Pressure Level: Start at 1.3 ATA, gradually increasing to 1.5-2.0 ATA using Supplemental Oxygen. 

Session Length: Approximately 60-90 minutes per session. 

Initial Treatment for Mild TBI/Concussion: 5 sessions per week for the first 2-3 weeks to address acute symptoms and initiate physiological improvements.
Modified: 3 sessions a week for the first 4-6 weeks 

Maintenance Phase: 1-3 sessions per week for an additional 4-6 weeks, depending on individual response and symptom resolution.

Follow-Up: 

• Assessment: Regular monitoring of cognitive functions, neurological health, and symptom resolution. Imaging studies may be used to observe changes in brain structure and function. 

• Adjustments: Depending on the patient’s response to initial treatments, adjustments may be necessary in terms of additional sessions or modifications in session length and frequency.

Red Light Therapy (RLT) before Hyperbaric Oxygen Therapy (HBOT) can be helpful because it primes the body’s cells and circulation, making them more receptive to the oxygen boost that comes in HBOT.

• RLT duration before HBOT: 10–15 minutes full body, or 5–10 minutes targeted.

• Frequency: 3–5x/week or combined with HBOT sessions

• Timing: Ideally right before the HBOT session so vasodilation and mitochondrial activation are at peak.

Wavelengths:
660 nm (red) – skin rejuvenation, inflammation
850 nm (near-infrared)– deeper tissue, muscle, brain, joints

Here’s why:

1. Increases Blood Flow Before Oxygen Loading
2. Stimulates Mitochondrial Energy Production
3. Reduces Pre-existing Inflammation
4. Enhances Nitric Oxide (NO) Release
5. Prepares the Nervous System- Relaxing

Improved Oxygenation and Neurological Function: Increased oxygen levels can improve the metabolic activity of brain cells, support healing, and potentially reduce the duration and severity of post-concussion symptoms. 

Support for Neuroplasticity: Enhanced neurogenesis and angiogenesis can facilitate neuroplasticity, which is crucial for recovery after brain injuries. 

This HBOT protocol for TBI and concussion aims to utilize the therapeutic benefits of increased oxygen under pressure to aid recovery and reduce complications associated with brain injuries. Coordination with a multidisciplinary healthcare team is essential to ensure that HBOT is safely and effectively integrated into the patient's overall recovery plan.

HBOT improves post-concussion syndrome
https://www.ncbi.nlm.nih.gov/pubmed/24260334

HBOT for sports-related TBI
https://www.ncbi.nlm.nih.gov/pubmed?term=PMID%3A%2022146303

Military personnel with blast-induced TBI and PTSD benefit from HBOT
https://www.ncbi.nlm.nih.gov/pubmed/19829822/

CLICK HERE FOR Full List of HBOT Studies

Do not use if you have any of the following:

1. Uncontrolled seizure disorders

2. Active upper respiratory infections or sinus congestion

3. Uncontrolled hypertension

4. Untreated pneumothorax

5. Claustrophobia (without desensitization or sedation)