HBOT benefits · Concussion and stroke

Hyperbaric oxygen therapy for concussion and stroke recovery.

People in Brevard County ask about hyperbaric oxygen therapy for concussion symptoms that linger and for recovery after a stroke. Researchers are studying both. The results so far are mixed, and HBOT is not FDA-cleared for either use.

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Where the research on concussion stands.

Most people recover from a concussion within weeks. Some keep having headaches, poor focus, sleep trouble or irritability for months. That group is where interest in hyperbaric oxygen therapy for concussion comes from, and it is where most of the studies have been done.

HBOT means breathing oxygen inside a chamber pressurized above normal air pressure. The idea behind the concussion research is that more oxygen reaching injured brain tissue may support repair. That idea is still being tested. Suntree does not offer HBOT as a treatment for concussion, and nothing on this page should replace care from your physician or neurologist.

What research says about hyperbaric oxygen therapy for concussion.

The trials point in different directions, which is why careful sources call this investigational.

  • A crossover trial in Israel reported better scores on memory and attention tests after 40 sessions in people with symptoms years after a mild brain injury. There was no sham chamber, so the placebo effect could not be ruled out.
  • A U.S. military trial compared HBOT with a sham chamber that used low pressure and air. Both groups improved about the same, and the authors concluded the benefit did not appear to come from the oxygen.
  • Protocols differ from study to study in pressure, session length and session count, so results from one trial do not transfer neatly to another setting.

If you are reading about HBOT after a brain injury, it helps to read the abstracts below yourself. Our page on cognitive concerns and HBOT covers related questions about memory and focus.

Stroke recovery is a separate question.

A stroke that is happening now is a medical emergency. Call 911. HBOT is not an emergency stroke treatment, and Suntree is not an emergency facility.

For acute stroke, a Cochrane review of 11 trials found no good evidence that HBOT improved outcomes. Separately, some researchers are studying HBOT months or years after a stroke, when recovery has slowed. One randomized trial reported gains in function after 40 sessions, but it was not blinded and needs to be repeated. Results vary, and HBOT is not FDA-cleared for stroke recovery.

What the FDA says.

The FDA has published a consumer caution about HBOT claims for conditions it has not been cleared for. Stroke and sports injuries are on that list, along with conditions such as Alzheimer's disease, Parkinson's disease and depression. You can read the FDA consumer update on hyperbaric oxygen therapy before making any decision.

Cleared uses are a short list that includes decompression sickness, carbon monoxide poisoning and certain non-healing wounds. Concussion and stroke recovery are not on it.

Bring your neurologist into the conversation.

If you still want to explore HBOT as a wellness option after a brain injury or stroke, start with the physician who knows your history. Some risks matter more for this group: a history of seizures, blood thinners and other medications, recent surgery, trouble clearing the ears, and anxiety in enclosed spaces.

Your physician can share records through our physician and patient referral page. The Suntree team then reviews your health history before any session. The first-visit guide explains what that review looks like, and our guide on session counts explains why no website can tell you how many sessions you need.

See the chamber and pricing

Before you call

Questions to bring.

Write these down before talking with your physician and the Suntree team.

01

What is my diagnosis?

Ask your physician to confirm whether your symptoms fit post-concussion syndrome, stroke effects or something else that needs its own care.

02

Is it safe for me?

Ask about seizures, medications, ear and sinus problems, and anything that could make pressure changes risky.

03

What would count as change?

Agree with your physician on how you would track symptoms, so you are not relying on impressions alone.

04

What does it cost?

Wellness HBOT is generally self-pay. Ask the team about single sessions and membership pricing.

Selected research

Open the source. Read the abstract.

Research context is not a promise that HBOT is appropriate for you or will produce a particular result.

PLOS ONE · 2013

Crossover trial in lasting post-concussion symptoms

In 56 people with symptoms years after a mild brain injury, 40 sessions were followed by better cognitive scores; there was no sham group.

Full text
JAMA Internal Medicine · 2015

Sham-controlled trial in service members

Among 72 service members with persistent symptoms, HBOT and sham sessions improved symptoms similarly, pointing to a placebo effect rather than oxygen.

Journal article
PLOS ONE · 2013

Randomized trial months to years after stroke

Of 74 enrolled, 59 finished; the HBOT periods were linked to functional gains, but the trial was single-center and not blinded.

Full text
Cochrane · 2014

Review of HBOT for acute ischaemic stroke

Across 11 trials and 705 people, the review found no good evidence that HBOT improves outcomes after acute stroke.

Cochrane summary

Good questions

Know what to expect.

Questions about your health history or goals are best answered by phone with the Suntree team.

Call 321-334-2000
Can I come in for HBOT right after a concussion?

A new head injury needs a medical evaluation first, especially with vomiting, worsening headache, confusion or weakness. Those signs call for emergency care. Suntree does not offer HBOT as a concussion treatment. If you later want to discuss wellness HBOT, the team reviews your history and asks about clearance from your physician.

Why do some concussion studies look positive and others do not?

The trials used different pressures, session counts and comparison groups. Studies without a sham chamber cannot separate the effect of oxygen from the effect of attention, routine and expectation. When a sham-controlled military trial did that, both groups improved about equally. Results vary, and the question is still open.

Is HBOT used for stroke in the hospital?

Not as a standard stroke treatment. Hospital stroke care focuses on fast diagnosis and treatments that restore blood flow. HBOT is used in hospitals for a different emergency, gas embolism, where air bubbles block blood vessels. Anyone with stroke symptoms should call 911 rather than seek a wellness center.

Does a seizure history rule out HBOT?

It needs a careful conversation. Breathing concentrated oxygen under pressure carries a small risk of seizure, and a prior seizure disorder or some medications can change that risk. Your neurologist and the Suntree team should review it together before any session is scheduled.

Can a caregiver sit in the chamber with me?

The Superhuman Chambers T2 at Suntree has two reclining seats. Whether a second person can join a session depends on their own suitability review, so ask the team when you call. Staff remain available throughout every session, and a session can be stopped if needed.

Does it matter how long ago my brain injury happened?

It matters to your physician, who needs to rule out other causes of ongoing symptoms first. Some trials enrolled people months or years after their injury, but that does not mean HBOT will help a given person at any stage. Bring the timeline and your records to the conversation with your physician and the team.

Want to know whether HBOT may fit your goals?

Call the center to talk through suitability, pricing, and current availability.

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