Prof. Dr. Serbulent Gökhan Beyaz gave important information about the subject. Low back pain is an important health problem worldwide, causing loss of work force and an important socio-economic and public health burden in hospitals. Low back pain is estimated at 22-65% per year: It is most common between the ages of 50-60 and up to 80% of the population has mild or severe low back pain at some point in life. In about 60-80% of people who experience low back pain, no real cause can be diagnosed and the pain is attributed to tension in the muscles or ligaments in the vertebrae. Although the cause of low back pain remains unclear, this pain often occurs with herniated disc and calcification in the spine. Lumbar hernia can cause many biochemical and inflammatory stimuli by directly touching or compressing the nerve in the lumbar region and nerve roots, as well as burning in the leg and foot, spontaneous warming or feeling as if something hot has been spilled, and may cause pain that hits the foot and leg. There is no condition that every lumbar hernia will cause pain in the lower back. It can also occur only in the form of pain in the foot or calf area. In most cases, it is a self-limiting or regressive condition, but relapses are common and can cause significant disability and pain to become chronic.
The treatment of low back pain and the treatment of herniated disc are not the same conditions. Although it is not necessary, herniated disc can cause low back pain, but not all back pain is herniated disc. The treatment differs here. A conservative approach is pain relief, muscle relaxants, and physical therapy is usually considered the first-line treatment. If patients do not benefit from this treatment, minimally invasive treatments such as percutaneous injections have been shown to be easily tolerated and give very good clinical results. Among these treatments, the application of ozone gas to hernia is one of the most effective treatments for relieving back pain due to herniated disc or just leg or foot pain. The world literature in recent years also says this. It is worth remembering that ozone application to waist and neck hernia is a method that requires knowledge and experience. In these methods, the needle must be carefully inserted into the hernia in the waist with the technique we call percutaneous in the operating rooms. If special needles are not placed correctly, there will be nothing but ozone gas injection into the waist muscles, so we cannot see the benefit we expect.
I would like to express that I do not agree with the criticism that these treatments do not treat the pain only. The common expectations of open surgery and ozone applications on herniated disc are the removal of the hernia above the nerve. In open surgery, while all hernia tissue is removed, ozone application to the hernia helps to heal the hernia by shrinking and tightening it. Along with a rapid increase in calcification after all open surgeries including microdiscectomy, it also reduces the height provided by the hernia tissue to protect the nerves. Therefore, a new surgery is required due to nerve compression, adhesion or re-hernia. For all these reasons, it is beneficial for the patients to research the effectiveness of ozone application on the waist and neck hernia and to be examined by a pain physician before taking the decision of surgery for lumbar or neck hernia.