers

· Congenital spherocytosis – a genetic disorder of the red blood cell membrane characterized by anemia, jaundice (yellowing) and splenomegaly (enlargement of the spleen)

· Untreated pneumothorax – free air in the chest outside the lung that requires aspiration of the free air and/or placement of a chest tube to evacuate the air

· Upper respiratory infections - These conditions can make it difficult for the patient to clear their ears, which can result in what is termed sinus squeeze.

· Severe emphysema and chronic obstructive pulmonary disease (COPD) patients with either of these conditions may cease breathing if placed in a hyperbaric chamber because their lungs only breathe when it detects enriched levels of CO2.

Medications

· Cis-Platinum– a chemotherapy agent most often used to treat lung cancer

· Disulfiram (Antabuse®)– an oral tablet used to treat chronic alcoholism

· Doxorubicin (Adriamycin®)– a medication used in cancer chemotherapy

· Mafenicde Acetate (Sulfamylon®)– a topical cream used to prevent and treat bacterial or fungus infections (primarily from burns)

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