Ozone Knee Therapy


Osteoarthritis of the knee usually effects patients over the age of 50 and is more common in those who  are overweight, losing weight tends to reduce the symptoms.  A genetic predisposition can also play an important part in the onset of this disease. Other contributing factors include trauma to the meniscus, damage to the cruciate ligaments and fractures to bones.



The symptoms of osteoarthritis of the knee tend to progress and to get progressively worse  but you should be aware that their intensification is not constant, over time you can have periods of mild pain alternating with periods of acute pain. To diagnose the proper progress of the disease, it is essential to compare the symptoms during a period of several weeks and not to consider any particular day. The most common symptoms are:

• Pain, which usually increases with movement and decreases with rest.

• Loss of flexibility and loss of mobility, joint stiffness.

• Swelling and tenderness of the joint.

• Deformity of the joint

• Pain at night


Medical Consultation

You should contact your family doctor if you experience swelling or soreness of the knee joint for more than two weeks. Your doctor may request a weight bearing  x-ray of the knee, and then evaluate the need for further study in order to determine the progression of the condition.



Osteoarthritis of the knee occurs when the cartilage that covers the ends of bones of the knee joint deteriorates. The cartilage may become completely consumed and cause the bones to rub together, leading to joint damage and the onset of pain. It is not always clear why osteoarthritis of the knee develops: the majority of physicians believe it to be a combination of factors which may include muscle weakness, obesity, hereditary, injury, joint stress and aging.


Risk Factors

The factors that contribute to an increased risk of osteoarthritis are:

• Age: Osteoarthritis usually occurs in older people. People under 40 years rarely have osteoarthritis.

• Gender: Women are more likely to develop osteoarthritis.

• Bone deformities: some people are born with bone deformities defective joints and cartilage that can increase the risk of osteoarthritis.

• Injured joints, such as those produced by sports activities or caused by accidents.

• Obesity because excess weight causes more stress on the joints such as the knees.

• Some types of occupations: repetitive tasks involving the knee joint may add to the development of osteoarthritis.

• Other diseases, such as gout, rheumatoid arthritis, Paget’s disease or septic arthritis may increase the risk of developing osteoarthritis


Treatments and drugs

There is no cure for osteoarthritis, but appropriate treatments can help reduce pain and maintain joint movement, so that the disease does not interfere with daily activities. Depending on the level of pain and joint damage, the physician will recommend a specific regimen. Among the most common recommendations:

• Avoid activities that worsen the pain.

• During the day apply ice packs on the knee for 20/30 minutes to reduce the inflammation.

• Take over the counter anti-inflammatory drugs or oral steroids to reduce the amount of inflammation and pain. If over  the counter medicines such as ibuprofen or naproxen are not enough, your doctor may prescribe stronger medication.

• Physical therapy: exercises can help increase joint movement and flexibility, and help strengthen the muscles of the leg. For most patients it is widely advised to contact a physiotherapist to find exercises that restore the functionality of the knee without risking further injuries, such as aqua gymnastics.

• Use medical devices that help the joint to withstand the pressure, such as piston rings, stick or shoes with shock absorbing soles, also used to correct flat feet.

• Cortisone injections can help to reduce inflammation and reduce pain.

• Glucosamine and Chondroitin: Glucosamine and chondroitin taken orally can be effective in  treatment for  knee ‘osteoarthritis.


Hyaluronic acid


If the oral medicine and physical therapy are not sufficient to relieve knee pain, you can have injections of hyaluronic acid. Hyaluronic acid is a component already present in the knee and its injections have the aim of increasing the amount to protect the joint when the cartilage thins and acts as a lubricant. This treatment can provide pain relief  more effectively than oral medications for a period of six months to a year.


Ozone Therapy

The Ozone acts as an anti-inflammatory. It is very useful in the early stages of osteoarthritis. In recent years the use of dual administration of a mixture of oxygen-ozone associated with hyaluronic acid has been particularly used. In this way you bind  the action of lubricating  hyaluronic acid with that of the anti-inflammatory ozone.

The cycle includes a standard series of 10-12 infiltrations with Oxygen-Ozone when administered as a single agent. When it is associated with Ozone-Hyaluronan the infiltration can be reduced to 3-5, depending on the type of hyaluronic acid used.



Surgery is the last option but it may be necessary to control  pain no longer manageable conservatively (medical or infiltrative).