Supersaturated Hydrogen-Rich Water Hydrotherapy for Recovery of Acute Injury to the Proximal Phalanges on the 5th Toe: A Case Report

Abstract

Background: Traditional treatments of soft tissue injuries (STIs) and some musculoskeletal injuries (MSK-Is) involves therapies such as the RICE protocol, which consists of rest, ice, compression and elevation for several days following acute trauma. Designed to improve comfort and reduce pain following traumatic injury, questions exist on the efficacy of RICE protocol; if it may in fact delay the rate of healing; and if it has any beneficial effect at all. Recently, a growing body of evidence has suggested molecular hydrogen therapy (H2) as a potential adjuvant, or first line treatment, for numerous MSK-Is, STIs, and afflictions affecting the skin, both through topical administration and oral consumption. Case report: The recovery of a middle-aged male who suffered an injury to the proximal phalanges of the 5th toe of the right foot while kickboxing. The participant received four 25-minute hydrogen-rich hydrotherapy sessions in a super saturated solution with an average concentration approaching 8mg/L, on days 1,3,5,7 following injury. Recovery noted a rapid reduction in pain and swelling, a dramatic improvement in range of motion and ability to bear weight, and an ability to conduct limited activities after first treatment, including walking and modified exercise (i.e., boxing). Conclusion: This case is yet another indication that high-concentration hydrogen-rich hydrotherapy may be a helpful first line treatment in terms of reduction of pain and improvement in function following injury, in addition to the evidence suggesting benefit in reducing chronic indications caused by acute or chronic stress.