Ozone Nucleolysis is a minimally invasive (some injections to the patients) non-surgical procedure for SLIP DISC or disc prolapse. 

We are experienced with huge number of such procedures.

There are lots of failure reported with this procedure. Success depends on following factors:

1. Proper selection of patients. Not all cases of SLIP DISC can be managed with Ozone Nucleolysis. We need identify from patients' history and certain MRI criteria whether this procedure will be helpful or not.
2. Proper Skill. Nowadays this procedure is done in many centers without proper training and as a consequence there are failures.
3. Proper protocol. It should be done according to evidence based protocol published in literature. Though it is much safer than operative procedures for slip disc, but not without side effects. So proper guidelines should be maintained.
   

What is done in Ozone Nucleolysis?

After proper selection of patient, discussion with the patient, and some basic investigations they are admitted in the hospital for one day.

Patient is taken into the operation room with facility of C-arm. All aseptic precaution is taken. He is taken at the table in prone position and the problem disc/s is/are identified. Local anaesthetic is injected and then discography needle is introduced into the disc. This is not painful and all patients can tolerate this. They are awake and talk with us during procedure.

After the needle is positioned perfectly as guided by C-arm images (patient can see these images) we inject contrast agent to see the architecture of the disc.  This is called Discogram.

Then local anaesthetic is again injected inside the disc. After waiting for a minute ozone-oxygen mixture (gas) is taken from the Ozone Generator machine and injected inside the disc.Then the needle is taken out.

The is simple procedure in safe hands. Difficult part is placing of needle inside the disc which need proper training of the performer.

To the patient is like injection only.

To the doctor it is equivalent to a surgery of pathological disc.

For both of us it is much less riskier, more economical, less time consuming. Thus is saves money, time and many complications related to surgery and anaesthesia.

Side Effects and complications:

This procedure is very safe in safe hands with experiences. Complications are rare, but are still there in inexperienced hands. They are:

1. Injury to to nerve roots.
2. Infection of the disc called discitis.
3. Retinal hemorrhage.

Above C-arm picture shows needle during introduction and below when checked by other views