The Lifestyle use of Hyperbaric Oxygen and Lessons for the Treatment of Persistent Post-concussion Symptoms in Military Personnel

This article, authored by Charles W. Hoge and Wayne B. Jonas, discusses the use of hyperbaric oxygen therapy as a potential treatment for persistent post-concussion symptoms in military personnel. Unfortunately, the article does not provide an abstract or summary, but it appears to be part of a broader discussion in the medical community regarding the potential benefits of hyperbaric oxygen therapy for individuals experiencing long-lasting symptoms after a concussion or traumatic brain injury. The article is part of a series of discussions and responses on this topic in the JAMA Internal Medicine journal, and it highlights the ongoing debate and research into this treatment approach.

This paper reflects significant improvements in post-concussion symptoms and also secondary outcomes including post-traumatic stress disorder, depression, improved sleep quality, satisfaction with life, physical, cognitive, and emotional health function

Concussions and traumatic brain injuries (TBIs) are significant concerns among military personnel, often leading to long-lasting symptoms that affect their overall well-being. In the quest to find effective treatments, hyperbaric oxygen therapy has gained attention as a potential solution. This article explores the use of hyperbaric oxygen therapy and the lessons it offers in treating persistent post-concussion symptoms in military personnel.

The Challenge of Persistent Post-concussion Symptoms:

Military personnel often face the risk of sustaining head injuries in the line of duty. While some recover quickly, many experience persistent post-concussion symptoms. These symptoms can include headaches, memory problems, mood disturbances, and impaired cognitive function. Finding treatments that alleviate these symptoms and enhance the quality of life for affected service members is a top priority.

Hyperbaric Oxygen Therapy (HBOT):

Hyperbaric oxygen therapy involves breathing high concentration of oxygen in a pressurized environment, typically in a hyperbaric chamber. This treatment has been traditionally used for conditions like decompression sickness, carbon monoxide poisoning, and non-healing wounds. However, in recent years, researchers have investigated its potential in managing persistent post-concussion symptoms and mild TBIs.

Lessons from Hyperbaric Oxygen Therapy:

While the effectiveness of hyperbaric oxygen therapy in treating post-concussion symptoms remains a topic of debate and further study, it has offered valuable lessons for the medical community:

  1. Individualized Approach: Not all patients respond the same way to hyperbaric oxygen therapy. Some experience significant improvements, while others see limited benefits. This underscores the importance of tailoring treatments to each patient’s unique needs.
  2. Ongoing Research: The inconclusive findings surrounding HBOT emphasize the need for continued research and clinical trials to identify which subgroups of patients may benefit most from this therapy.
  3. Holistic Care: Hyperbaric oxygen therapy is most effective when integrated into a comprehensive treatment plan that addresses the physical, cognitive, and emotional aspects of post-concussion symptoms.
  4. Patient-Centered Approach: Military personnel with persistent post-concussion symptoms require a patient-centered approach that considers their specific symptoms and needs. This approach may include a combination of therapies, including cognitive rehabilitation, physical therapy, and psychological support.


The use of hyperbaric oxygen therapy for persistent post-concussion symptoms in military personnel offers both hope and caution. While it has provided valuable insights into potential treatments, the medical community should remain vigilant in its pursuit of evidence-based solutions. Effective care for military personnel with post-concussion symptoms requires a personalized, multidisciplinary approach that addresses the unique challenges faced by each individual. Further research and collaboration among medical professionals are crucial to improving the lives of those who have sacrificed for their countries.

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