At a glance
HBOT has recognised medical uses for selected wounds, tissue damage after radiotherapy, sudden inner-ear hearing loss and certain emergencies. Healthy ageing and several brain-related conditions are newer areas still being studied. A specialist assessment helps you understand whether treatment is suitable and what you can reasonably expect.
How hyperbaric treatment works
The treatment, often called HBOT, involves breathing high-purity medical oxygen inside a pressurised chamber. The increased pressure helps more oxygen enter the blood and reach the body's tissues. A doctor chooses the treatment settings and course for the person and their condition. FDA: safe use of hyperbaric oxygen devices.
For more on the gas supply, read why high-purity medical oxygen matters.
Part A: recognised indications and FDA clearance
FINK’s clearance K240569 lists these 13 conditions. A clinician determines whether a specific patient meets the indication and which protocol is appropriate.
- air or gas embolism
- carbon monoxide poisoning, including with cyanide poisoning
- clostridial myonecrosis
- crush injury, compartment syndrome and other acute traumatic ischaemias
- decompression sickness
- enhancement of healing of selected problem wounds
- exceptional blood loss anaemia
- necrotising soft tissue infections
- refractory osteomyelitis
- delayed radiation injury
- compromised grafts and flaps
- acute thermal burn injury
- intracranial abscess
FDA clearance. UHMS also recognises idiopathic sudden sensorineural hearing loss and avascular necrosis. These additional UHMS indications are distinct from the 13 in K240569. UHMS indications.
Helping damaged tissue heal
Hyperbaric treatment has recognised uses in tissue healing and emergency care. It is often combined with wound treatment, antibiotics or surgery.
| Medical use | What treatment aims to help with |
|---|---|
| Selected wounds that are difficult to heal, including certain diabetic foot ulcers | Supporting healing when standard wound care alone has not been enough |
| Tissue damage after radiotherapy | Helping selected areas of damaged soft tissue or bone heal |
| Skin grafts or surgical tissue transfers with a poor blood supply | Supporting tissue that is at risk of failing |
| Certain serious tissue or bone infections | Adding to antibiotics and surgical care when oxygen can help treatment |
| Decompression sickness and selected cases of carbon monoxide poisoning or gas bubbles in the bloodstream | Treating urgent problems through specialist medical care |
These are specific medical situations. A routine cut or uncomplicated operation does not automatically need chamber treatment. Your treating team decides whether it adds value to the care already in place. Recognised medical uses listed by UHMS.
Sudden hearing loss
A sudden loss of hearing, often in one ear, is another reason a specialist may consider hyperbaric treatment. For a particular type affecting the inner ear, it can be offered alongside steroid treatment. The aim is to improve the chance of recovering hearing.
Timing matters. Ear-specialist guidance places initial treatment within the first two weeks, with some further treatment options within the first month. If your hearing suddenly changes, seek medical attention promptly rather than waiting to arrange a wellness appointment. Ear-specialist guidance on sudden hearing loss.
Part B: programmes offered by The Brain & Performance Centre
The following programmes are offered under the clinic’s medical assessment. They are separate from the device’s cleared indications. Research findings and limits are set out below. A programme is not a promised outcome.
Healthy ageing and clearer thinking
For many people, healthy ageing means staying able to work, enjoy interests and manage daily life. Attention and the speed of thinking matter just as much as how long someone lives.
A controlled study in healthy older adults found improvements in attention and information-processing speed after a full course of hyperbaric treatment. Memory gains did not survive correction for multiple comparisons. These findings do not show that treatment prevents dementia or turns back ageing. Study of thinking skills in healthy older adults.
At Dubai's Brain & Performance Centre, healthy ageing is approached through medical assessment and a programme combining chamber sessions with brain and physical training and nutrition support. The practical goals are personal: thinking more clearly, staying active and maintaining independence. BPC's healthy ageing programme.
Stamina and physical performance
Active adults also explore hyperbaric treatment because they want to maintain their physical performance as they get older.
A small study in already active, middle-aged athletes found improvements in aerobic exercise tests after a course of treatment, compared with simulated treatment. This suggests a potential benefit for exercise capacity in that particular group. It does not mean a session will improve everyone's fitness or speed up every sports injury. Study of physical performance in middle-aged athletes.
A programme should still include appropriate exercise and recovery planning. Oxygen treatment does not replace the work of building strength, improving fitness or treating an injury.
Fibromyalgia and persistent pain
Fibromyalgia can involve widespread pain, poor sleep and tiredness. Concentrating and carrying out ordinary tasks can become difficult.
