Aug 7, 2025
When to Recommend Hyperbaric Oxygen Therapy for Your Patients
When to Recommend Hyperbaric Oxygen Therapy for Your Patients

Hyperbaric oxygen therapy (HBOT) is a medical therapy that involves breathing pure oxygen inside a special pressurized chamber. This treatment increases the amount of oxygen in the blood, which helps the body repair injured tissues, fight infection, and improve wound healing. But when should you recommend it?
At 417 Integrative Medicine, HBOT is part of a patient-centered care model designed to support recovery in complex conditions. This guide explains when hyperbaric oxygen therapy may be the right choice for your patients, the types of cases it supports, and what factors to consider before making a referral.
Understanding Hyperbaric Oxygen Therapy
Hyperbaric oxygen therapy is a type of treatment that takes place in a hyperbaric chamber, where the air pressure is two or three times higher than normal air pressure. In this hyperbaric environment, patients receive concentrations of oxygen that are much higher than normal air pressure allows.
There are two kinds of HBOT chambers:
- Monoplace chamber: for one patient at a time.
- Multiplace chamber: for two or more people; oxygen is given through a mask or hood.
This increased pressure allows extra oxygen to dissolve into the blood. That oxygen helps white blood cells fight bacteria, reduces swelling, and supports the growth of new blood vessels. Hyperbaric oxygen therapy increases oxygen delivery to tissues that are starved of it, making it especially useful in wound care and other cases where circulation is limited.
Conditions Where HBOT May Be Recommended
As a healthcare provider, you should use hyperbaric oxygen therapy only for certain conditions. The Undersea and Hyperbaric Medical Society (UHMS) and the U.S. Food and Drug Administration (FDA) both support its use in specific cases.
You may consider HBOT as part of the treatment plan when your patient has:
1. Decompression sickness
Common in divers, this condition occurs when nitrogen bubbles form in the bloodstream. Hyperbaric oxygen therapy treats decompression sickness by helping dissolve these bubbles and reducing symptoms.
2. Carbon monoxide poisoning
In cases of high exposure, especially with low blood oxygen levels, breathing pure oxygen in a pressurized chamber helps flush out carbon monoxide faster and restore oxygen to the brain.
3. Radiation injuries
Hyperbaric treatment supports the healing of tissues damaged during radiation therapy, especially in the head, neck, or pelvic areas.
4. Chronic or non-healing wounds
This includes chronic wounds from diabetes, poor circulation, or infection. HBOT may be used in addition to standard wound care to promote oxygen flow and support tissue repair.
5. Skin grafts or flaps at risk
When tissue grafts show signs of failure due to poor oxygen supply, oxygen treatment in a hyperbaric oxygen therapy chamber can improve survival.
6. Infections like gas gangrene or necrotizing fasciitis
HBOT is also used to treat serious infections by boosting oxygen to the affected area and helping the body fight bacteria.
7. Certain brain injuries
For select cases of traumatic brain injury, HBOT could support recovery when used under guidance from a specialist.
Clinical Settings and Program Types
You can find hyperbaric oxygen therapy in hospitals, hyperbaric medicine programs, or specialty wound care centers. These programs often include a specially trained team that manages care safely and effectively.
Each treatment session usually lasts 1.5 to 2 hours. Patients may require multiple sessions based on their condition and response.
It’s important to ensure that the facility uses certified HBOT chambers, whether monoplace or multiplace, and follows safety standards from the Undersea and Hyperbaric Medical Society.
Safety and Side Effects
Hyperbaric oxygen therapy is well studied and considered safe and effective when used correctly. However, some side effects include:
- Ear pain or middle ear injuries due to changes in pressure in the chamber
- Fatigue or mild discomfort
- Temporary vision changes
- Rare cases of oxygen poisoning may occur if sessions are too long
Patients with lung disease, fever, or other serious conditions may be at increased risk of complications, so always assess suitability before referral.
When Therapy Helps, and When It Doesn’t
While therapy helps many patients, it’s not for everyone. HBOT must be used along with other treatments, it’s rarely enough on its own. For example, therapy alone won’t heal a wound without proper cleaning, infection control, and pressure relief.
Also, HBOT isn’t proven for every condition. Some clinics may advertise it for off-label uses like anti-aging or sports recovery, but you should focus only on conditions approved by the UHMS or supported by clinical research.
Know the Right Time
Hyperbaric oxygen therapy must be used with care, but when applied correctly, it can support recovery in complex cases. From chronic wounds to carbon monoxide poisoning, HBOT plays an important role in patient care. Its ability to deliver oxygen in the blood at times higher than normal air offers a unique tool in your clinical decision-making.
At 417 Integrative Medicine, our team provides safe and personalized HBOT as part of a comprehensive treatment plan. We use certified hyperbaric chambers, follow evidence-based protocols, and care for each patient with close medical supervision.
If you believe your patient could benefit from hyperbaric oxygen therapy, contact us to learn more or book an appointment. We’re here to support healing, one breath at a time.
417 Integrative Medicine
1335 E Republic Rd D, Springfield, MO 65804
(417) 363-3900
https://www.417integrativemedicine.com/