- 8 OHIP-covered indications
- Selected off-label, private-pay
Conditions
Conditions We Treat with
Hyperbaric Oxygen
OHIP-Covered
OHIP-Covered Indications
Evolve Hyperbarics is an OHIP-approved hyperbaric oxygen therapy provider treating 9 OHIP-covered conditions across our Ontario clinic network. Eligible Ontario residents with a valid health card and a qualifying diagnosis pay $0 out-of-pocket. A physician referral is preferred but not required.
Chronic Wounds & Tissue Salvage
Diabetic & chronic non-healing wounds
Diabetic lower extremity wounds and other chronic non-healing wounds (per Ontario clinical criteria for HBOT-eligible chronic wounds).
Chronic Wounds & Tissue Salvage
Failed (compromised) skin grafts and flaps
Tissue salvage for compromised skin grafts and flaps.
Chronic Wounds & Tissue Salvage
Thermal burns
Deep partial- or full-thickness, in coordination with a regional burn centre.
Bone & Joint
Chronic refractory osteomyelitis
Adjunctive HBOT for chronic refractory bone infection.
Bone & Joint
Avascular necrosis (osteonecrosis)
Including idiopathic femoral head necrosis.
Radiation Injury
Radiation tissue damage
Soft tissue and bony necrosis including osteoradionecrosis, radiation cystitis, and radiation proctitis.
Otologic
Idiopathic sudden sensorineural hearing loss
Treated within the therapeutic window.
Gastrointestinal
Crohn's disease
Perianal fistulas, adjunctive to gastroenterology and colorectal care.
Chronic Wounds & Tissue Salvage
Filler-Induced Vascular Occlusion
A recognized, time-sensitive complication of cosmetic dermal filler injection.
Gastrointestinal
Crohn's disease
Perianal fistulas, adjunctive to gastroenterology and colorectal care.
Private-Pay / Investigational
Off-Label Indications
Outside the OHIP-covered list, there are conditions for which HBOT has a biologically plausible mechanism and an emerging evidence base. Evolve offers HBOT for selected off-label indications on a private-pay basis — always with a physician consultation, written informed consent, and an honest discussion of the evidence.
Tier 2A
Post-concussion syndrome & mild TBI
Post-concussion syndrome and persistent symptoms after mild traumatic brain injury.
Tier 2B
Orthopedic delayed & non-union
Orthopedic delayed union and non-union, including calcaneal delayed union.
Tier 2A
Inflammatory bowel disease
Ulcerative colitis flares and IBD indications other than the OHIP-covered Crohn’s perianal fistulas.
Tier 2B
Infertility (adjunctive)
Adjunctive HBOT for selected cases, only in coordination with the patient’s reproductive endocrinologist.
Tier 2B
Athletic recovery
For high-performance athletes recovering from injury or competitive exertion, only in coordination with the athlete’s training staff and team physician.
Off-Label / Investigational Use
Off-label indications are not on Ontario’s OHIP-covered list and are not recognized indications of the Undersea & Hyperbaric Medical Society. The evidence base ranges from limited to mixed; we are explicit about this on each condition page. Discussion of these conditions is not an endorsement or a recommendation that they be treated with HBOT.
What we don't treat
Being clear about our scope is part of practicing responsibly. Two categories fall outside what Evolve offers — here’s what they are and where to go instead.
Emergency & hospital-based indications
Acute emergencies — carbon monoxide poisoning, decompression sickness, necrotizing infection — need a 24/7 hospital program, not an outpatient clinic. We don’t treat these; here’s the correct pathway.
Off-label conditions we choose not to treat
HBOT is marketed almost everywhere for almost everything. Conditions like autism, MS, and cancer are declined at Evolve on evidence grounds — even for private pay. Here’s where we draw the line, and why.
Get Started
Not Sure if Your Condition Qualifies?
Call 1-888-851-4268 to speak with a care coordinator, or use the eligibility form to start the
conversation. We typically respond within one business day.