Trials suggest that hyperbaric treatment may reduce pain and make daily activities easier for some people with fibromyalgia. A study published in 2026 found improvements when treatment was added to usual care, although some gains reduced after treatment stopped. This remains a developing use and should be considered alongside existing care. Fibromyalgia study comparing treatment plus usual care with usual care alone.
BPC offers a fibromyalgia programme with assessment and personalised support. A clear diagnosis matters: findings in fibromyalgia do not mean that every cause of chronic pain will respond in the same way. BPC's fibromyalgia programme.
Long COVID and brain fog
Long COVID can leave people struggling with fatigue, concentration, sleep and day-to-day function long after the infection has passed.
A trial using 40 hyperbaric sessions reported improvements in thinking skills and some symptoms, including energy and sleep, compared with simulated treatment. The 2025 HOT-LoCO trial (Kjellberg et al., BMJ Open), using ten sessions, did not find an advantage over simulated treatment on its main measures of physical function. The courses and study populations differed, and the results leave questions about who benefits and which treatment approach is appropriate. The 40-session Long COVID study, HOT-LoCO, the ten-session trial.
For someone with persistent symptoms, the first step is an assessment of what is causing the difficulties and what care they need. BPC's Long COVID programme is one specialist option to discuss, rather than a guaranteed route back to full health. BPC's Long COVID assessment and programme.
Recovery after concussion or stroke
Lasting symptoms after a head injury or stroke can make concentration and daily activities difficult.
Some trials have reported improvements after hyperbaric treatment, but results are mixed. A small 2025 brain-injury trial found reduced symptoms, while US veterans' and military healthcare guidelines recommend against using HBOT for persistent symptoms of mild brain injury. For longer-term stroke recovery, an earlier encouraging trial was followed by a smaller study that did not find meaningful benefit. These are specialist research uses, rather than established treatments for every survivor. The 2025 brain-injury study, mild brain-injury guidance, the earlier stroke-recovery study, the later stroke-recovery trial.
Any proposed programme should work alongside appropriate rehabilitation. A suspected new stroke needs immediate emergency care, not a booked course of chamber sessions.
Researchers are also studying post-traumatic stress disorder (PTSD) that has not improved with usual care. A trial in selected combat veterans found improved symptoms after a supervised course, but this remains an emerging option requiring specialist mental-health care. The controlled PTSD study.
What a treatment programme involves
The right starting point is a medical assessment, not a fixed number of sessions chosen in advance.
BPC describes a programme that begins with checks of medical, thinking and physical function. Depending on the person, this can include brain imaging, tests of attention and thinking speed, and an assessment of fitness and movement.
Its main programme commonly involves 60 chamber sessions over 12 weeks, alongside personalised training and nutrition support. Tests are repeated afterwards to check what has changed. Other conditions can need very different schedules, so the doctor should explain the proposed course for you. BPC's assessment and treatment programme.
Ask what the programme aims to improve, how progress will be measured and what happens if you do not improve.
Explore whether treatment is right for you
HBO₂ Health can arrange an introduction to Dubai's Brain & Performance Centre to discuss your condition or healthy ageing goals. Share your location and your timeframe and ask for a medical assessment. The clinic will explain how to share your health information securely.
Before booking, use our Dubai clinic questions to prepare for the conversation.
Common questions
Will I notice a benefit after one session?
The studies and programmes discussed here generally involve a course of sessions. The schedule depends on the condition. Emergency care follows a different plan from healthy ageing treatment.
Is treatment suitable for everyone?
No. A clinician needs to review your health, medications and ability to manage pressure changes. Treatment needs trained supervision and proper safety procedures.
Does owning a chamber give me the same programme?
A chamber provides the equipment. Assessment, treatment decisions, rehabilitation and ongoing clinical support are separate services. A home installation needs an agreed medical and operating arrangement.
Sources & further reading
- FDA: safe use of hyperbaric oxygen devices
- Recognised medical uses listed by UHMS
- Ear-specialist guidance on sudden hearing loss
- Study of thinking skills in healthy older adults
- BPC's healthy ageing programme
- Study of physical performance in middle-aged athletes
- Fibromyalgia study comparing treatment plus usual care with usual care alone
- BPC's fibromyalgia programme
- The 40-session Long COVID study
- Kjellberg et al., BMJ Open 2025: HOT-LoCO
- BPC's Long COVID assessment and programme
- The 2025 brain-injury study
- mild brain-injury guidance
- the earlier stroke-recovery study
- the later stroke-recovery trial
- The controlled PTSD study
- BPC's assessment and treatment programme
- FINK FDA clearance: 13 conditions
This guide gives general information. Ask a qualified doctor whether treatment is right for you, what the risks are and what other options you have.