How Many Hyperbaric Oxygen Treatments for Symptom Relief? - Family Medicine

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How many sessions are needed to improve the symptoms?


Hello doctor, I went deep diving a week ago, reaching a depth of no more than twelve meters.
Three days ago, I suddenly experienced numbness in my right big toe, so I consulted a hyperbaric oxygen specialist and underwent one session of hyperbaric oxygen therapy.
After the session, I felt a slight improvement in the numbness, but a few hours later, the numbness returned.
Is this a normal phenomenon? How many sessions of hyperbaric oxygen therapy are typically needed to see significant improvement?

Chen Yin, 20~29 year old female. Ask Date: 2018/08/17

Dr. Xiao Yongxun reply Family Medicine


Dear Ms.
Chen Yin: The treatment with hyperbaric oxygen therapy involves specific steps, methods, and a follow-up schedule.
Due to medical considerations, it is generally not advisable to undergo treatment just once; it must be a gradual process.
For detailed information, please consult your attending physician, as I am not well-versed in this area and cannot provide a precise answer.

Reply Date: 2018/08/17

More Info


Hyperbaric oxygen therapy (HBOT) is a medical treatment that involves breathing pure oxygen in a pressurized environment. It is commonly used to treat various conditions, including decompression sickness, carbon monoxide poisoning, and certain types of wounds. In your case, it seems you are experiencing numbness in your right big toe following a diving experience, which could potentially be related to decompression issues or other factors.

The initial treatment you received may have provided some temporary relief, but it is not uncommon for symptoms to return after the session. The effectiveness of HBOT can vary significantly depending on the underlying cause of your symptoms, the severity of the condition, and individual patient factors.

In general, the number of HBOT sessions required for symptom relief can vary widely. Some patients may notice improvement after just one or two sessions, while others may require a series of treatments—often ranging from 10 to 30 sessions—to achieve significant benefits. The specific protocol will depend on the condition being treated and the recommendations of your healthcare provider.

For conditions like decompression sickness, the standard treatment protocol often involves multiple sessions over a period of days or weeks. Each session typically lasts about 60 to 120 minutes, during which you breathe 100% oxygen at pressures greater than normal atmospheric pressure. The increased oxygen levels can help reduce inflammation, promote healing, and improve blood flow to affected areas.

It is essential to communicate openly with your healthcare provider about your symptoms and any changes you experience after each treatment. They can assess your progress and determine whether additional sessions are necessary. If your symptoms persist or worsen, further evaluation may be needed to rule out other potential causes of your numbness.

In addition to HBOT, other supportive measures may be beneficial. These can include physical therapy, medications to manage pain or inflammation, and lifestyle modifications to promote overall health. Staying well-hydrated, avoiding activities that could exacerbate your symptoms, and following any specific recommendations from your healthcare provider are also crucial.

In summary, while some patients may experience relief after a single HBOT session, others may require multiple treatments for significant improvement. It is essential to work closely with your healthcare provider to develop a tailored treatment plan that addresses your specific needs and symptoms. If you have any concerns about the therapy or your symptoms, do not hesitate to reach out to your medical team for guidance.

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