ROLE OF OZONE THERAPY IN FROZEN SHOULDER

Ozone therapy has been explored as a potential treatment for frozen shoulder, also known
as adhesive capsulitis. Here’s a summary of the role of ozone therapy in frozen shoulder:

Benefits of Ozone Therapy for Frozen Shoulder

1. Reduced inflammation: Ozone therapy has anti-inflammatory properties, which may
   help reduce swelling and pain in the affected shoulder joint.
2. Improved circulation: Ozone therapy may help improve blood flow to the affected area,
   promoting healing and reducing inflammation.
3. Breaking down adhesions: Ozone may help break down the adhesions and scar tissue
   that form in the shoulder joint, leading to improved mobility and reduced stiffness.
4. Pain relief: Ozone therapy may provide pain relief by reducing inflammation and
   promoting the release of natural pain-relieving chemicals, such as endorphins.

Mechanisms of Action

1. Modulation of cytokines: Ozone therapy may help regulate the production of cytokines,
   which are proteins involved in inflammation.
2. Increased antioxidant activity: Ozone therapy may help increase antioxidant activity,
   reducing oxidative stress and inflammation.
3. Improved joint mobility: Ozone therapy may help improve joint mobility by reducing
   inflammation and breaking down adhesions.

Administration Methods

1. Intra-articular injection: Ozone gas is injected directly into the shoulder joint.
2. Ozonated oil application: Ozonated oil is applied topically to the affected area.
3. Ozone sauna: The patient is exposed to ozone gas in a sauna-like environment.

Clinical Evidence

Several studies have investigated the use of ozone therapy for frozen shoulder, with
promising results. However, more research is needed to fully understand its effects and
optimal treatment protocols.

Safety and Precautions

1. Proper dosing and administration: Ozone therapy should only be administered by a
   trained healthcare professional.
2. Potential interactions: Ozone therapy may interact with certain medications or worsen
   underlying medical conditions.
3. Temporary side effects: Ozone therapy may cause temporary side effects, such as pain,
   swelling, or redness at the injection site.