In what could bring cheer to hundreds of patient suffering from backaches,disc problems,the Regional Spinal Injuries Centre (RSIC),Sector 70,Mohali,has started ozone therapy for such patients.
In fact,RSIC is the only centre after New Delhi to provide this facility in this region at a public sector institute.
The therapy known as ozone discolysis,is a procedure where injection of mixture of O3 and O2 (ozone and oxygen) is injected into the disc which results in dehydration of the nucleus of the disc.
Ozone has analgesic effect. In addition to this,antioxidant scavenger system is also regulated which acts as anti-inflammatory response. Ozone has been shown to produce a significantly better effect than corticosteroids and there is no complication of this technique.
Dr Deepak Thapa,Associate Professor,Department of Anaesthesiology,who underwent his training for pain relief at Institute of Medical Sciences,BHU,has started this technique at RSIC,where significant number of patients with disc diseases are being attended. Earlier,patients with disc herniation having pain in leg were offered injections of corticosteroids which were usually not given if the patient was diabetic.
This procedure can be used in both contained and protruded,i.e. prolapsed,intervertebral disc. This procedure is primarily meant for disc prolapse with prominent pain in the leg but can also be used for pain in the back because of the disc degeneration,says RSIC project director Professor Raj Bahadur.
This procedure has opened a new vista for a patient with back pain in this region. The procedure of discolysis is essentially a painless procedure where under X-ray (image intensifier),the operator after giving local anaesthesia in the lower back puts a very thin needle in the disc which is diseased.
After this,2 to 3 mg of Cefazolin (antibiotic) mixed with Omnipaque (dye) is instilled in the substance of nucleus of the disc which can be very clearly seen in the X-ray because of the dye with the antibiotic. After confirming the position of the needle and this dye,4 ml of ozone is injected. The total procedure takes not more than five minutes and the patient remains conscious during the procedure.
Only 2 per cent of the disc disease requires surgery. Thus,the treating physician or surgeon must judiciously identify the indication of various therapies before recommending surgery to a patient,he suggests.