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Oxygen-Ozone Therapy Associated with Alpha Lipoic Acid Plus Palmitoylethanolamide and Myrrh versus Ozone Therapy in the Combined Treatment of Sciatic Pain Due to Herniated Discs: Observational Study on 318 Patients

Bonetti M, Lauritano D, Ottaviani GM, Fontana A, Zambello A, Della Gatta L, Muto M, Carinci F. Int J Environ Res Public Health. 2022;19(9):5716.

Observational studyHumansWith alpha-lipoic acid and myrrh

This study tested palmitoylethanolamide together with alpha-lipoic acid and myrrh. Its results cannot be assigned to palmitoylethanolamide alone. More combination studies.

Design
Observational study
Subjects
318 patients with sciatica from a herniated disc: 165 had CT-guided oxygen-ozone injections alone, 153 had the injections plus the oral supplement
Dose used in the study
Oral alpha-lipoic acid plus palmitoylethanolamide plus myrrh; doses not stated in the abstract
Duration
Assessed at about 60 days
What was measured
Complete pain remission on a modified McNab scale

What the authors reported

Complete remission in 76.4 percent with ozone alone and 77.8 percent with ozone plus the supplement.

Limits of this study

The two groups differed by 1.4 percentage points, which the abstract does not test statistically, yet the conclusion favours the combination. Not randomised, not blinded, one outcome at one time point. Three compounds combined. Authors declare no conflicts.

Source

PubMed 35565111 · doi:10.3390/ijerph19095716

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.