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CO2 Gas Injections (Carboxytherapy)

Type

Ozone Therapy

Duration

20 min

What's included

4 deliverables in this treatment

  • Clinical assessment and target-site identification by an algesiologist
  • Subcutaneous or intra-tissue CO2 injection using a fine needle
  • Post-injection observation (approximately 20 minutes)
  • Course plan: 10 sessions over 5–10 weeks, with mid-course review at session 5

CO2 gas injections (carboxytherapy) involve the subcutaneous or intra-tissue injection of medical-grade carbon dioxide directly into painful areas. At Bolest Brno, the treatment is performed by the clinic's interventional algesiologists as part of the pain management programme. The physiological mechanism is well-documented: injected CO2 triggers a localised reflex response — blood vessels dilate, circulation increases, muscle spasm decreases, and local metabolic waste is cleared — all of which contribute to reduced pain intensity. Sessions are brief (around 15–20 minutes), and a course of 10 applications given 1–2 times per week is standard. At 150 Kč per application, CO2 injections represent one of the most cost-effective interventional options at the clinic and are often used as part of a multimodal treatment plan.

About this treatment

Carboxytherapy — the therapeutic use of injected medical CO2 — has a clinical history stretching back to the 1930s and has been used in European pain medicine, vascular medicine and aesthetic medicine for decades. At Bolest Brno, CO2 injections are applied in the pain medicine context: the CO2 is introduced directly into, or immediately adjacent to, the painful tissue structure — a joint space, a muscle belly, a trigger point, or a subcutaneous area above…

The physiological cascade

Injected CO2 briefly acidifies the local tissue microenvironment. The body responds by: 1. Dilating local blood vessels (vasodilation) to buffer the acidity — increasing oxygen and nutrient delivery 2. Activating a local release of vasoactive mediators that reduce micro-vessel spasm 3. Mechanically disrupting fibrous adhesions and trigger-point nodules by the gas pressure 4. Triggering muscle relaxation as the spasm reflex is interrupted 5. Accelerating…

Good to know

Per session
150 Kč
Full course (10 sessions)
1 500 Kč
Frequency
1–2× per week
Mechanism
CO2 triggers vasodilation, muscle relaxation, improved circulation

Who is this for?

Musculoskeletal and myofascial pain, chronic low-back pain, periarticular pain, conditions with a vascular or muscle-spasm component.

Preparation required

No fasting required. Wear comfortable clothing that allows easy access to the treatment area. Avoid anti-inflammatory medication within 24 hours if possible. Inform the doctor of any cardiovascular or respiratory conditions before the first session.

About the clinic

Reviews, team and credentials

Independent review links and clinic-reported team information.

Clinical team

The clinic is directed by MUDr. Marek Hakl, PhD. (b. 1968), Associate Professor at Masaryk University Faculty of Medicine, PhD in Medical Sciences (2003), holding certifications in Anesthesiology & Resuscitation (1st and 2nd degree), independent algeziology, acupuncture and palliative medicine. He is Vice-chair of the Czech Medical Association Pain Study and Treatment Society and a member of the International…

Languages: Czech, English, French, Russian

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