Diabetes & Neuropathy 

diabetes, diabetes symptoms,, type 2 diabetes, diabetes mellitus, glucose, hba1c, type 1 diabetes, insulin, prediabetes, gestational diabetes, neuropathy, peripheral neuropathy, diabetic neuropathy, neuropathic pain, ulnar nerve entrapment, polyneuropathy, treatment for neuropathy in legs and feet, neuropathy treatment, autonomic neuropathy, neuropathy in feet

Hyperbaric oxygen therapy stimulates angiogenesis, the creation of new blood vessels, and improved circulation for tissue that has been damaged, and stop the spread of neuropathy. Helping diabetic and neuropathy patients avoid amputation.

  • Studies have shown that extensive treatments can produce new blood vessels, a process called angiogenesis.
  • ​ By creating new routes for blood to flow through, the patient can experience better circulation, especially to limbs that have been affected by diabetic induced tissue damage. 
  • ​Many patients have reported a reduction or complete cessation of neuropathy and the pins and needles and tingling pain that is keeping them awake at night. 
  • ​Increased circulation may also prevent the need for limb removal in patients with severe diabetic ulcers. 
  • ​Hyperbarics has been extensively studied for its healing potential of slow or non-healing wounds, especially in diabetic patients.

“I have neuropathy…I couldn’t put on shoes, standing to make dinner was difficult…my quality of life has increased [after hyperbaric oxygen therapy]…I am sleeping again…and the pain has decreased [in my feet].” 
~Wendy, Patient

Helping the Body to Heal
Patients with inadequately controlled diabetes have too much glucose (sugar) in their bloodstream due to dysfunctional insulin production/utilization. Over time, this excessive amount of sugar can damage nerves and blood vessels, which can constrict blood flow. The pain associated with damaged nerves is called neuropathy and it can be severe enough to create mobility issues in the affected areas, which may further decrease circulation. In cases of diabetes, most patients experience neuropathy and decreased circulation in their extremities; this is due to how far away these areas are from the heart. Some patients with advanced diabetes experience injuries to their extremities, usually in the feet, resulting in open wounds or ulcers. With insufficient blood flow to the injury, it can become very difficult or impossible for the body to heal itself. The inflammatory process will be triggered but may not be followed up with the necessary responses from the immune system to repair the injured tissue. Diabetic ulcers can last for years and continue to worsen over time. These non-healing wounds are the main cause of foot and hand amputations for diabetic patients.

Diabetic ulcers and other non-healing wounds are some of the most studied conditions for hyperbaric oxygen therapy. Hyperbaric therapy can help push blood and oxygen much deeper into the body, even through areas that are damaged and inflamed. By flooding the ulcer with oxygen, the body can quickly initiate its healing response and fight to restore the injured tissue. Multiple studies and anecdotes have shown complete recovery from mild ulcers and injuries as well as ones that have progressed into severe infections and for patients who were scheduled for amputation. Hyperbaric therapy has also been proven to create new blood vessels, a process called angiogenesis. For diabetic patients, this can result in brand new routes for improved circulation to extremeties. This means that patients may be able to utilize hyperbaric therapy to prevent ulcers as well as to treat them. The mechanism of action for healing diabetic ulcers may also work to heal damaged nerves and end the painful symptoms of diabetic neuropathy.

Person touching their foot, with a red glow to signify area of pain.
Diabetic Ulcers and Hyperbarics: Studies, Articles and Videos
Hyperbaric oxygen (HBO) therapy in treatment of diabetic foot ulcers: Long-term follow-up Majid Kala
Adjunctive HBO therapy can be valuable for treating selected cases of hypoxic diabetic foot ulcers. It seems to accelerate the rate of healing, reduce the need for amputation, and increase the number of wounds that are completely healed on long-term follow-up. Additional studies are needed to further define the role of HBO, as part of a multidisciplinary program, to preserve a functional extremity, and reduce the short- and long-term costs of amputation and disability.

“I have neuropathy…I couldn’t put on shoes, standing to make dinner was difficult…my quality of life has increased [after hyperbaric oxygen therapy]…I am sleeping again…and the pain has decreased [in my feet].” 
~Wendy, Patient

See Testimonial Videos Of Patients' Experiences

Recovery For Athletes:
✅ 75% faster recovery from marathons, intense workouts, surgery, illness, weightlifting and more!
✅ Concussions, headaches, amazing for traumatic brain injury
✅ More energy, stamina, go longer, harder
✅ More mental clarity, eliminates brain fog, better focus even for ADD and autism
✅ The edge for athletes, try it a day before and after a big race!

