Medicine from Space: Ozone Therapy
It sounds like something out of a classic science fiction movie, but ozone therapy is a medical approach that has been investigated for decades and is used by practitioners in various countries. Research has explored its potential effects on inflammation, antioxidant defenses, immune signaling, and tissue repair. In the United States, a relatively small number of physicians and other qualified healthcare practitioners have specialized training in its clinical application.
The history of ozone therapy dates back to the late 19th century. Nikola Tesla patented an ozone generator in 1896, and ozone was subsequently used in medical settings, including for wound disinfection during World War I. Today, ozone is also widely used in water treatment. In 2010, the Alvarado and Miramar water treatment plants in San Diego, California, incorporated ozone into their disinfection processes.
Medical research has investigated ozone therapy for a range of conditions, including cardiovascular disease, ischemic stroke, diabetic complications, certain eye diseases, multiple sclerosis, fibromyalgia, chronic viral hepatitis, and spinal disc herniation. Although some studies have reported promising findings, the quality and strength of evidence vary considerably by condition and treatment method. Ozone therapy is not an established or proven treatment for all of these conditions.
How Does Ozone Therapy Work?
Ozone (O₃) is a molecule composed of three oxygen atoms, whereas the oxygen gas we breathe (O₂) contains two. Ozone occurs naturally in the atmosphere, where the stratospheric ozone layer helps protect life on Earth by absorbing much of the Sun’s harmful ultraviolet radiation.
Medical ozone is produced from medical-grade oxygen using a specialized ozone generator. It is a highly reactive molecule that interacts with biological fluids, producing secondary signaling molecules that may influence cellular activity.
Depending on the clinical indication and treatment protocol, ozone-based procedures may include major autohemotherapy, localized musculoskeletal injections, topical applications, and rectal or bladder insufflation. In major autohemotherapy, a sample of blood is collected, exposed to a controlled ozone-oxygen mixture outside the body, and returned to the patient.Ozone gas must never be injected directly into a vein.
Researchers have investigated several potential mechanisms through which ozone-related signaling may influence biological function, including activation of cellular antioxidant pathways and modulation of inflammatory responses. Proposed effects include:
- Modulating inflammation: Influencing cellular signaling pathways involved in inflammatory responses.
- Supporting tissue repair: Potentially influencing biological processes associated with tissue healing and remodeling.
- Influencing cellular energy metabolism: Studies have investigated changes in red blood cell metabolism and related biochemical markers.
- Supporting antioxidant defenses: Potential activation of pathways involved in the body's response to oxidative stress.
- Influencing circulation and oxygen delivery: Research has examined changes in blood rheology and red blood cell function.
- Modulating immune signaling: Potential effects on immune-cell activity and inflammatory mediators.
These mechanisms are areas of ongoing research. Their clinical significance depends on the condition being treated, the route of administration, and the available evidence.
Is Ozone Therapy Safe?
The safety of ozone therapy depends on the administration method, treatment protocol, practitioner training, and patient-specific risk factors. Although some studies report relatively few adverse events with particular procedures, ozone therapy should not be considered risk-free.
Potential complications of injection-based procedures include pain, bruising, bleeding, infection, and lightheadedness. More serious complications may occur, depending on the procedure and circumstances. Ozone inhalation is particularly dangerous because it can irritate and damage the respiratory tract and may worsen conditions such as asthma and chronic obstructive pulmonary disease (COPD).
A frequently cited 1980 survey by the German Medical Society for Ozone Therapy reported approximately 5.5 million treatments among 384,775 patients and a very low reported complication rate. However, this historical survey should be interpreted cautiously because its reporting methods and safety-monitoring standards may not meet current clinical research standards. It cannot establish the safety of every ozone procedure or treatment protocol.
Patients considering ozone therapy should discuss the potential benefits, risks, alternatives, and strength of the available evidence with a qualified healthcare professional. Ozone therapy should not replace established treatments for serious medical conditions.
Dr. Wilson's Experience with Ozone and Prolozone Therapy
Dr. Devin Wilson, ND, received certification in ozone and prolozone therapy from The American Academy of Ozone Therapy and was trained by Frank Shallenberger, MD, in 2012. Dr. Wilson has incorporated these approaches into his clinical practice since that time, emphasizing individualized care and consideration of potential benefits, limitations, and risks.
Medical disclaimer: This article is for educational purposes only and does not replace individualized medical advice. Evidence for ozone therapy varies by indication and administration method, and many proposed benefits require further clinical investigation. Ozone must never be inhaled, as it can cause serious lung injury. Direct intravenous injection of ozone gas is unsafe and should not be performed. Patients should discuss potential benefits, risks, and alternatives with a qualified healthcare professional.
Scientific References
1.Borrelli E, Diadori A, Zalaffi A, Bocci V. Effects of major ozonated autohemotherapy in the treatment of dry age-related macular degeneration: A randomized controlled clinical study.International Journal of Ophthalmology.2012;5(6):708–713.
2.Sagai M, Bocci V. Mechanisms of action involved in ozone therapy: Is healing induced via a mild oxidative stress?Medical Gas Research.2011;1:29.
3.Wu X, Li Z, Liu X, Peng H, Huang Y, Luo G, Peng K. Major ozonated autohemotherapy promotes the recovery of upper limb motor function in patients with acute cerebral infarction.Neural Regeneration Research.2013;8(5):461–468.











