MedPath

Treatment of Sciatica with Wet Cupping (Hijama-bil-Shart

Phase 4
Recruiting
Conditions
Sciatica,
Registration Number
CTRI/2019/07/020046
Lead Sponsor
NIUm
Brief Summary

The term ‘Sciatica’ describes a symptom i.e, pain alongthe sciatic nerve pathway, rather than a specific condition, illness, or disease.It is generally caused by compression of lumbar nerve L4 or L5 or S1, S2, or S3or by compression of sciatic nerve itself. Pain typically occurs in the distribution of a dermatome & goesbelow the knee to the foot. It may be associated with neurological dysfunction,such as weakness . The pain is characteristically of a shooting type,quickly travelling along the course of the nerve.

It is one of thecommonest neuralgic pain creating difficulty & problem in activities of dailyliving. 2%-40% of people havesciatica at some point of time .It is most commonduring the age of 40s &50s and men are more frequently affected than women.

Despite of advancement, there is no specific treatmentapproach in modern system of medicine. The condition is managed by *bed rest*,*physical therapy* (directed exercise), *opoids, muscle relaxants*,NSAIDS, *botulinum toxin injection, steroids, gabapentin, TENS, Surgery*(disectomy) and alternative medicine.

In Unani system of medicine, *Irqunnasa* (sciatica)& its treatment has been describe by many physicians. According to *Jalinoos*(Galen),in *Irqunnasa*(sciatica) the morbid matter get accumulated in the joint.Therefore cupping will be beneficial for the same. According to *IbneSina*,prior to evacuation of morbid matter, strong purgatives should be avoided.Emesis is better than purgation, in addition anti-inflammatory ointment (*Zimad*)& irrigation can be used. In case, the condition remained unresolved wetcupping (*Hijama*) and *Zimad* can employed after mild laxatives.Keeping all these things in view, study l is planned to evaluate  the  effect of *Hijama BishShart* (wetcupping) and *Zimad-e-Pudina* in the patients of  *Irqunnasa*(sciatica).

Almostall ancient Unani physicians advocated  *HijamaBishShart*(wet  cupping) in the treatment of *Irqunnasa*(sciatica).Therefore,it is high time to evaluate the effect  of  *HijamaBishShart*(wet cupping) in the  management  of *Irqunnasa*(sciatica).

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
All
Target Recruitment
40
Inclusion Criteria

•Clinically diagnosed cases of Irqunnasa(Sciatica) •Patients of either gender •Patient between 20-60 years of age •Weight more than 45 kg •Willingness to participate in the study and follow the instruction.

Exclusion Criteria

•Pregnant woman & lactating mother •Spinal injury or deformity (congenital/acquired) •Any orthopaedic condition of hip joint restricting gait & movement •Systematic illness i.e. liver, kidney, cardiac, & pulmonary disease •Uncontrolled Diabetes mellitus, Severe Hypertension, bleeding disorders.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
•SBI (Sciatica Bothersomeness Index)0, 15th, 30th
•ODI (Oswestry Disability Index)0, 15th, 30th
•Straight Leg Raising Test0, 15th, 30th
•VAS (10 Points Likert’s Scale)0, 15th, 30th
Secondary Outcome Measures
NameTimeMethod
Improvement in QoL30th day

Trial Locations

Locations (1)

NIUM Hospital

🇮🇳

Bangalore, KARNATAKA, India

NIUM Hospital
🇮🇳Bangalore, KARNATAKA, India
Sajid Habib
Principal investigator
7411684634
sajidhabib1153@gmail.com

MedPath

Empowering clinical research with data-driven insights and AI-powered tools.

© 2025 MedPath, Inc. All rights reserved.