There are numerous protocols to objectively analyze the clinical results in patients with low back pain and herniated nucleus pulposus (HNP).2-26 We evaluated our results with a modified MacNab method (Table 19.1).

In patients with degenerative disease complicated by herniation, results were:

Excellent in 40% Good or fair in 40% Mediocre or bad in 20%

In patients with L4-L5 or L5-S1 herniated discs results were:

Excellent in 64% Good or fair in 13% Mediocre or bad in 23%

Images Scan Herniated Disc
Figure 19.2. This patient with median herniated nucleus pulposus received (A) 4 mL of intradiscal O2-O3 (CT axial scan) and (B) 15 mL of epidural O2-O3 (sagittal multiplanar reconstruction).

In patients with multiple disc herniations results were:

Excellent in 58% Good or fair in 11% Mediocre or bad in 31%

In FBSS patients results were:

Excellent in 50% Good or fair in 25% Mediocre or bad in 25%

Paramedian Hnp
Figure 19.3. (A) Intradiscal positioning and (B) intradiscal and epidural oxygen-ozone diffusion in a patient with a right paramedian HNP.

In patients with calcified disc herniations results were:

Excellent in 35% Good or fair in 20% Mediocre or bad in 45%

In patients with herniated disc associated with stenosis results were:

Excellent in 25% Good or fair in 25% Mediocre or bad in 50%

Table 19.1. Results as measured by a modified MacNab Method





Disappearance of symptoms

Insufficient improvement of

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Back Pain Revealed

Back Pain Revealed

Tired Having Back Pains All The Time, But You Choose To Ignore It? Every year millions of people see their lives and favorite activities limited by back pain. They forego activities they once loved because of it and in some cases may not even be able to perform their job as well as they once could due to back pain.

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