Traumatic Brain Injury (TBI), Concussion, 

Post-Concussion Syndrome and HBOT

For individuals living with Traumatic Brain Injury (TBI), hyperbaric oxygen therapy significantly reduces inflammation, supports the growth of new neural cells through neurogenesis, and helps restore healthy mitochondrial function in brain tissues. Similarly, for those who have experienced a Concussion or suffer from Post-Concussion Syndrome, HBOT plays a crucial role in enhancing cognitive recovery, improving concentration levels, and aiding in more effective mood regulation.

Expected Benefits

  • Enhanced oxygen delivery to hypoxic neurons

  • Reduced neuroinflammation and edema

  • Increased stem cell mobilization and neurogenesis

  • Improved mitochondrial energy production (ATP)

  • Modulation of oxidative stress and apoptosis

  • Support for angiogenesis and synaptic repair

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ALL THE DETAILS

  • 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)

    Clients should start hyperbaric oxygen therapy with a protocol package for comprehensive initial treatment, then continue with a maintenance membership for ongoing support and benefits.

    Individual outcomes from the therapy may vary. Each person’s response to treatment depends on a variety of factors including their unique health condition and overall wellness. While our experienced staff is committed to providing personalized support and guidance throughout the therapy process, we do not guarantee the cure of any medical condition.

    Our goal is to assist clients in achieving relief from symptoms and to support overall healing and recovery. Clients should consult with their healthcare provider before beginning treatment and disclose any health concerns during their sessions.

    By participating in hyperbaric oxygen therapy at ELEVATE SONOMA, clients acknowledge understanding of these terms.
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