Does hyperbaric oxygen therapy hurt?

Wound Wizard can’t tell you how a session will feel. The ears are the part under pressure, though: the most common complication is barotrauma, usually rupture or irritation of the eardrum.

Wound Wizard can’t honestly tell you that the treatment is painful, or that it’s painless. How a session feels isn’t something to guess at on your behalf.

What can be described is the setting. During this treatment you sit inside a special chamber, where the air pressure is about two and a half times greater than the normal pressure in the atmosphere. Sessions usually go to 2.4 atmospheres at 100% oxygen and last around two hours, with two ten-minute oxygen breaks.

The part of the body most affected by the pressure change is the ear. The most common complication of hyperbaric oxygen therapy is barotrauma, which is injury caused by gases expanding in a confined space. The most common form is rupture or irritation of the eardrum. Damage to the inner, middle and outer ear canals is among the more serious injuries.

If you’ve ever felt your ears block on a plane coming in to land, you’ve felt the ordinary version of what the chamber does. What people routinely feel during a session can’t be spelled out here, but the ears are clearly the part under pressure. That makes ear discomfort the thing to ask the unit about: how pressure is equalized, what you’ll be asked to do as the pressure rises, and what to report.

Claustrophobia can also be an issue, especially in a monoplace chamber, which is a single-person chamber rather than a room. That’s a real clinical consideration, not a weakness, and it’s worth raising before a course begins.

If you’re being offered this treatment for a wound, the most useful thing is to ask the unit directly what people commonly feel, what is done about ear pressure, and what they want to hear about afterward. They answer these questions every day.

What to watch for

The most common complication is barotrauma, most often rupture or irritation of the eardrum. Damage to the inner, middle and outer ear canals is among the more serious injuries.

Claustrophobia can be an issue, especially in a monoplace chamber. It’s worth saying before a course begins rather than during a session.

Ear pain or hearing changes after a session are worth reporting to the unit rather than waiting.

What a session routinely feels like can’t be described here. Asking the unit is the way to find out, and it’s a question they expect.

Wound Wizard is general education and can’t tell you how the treatment will feel. The unit providing it is the right one to ask.

What we look at

  • Explaining what a session involves before it starts
  • Advising how to equalise ear pressure during a dive
  • Checking for conditions that raise the risk
  • Reviewing how you tolerated each session

Sources

  1. Hyperbaric Therapy for Wound Healing — StatPearls, National Library of Medicine https://www.ncbi.nlm.nih.gov/books/NBK459172/
  2. Wound care centers — MedlinePlus, U.S. National Library of Medicine https://medlineplus.gov/ency/patientinstructions/000739.htm