Hyperbaric oxygen therapy has helped this patient: 
✅Migraines/headaches, less intense, less of them
✅Pain relief
✅Recovery from exercise and injury
✅Helps with achy joints from aging
✅Boundless energy, feel vibrant!
✅More mental clarity, less overwhelmed
✅Relaxation, less anxious and stressed

Stroke recovery in these ways:
✅Faster recovery
✅Restore feeling and movement in affected limbs
✅Restore connectivity to muscles
✅Hair growth
✅Eliminate Lupus rash
✅Improves natural feeling and sensitivity
✅Improvements in strength
✅Improved mobility
✅Improved brain function and confidence
✅Brain fog

Using hyperbaric made a huge difference for
✅Neuropathy pain, pins and needles
✅Being able to wear shoes again, stand for extended periods of time
✅Sore feet including plantar fasciitis pain (from other patient testimonials)
✅Nerve recovery, restores natural feeling and sensitivity
✅Improved sleep quality, deeper and longer
✅ Improved quality of life

Diabetes, ulcers, Neuropathy, Vasculopathy,  Wound Healing: Studies, Articles and Videos

Hyperbaric Oxygen Therapy Improves Glucose Homeostasis in Type 2 Diabetes Patients…
Hyperbaric Oxygen Therapy Improves Glucose Homeostasis in Type 2 Diabetes Patients…
P Vera-Cruz 1, F Guerreiro, M J Ribeiro, M P Guarino, S V Conde
The carotid bodies (CBs) are peripheral chemoreceptors that respond to hypoxia increasing minute ventilation and activating the sympathetic nervous system. Besides its role in ventilation we recently described that CB regulate peripheral insulin sensitivity. Knowing that the CB is functionally blocked by hyperoxia and that hyperbaric oxygen therapy (HBOT) improves fasting blood glucose in diabetes patients, we have investigated the effect of HBOT on glucose tolerance in type 2 diabetes patients. Volunteers with indication for HBOT were recruited at the Subaquatic and Hyperbaric Medicine Center of Portuguese Navy and divided into two groups: type 2 diabetes patients and controls. Groups were submitted to 20 sessions of HBOT. OGTT were done before the first and after the last HBOT session. Sixteen diabetic patients and 16 control individual were included. Fasting glycemia was143.5 ± 12.62 mg/dl in diabetic patients and 92.06 ± 2.99 mg/dl in controls. In diabetic patients glycemia post-OGTT was 280.25 ± 22.29 mg/dl before the first HBOT session. After 20 sessions, fasting and 2 h post-OGTT glycemia decreased significantly. In control group HBOT did not modify fasting glycemia and post-OGTT glycemia. Our results showed that HBOT ameliorates glucose tolerance in diabetic patients and suggest that HBOT could be used as a therapeutic intervention for type 2 diabetes.

Here's What I've Learned

New medical research Reveals most powerful treatment yet

From: Dr. AJ Ludlow
Stronglife Physiotherapy

There is a big difference between being alive and thriving.

To me thriving means living a capable, strong, independent and exhilarating life. Thriving means avoiding debilitating illness, aches and pains. This can be a challenge as we age. Wouldn't you agree?

As the owner at Stronglife Physiotherapy I have a rare opportunity to bring revolutionary medical technology to help those working toward this kind of life. This therapy will help my patients have an unfair advantage to living a healthier life. As you'll see below, this treatment offers hope and healing for a wide range of conditions including many that don't have many other treatment options. 

About Our "Stronglife" Hyperbaric Oxygen Clinic

About Dr. AJ Ludlow, DPT

About Dr. AJ Ludlow, DPT

Dr. AJ Ludlow is passionate about finding the most innovative ways to keep his patients from being in pain and struggling with debilitating disease for years. He wants to bring the best medical technology the world can offer to the state he loves and the people he wants most to help.

A California native, but has lived a total of 15+ years in Utah between receiving his undergraduate at Brigham Young University and his doctorate at the University of Utah, he now calls Utah his home!

He has traveled and researched extensively to find the most effective solutions for injury and pain. What someone would have once had to travel outside the US for, is now available right here in Provo, UT. 

Dr AJ Ludlow Hyperbaric Oxygen Therapy (HBOT) Provider in Provo Utah, stronglife physiotherapy AJ ludlow doctor of physical therapy physical therapist in provo Orem utah

