Indication of oxygen ozone therapy in the back pain of the sportsman with spongy edema type modic 1

Sport has contradictory effects on the lumbar spine, because while on the one hand it guarantees a strengthening of the “Muscular Core” of the trunk and increases its stability and elasticity, on the other hand it subjects the body to repeated stress and micro-trauma that would not occur in normal life and if prolonged over time cause damage to the structures, rather than a benefit. There are some conditions predisposing to lumbago in sportsmen and women that lead to the onset of the pathology determined mainly by functional overload of the spine. The rapid biomechanical movement produces a displacement of the pulpy nucleus which, if it fails to reposition itself, frequently causes micro lesions of the annulus with consequent degeneration of the disc in the medium term. In our study, only 20% of our athletes with back pain were found to have an anatomical cause, such as a herniated disc or vertebral stenosis, predominantly a discopathy related to Modic 1 type spongy edema. There is in fact a very strong correlation between the Modic type 1 sign, which is an indication of spongy tissue edema associated with trabecular fracture and back pain. One of the hypothetical causes of Modic type 1 bone edema has been attributed to the infection of bacteria such as: Proprionibacterium acnes, Corynebacterium propinquum and Staphylococcus, demonstrating the effectiveness of Modic Antibiotic Spinal Therapy (MAST) on the symptom of pain in patients with chronic lumbago.