Understanding IOT
The bone beneath the joint
Subchondral bone lies directly beneath joint cartilage and contributes to the joint’s structure and function. Changes in this bone, including abnormalities within the marrow, may accompany arthritis and contribute to pain.
Joint degeneration involves several interacting processes. Increased pressure within bone is one proposed contributor in certain conditions, rather than a single explanation for cartilage loss.
The intended approach
OWM’s IOT protocol is designed to address pressure and the local tissue environment within the marrow. It involves accessing the bone through a needle, withdrawing a small amount of marrow blood, and administering prescribed preparations through the same access point.
The intention is to influence local pressure and circulation. Claims that this process restores cartilage, rehydrates spinal discs, or reverses joint degeneration have not been established for this specific protocol.
How it differs from other injections
While joint injections place a preparation within the joint space and prolotherapy targets selected connective tissues, IOT accesses the interior of bone. This distinction makes careful patient selection and procedure planning particularly important.
The OWM Approach
Individualized assessment
Your consultation includes a review of the location and character of your pain, previous treatments, medical history, and daily activities. Imaging and examination help determine whether further evaluation or another treatment would be more appropriate.
A coordinated treatment plan
IOT may be considered alongside rehabilitation or other joint and spine therapies. Each additional treatment is evaluated separately, with attention to its purpose, evidence, and potential risks.
Clear expectations
Your provider explains the proposed procedure and the limitations of the available evidence. The aim is to make a considered decision about care, with progress assessed through changes in comfort, movement, and function.
The Experience
Preparation and access
The treatment area is prepared under sterile conditions, and local anesthetic is used to numb the tissues. A needle is then placed through the outer layer of bone into the marrow space.
Marrow treatment
Under OWM’s described protocol, a small amount of marrow blood is withdrawn, combined with an oxygen–ozone preparation and selected injectable solutions, and returned through the needle. This sequence may be repeated according to the prescribed procedure.
Infusion and monitoring
The protocol may also include a gradual infusion of ozonated saline through the intraosseous access over approximately 30–45 minutes. Your team monitors your comfort and response throughout treatment.
Aftercare and follow-up
You will receive instructions on activity, care of the treatment site, and symptoms that require medical attention. Follow-up provides an opportunity to review your response and determine appropriate next steps.
Because treatment accesses bone, potential risks include pain, bleeding, infection, and injury to nearby structures, along with risks associated with the administered preparations. These considerations are discussed before treatment.