Frequently Asked Questions

What type of hyperbaric chamber do you use?
We use soft chambers that reach 1.3 atmospheres of pressure. This is considered mild hyperbaric oxygen therapy and has several advantages over hard chambers. When it comes to pressure with HBOT, more is not necessarily better. Most chronic or non-emergency conditions respond better to lower pressures. You still get a healing dose of oxygen and pressure without the higher risks that come with higher pressure chambers. It is much more affordable than hard chamber sessions and it is even available for home use for those who have a hard time coming into the office for the recommended number of treatments.   
Am I a good candidate if my Doctor doesn’t think it will help?
A study found that 75% of medical schools offer little to no education on hyperbaric oxygen therapy. Most doctors have very limited understanding of hyperbarics. A practitioner with specialized knowledge of hyperbaric oxygen therapy will be better suited to answer your questions. When you consider how safe, natural and powerful hyperbarics can be, it is worth doing more research and seeking a second opinion from a knowledgeable practitioner. Many doctors who do educate themselves on hyperbaric oxygen therapy end up being very supportive and even change their practice of medicine to offer it. 
How does hyperbaric oxygen therapy help? 
Hyperbaric oxygen therapy delivers up to 3x the normal amount of oxygen throughout the body. This helps with healing, reducing inflammation, energy production, digestion, detoxification, concentration, recovery, etc. Many parts of the body do not receive sufficient oxygen, are damaged, or “turned off” because of an illness, or injury. For example tendons do not receive as much blood flow as muscles and are often more likely to be injured or strained. Hyperbaric oxygen therapy gets more oxygen to all parts of the body, reawakening cells, such as brain cells after a stroke, or heart cells after a heart attack. It gives the body a huge advantage to heal, repair and regenerate itself. As a result of the increased oxygen, the part of every cell in your body that produces energy (mitochondria) becomes stronger and more efficient, many negative symptoms from health conditions and aging disappear, and you have more energy and mental clarity. The more sessions you do, the more these changes become permanent. It positively affects your DNA and can turn some negative DNA markers off and turn positive ones on. For example, eliminating many allergic reactions and even putting some diseases into remission.
Does insurance cover hyperbaric oxygen therapy?
Hyperbaric oxygen therapy is FDA approved, covered by insurance, for 14 conditions, even though many other conditions benefit from this treatment. It is used for over 200 different conditions in other countries with extensive research supporting its use. If hyperbaric oxygen therapy is used for any condition other than the 14 approved conditions it will be considered “off label’ and therefore not covered by insurance companies. Hyperbaric oxygen therapy is a regenerative treatment and insurance companies, unfortunately, have a bad track record of covering regenerative medicine. The FDA approved conditions are: air embolism, gas embolism, acute traumatic ischemia, burns, carbon monoxide poisoning, smoke inhalation, diabetic foot ulcers, exceptional blood loss, decompression sickness, gas gangrene, necrotizing infections, severe anemia, skin grafts and flaps and wound healing. If you have one of the FDA approved conditions it is recommended that you seek care at a facility that can bill insurance for the treatment. 
Is hyperbaric oxygen safe? 
Hyperbaric oxygen therapy is extremely safe, especially the type offered at Stronglife. Our chamber goes to 1.3 ATM which is the equivalent pressure of being 10 feet under water. We also provide supplemental oxygen directly to you through a nasal cannula instead of pressurizing the entire chamber with 100%. This means there is no risk of oxygen toxicity and no risk of a small spark causing a fire or explosion, with higher pressure and higher oxygen levels the risks go up. 
The main risk with any form of hyperbaric oxygen treatment is the (small) risk of damage to the ear drums. While the chamber is being pressurized, you will notice pressure building in the ears (similar to when on a plane or when under water). It is important to be able to equalize the pressure in your ears by yawning, pinching your nose and swallowing or pinching your nose while yawning. Most people are easily able to equalize the pressure. We will be standing by the whole time to assist with the process, and can pause the chamber or release pressure for those few who have a difficult time. 
While the majority of people notice they feel better after their HBOT session, there is at times a detox reaction also known as a Herxheimer reaction. This can result in flu-like symptoms including body aches, mild fever, fatigue, nausea or other symptoms. This is caused when harmful microorganisms die off and move towards elimination in the body. While this can be an unpleasant experience it is actually a good thing because the treatment is helping the body excrete these harmful mircoorganisms from the body like Lyme bacteria, Epstein-Barr Virus, mold toxins and others. After several treatments these symptoms will fade and are replaced by higher energy levels and a greater feeling of wellbeing. 
Does hyperbaric oxygen therapy interact with medications: 
Very few medications are of concern (listed below).
Mafernide Acetate
Can I do hyperbaric oxygen therapy if I am claustrophobic: 
Yes, we are standing by the entire time to turn off the chamber and let you out at a moment's notice. We have had many claustrophobic patients do the full treatment reporting afterwards that they had a pleasant experience and felt quite relaxed. The hyperbaric oxygen stimulates a relaxation response in the body, and most just read, use their phones or take a nap. Most are also surprised by how roomy the chamber feels on the inside. 
What does it feel like to do hyperbaric oxygen therapy? 
When asked, patients relate that it is a very relaxing experience. Before you get in we recommend using the bathroom. Then you remove any sharp objects from your pockets and remove your shoes. You climb into the chamber, it is on a platform, for those who have a hard time getting down on the floor. You will have an oxygen tube feeding oxygen directly to your nose.You lie down and relax on a thick pad and pillows. In the first 5 minutes the chamber comes up to pressure during which time you clear your ears multiple times, like when you are on an airplane or going over a summit while driving. After that, you’ll hear fresh air coming in and going out, like white noise. Many patients can sit up if they choose, but most prefer to lay down and relax. The last 5 minutes when it is depressurizing, you can feel some mild pressure on your ears, but most don’t even need to clear or “pop” their ears. Once it has depressurized, we unclasp it and you climb out. Most patients say they feel very relaxed afterward, “like walking on a cloud all day, “ chronic pain patients have told us, “it was the first time in months I wasn’t in pain.” There is no downtime, no need to take off work, you can immediately resume your normal activities. 
Are there times it is not advised to do hyperbaric oxygen therapy?
For the following situations, it is not recommended.
Untreated Pneumothorax (punctured lung)
Serious sinus congestion
Sickle Cell Anemia
High Fever
Hereditary Spherocytosis
For any questions not addressed here please call or text us, we are happy to answer your specific questions regarding your unique health concerns.