Covered by Medicare and private insurance

Hyperbaric oxygen therapy for delayed radiation injury

Months or years after radiation therapy, tissue in the treated area can break down: bleeding from the bladder (radiation cystitis) or bowel (radiation proctitis), or skin wounds that will not close. Hyperbaric oxygen helps damaged tissue rebuild its blood supply, which can reduce bleeding and help wounds heal.

Am I a candidate?

Hyperbaric oxygen is commonly used for delayed radiation injury in the following situations. Our team confirms candidacy during your evaluation.

  • You received radiation therapy, often months or years ago.
  • You have symptoms in the radiated area such as blood in the urine or stool, pain, or a wound that is not healing.
  • Your urologist, gastroenterologist or radiation oncologist has linked the problem to radiation injury.

Bring your radiation oncology summary (dose and dates) and recent notes from your urologist or gastroenterologist.

What treatment involves

90 minat pressure, ~2 hours total

Resting in a clear chamber, breathing 100% oxygen; plan on about two hours per visit.

5 daysper week

Consecutive weekdays at the location closest to you.

30–40sessions, typically

Your provider sets the plan based on your symptoms and response.

We work with your urologist, gastroenterologist and radiation oncologist and keep them updated on your progress.

The evidence

Delayed radiation injury to soft tissue is an approved indication of the Undersea & Hyperbaric Medical Society and is covered under Medicare’s national coverage determination for hyperbaric oxygen therapy.

Questions patients ask about soft tissue radionecrosis

My radiation was years ago. Can this still be related?

Yes. Radiation injury often appears months to years after treatment, because the damage to small blood vessels develops slowly. Your physicians can help determine whether radiation is the cause.

How soon will I notice a difference?

It varies. Improvement in delayed radiation injury builds gradually over the course of treatment, and your provider will review progress with you along the way.

What will it cost me?

For covered indications, your cost is your plan's usual copay or coinsurance. We verify benefits and obtain prior authorization before you start, and tell you in writing what to expect.