18-2 Good indications of CO2 therapy

BODY Jacques Pierre

doi:10.11390/onki.77.556

Of course, they rest on physiologic effects: vasodilatation, scar healing and pain relief ^{1)-3), 6)}. Hence, in the vascular field, at the first rank, and for a century, the queen indication is Intermittent Claudication⁴⁾, at the level of ischemic effort in all sites: whether the claudication is in the calf, in the foot or/and in the hip. The patient notices in 7 to 8 days, a decrease in the onset of discomfort and improved recovery, the pain being more bearable. This good result is maintained because the patient is able to follow the walking advices . Atherosclerosis subclavian stenosis with arms’ claudication is also quickly improved. Buerger’s and Takayashu’s diseases (aside from acute episodes) are an indication for upper and lower limbs. Adequate and long-term results are obtained in erectile dysfunction, which is present in 70% in patients suffering from intermittent claudication, especially using strictly sub-cutaneous CO₂ injections. Primary and secondary Raynaud’s phenomenon is the second major vascular indication⁵⁾. The most significant indication is the scleroderma hand for: - increased finger flexibility (as well as the entire body skin surface). - scar healing. - and of course, improved Raynaud’s syndrome. 28°C CO₂ baths applied to venous and lymphatic insufficiency enables a decrease in volume, including elephantiasis with long-term dry baths. At the border of vascular and esthetic fields, LDS is nowadays a classic indication. A long list of rheumatologic indications thanks to antalgic effects: all arthritis, with most significantly the thumb and cervical spine, but also shoulder stiffness, osteoporosis, algo-dystrophy and fibromyalgia. A page remains to be written about the following items: - loss of balance with cervical spine arthritis, - the onset of migraine headaches, - macula degeneration, - visual field in patients affected with glaucoma, - tinnitus, - cognitive functions

18-2 Good indications of CO<sub>2</sub> therapy

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