We have treated a diver with a brachial plexus
injury using only HBO2 with incremental improvement observable after
each session. His injury was sustained when he was saturation diving
in the North Sea and so the initial treatment was during the hold
and decompression on the ship. However, we continued twice daily
sessions in hospital for a month. Philip Low's group at the Mayo
have been involved in the study of peripheral nerve injury for many
years and have demonstrated the value of oxygen under hyperbaric
conditions in recovery from sciatic nerve injury. Reference; Kihara
M, McManis PG, Schmelzer J, et al. Experimental ischemic neuropathy;
salvage with hyperbaric oxygenation. Ann Neurol 1995;37:89-94.
"Hyperbaric oxygenation will effectively rescue nerve fibres from
ischemic fiber degeneration, providing the ischemia is not extreme".
Failure of oxygen delivery is the key component in ischemia. Their
final conclusion: "HBO2 has significant potential in the treatment
of human ischemic neuropathy".
Dr. Philip James,
Hyperbaric Medicine, U.K.