Mild HBOT vs medical HBOT

The difference between medical-grade hyperbaric therapy and wellness chambers
mild HBOT
At Wesley Hyperbaric, we use hospital-grade chambers with doctors and nurses on site. In contrast, “wellness” hyperbaric chambers, sometimes found in gyms, spas or for home use, operate very differently. Sometimes called mild hyperbaric therapy (mHBT), these are not the same as medical HBOT in how they work, what they deliver, or how they are regulated.

Mild HBOT vs medical HBOT

What is medical-grade HBOT?

Medical hyperbaric oxygen therapy (HBOT) is not a general wellness treatment; it is a hospital‑based therapy used for specific medical conditions where extra oxygen can make a significant difference.

It is most often prescribed for issues such as non‑healing wounds, radiation injuries, decompression illness or severe infections – conditions where tissues are starved of oxygen and need support to recover.

“In medical HBOT, patients breathe 100% oxygen inside a chamber pressurised between 2.0 and 3.0 atmospheres absolute (ATA). At Wesley Hyperbaric, treatment is usually delivered at around 2.4 ATA, which is the setting commonly used across accredited facilities worldwide.”

Dr Susannah Sherlock
Medical Director at Wesley Hyperbaric

Wesley Hyperbaric’s Medical Director explains on ABC Brisbane the key differences between medical-grade hyperbaric oxygen therapy and wellness chambers.

This increased pressure allows far more oxygen to dissolve into the blood plasma than is possible under normal breathing conditions. The additional oxygen supports the body’s healing processes in tissues affected by poor blood supply or damage.

At Wesley Hyperbaric, patients are treated in our hospital‑grade multiplace chamber, under the care of a team of doctors, nurses and trained chamber operators. Each course of therapy is individually prescribed after medical assessment and monitored closely throughout.

What are “wellness” or mild hyperbaric chambers?

Wellness hyperbaric chambers are most often found in gyms, spas or shopfront wellness centres. They are sometimes called mild hyperbaric therapy (mHBT).

  • Typically operate at 1.3–1.5 ATA.
  • Use normal air or lightly oxygen‑enriched air, not 100% oxygen.
  • Sessions are generally overseen by non‑medical staff.
  • Not delivered in an accredited medical facility and not eligible for Medicare rebates.

Because the pressure and oxygen levels are limited, they cannot reproduce the same environment as medical HBOT.

What about portable or home-use HBOT?

Portable hyperbaric chambers are sold or hired for use at home in Australia. These are usually soft-shelled inflatable bags and work in a very similar way to wellness chambers.

  • Pressure usually limited to 1.3–1.5 ATA.
  • Deliver air, or air mixed with small amounts of oxygen.
  • Not hospital‑grade equipment and not medically supervised.
  • Promoted for general wellness or recovery, but not suitable for recognised medical conditions.

These devices are not regulated hospital treatments and do not create the oxygen levels achieved in a clinical hyperbaric facility.

Why does this matter?

It can be easy to assume these options are just lighter versions of the same therapy, but the differences are important:

  • Medical HBOT: 100% oxygen, ~2.4 ATA, hospital setting, medically supervised, Medicare coverage for approved conditions
  • Wellness HBOT: 1.3–1.5 ATA, air or lightly oxygen‑enriched air, delivered in gyms or wellness centres, no medical supervision, no Medicare coverage.
  • Portable/home HBOT: same pressure as wellness HBOT, inflatable units for home use, no medical oversight, not suitable for treating medical conditions.
Dr Susannah Sherlock

“The most important difference is that in medical HBOT you breathe pure oxygen at higher pressures, which allows much greater oxygen delivery to tissues than can be achieved in wellness or portable chambers.”

Dr Susannah Sherlock
Medical Director at Wesley Hyperbaric

HBOT oxygen Brisbane

HBOT at Wesley Hyperbaric

Wesley Hyperbaric in Brisbane is Queensland’s only accredited private day hospital dedicated to hyperbaric medicine. Our team provides HBOT for approved medical conditions under strict clinical protocols, with full safety monitoring and hospital standards of care.

Your journey starts with these 3 steps

Step 1
Once you have your referral from your GP or specialist, contact our Brisbane clinic to book a consultation with one of our doctors.
Step 2
If you are eligible for HBOT, your treatment plan is scheduled and your HBOT journey can start.
Step 3

When you have completed your hyperbaric sessions, your condition is reassessed by one of our doctors.