Efficacy Of Hijama Bish Shart In The Pain Management Of WajaÊ» ur Raqaba (Cervical Spondylosis) - A Randomized Controlled Clinical Trial

Cervical spondylosis (Wajaʻ ur Raqaba)is a chronic degenerative process of the cervical spine characterized by painin neck, degenerative changes in intervertebral disc and osteophyte formation.Most common degenerative changes are seen in C5-C6 followed by C6-C7 and C4-C5.About two third of the population have neck pain at some time in their live andprevalence is highest in middle age**.**As neck pain affects a person’s life both at home and at work, therefore,relief from pain is mandatory for social, psychological, economical and medicalreasons.

Though,the use of analgesics provides significant relief in symptoms of cervicalspondylosis for a very short time, and their prolong use may induce a number ofadverse effects. Similarly, most of the patients avoid surgeries due tocomplications associated with it. These ways of treatment definitely relievethe symptoms of cervical spondylosis but not up to the mark of satisfaction andfree from adverse effects. Hence,there is a dire need to develop a safe and effective mode of treatment for themanagement of cervical spondylosis.

In UnÄnisystem of medicine, the term WajaÊ» ur Raqaba is not mentioned in anyof the classical text, but most of the eminent physicians have used a broad termWaja’ ul MafÄá¹£il to describe all types of joint pain. UnÄniphysicians have treated WajaÊ» ul MafÄá¹£il successfullywith various drugs & regimenal modalities including *HijÄma Bish Shará¹­,*Dalk, RiyÄá¸at etc. HijÄma Bish Shará¹­ is one which is commonlyprescribed to evacuate MawÄd-i-FÄsida and to provide relief to thepatients of WajaÊ» ul MafÄá¹£il. Hence keeping the above facts in mind, Iplanned a study to evaluate the effect of HijÄma Bish Shará¹­ in themanagement of WajaÊ» ur RaqabaentitledasEfficacy of HijÄma Bish Shará¹­ **in the pain management of Waja’ur Raqaba (Cervical Spondylosis):**An OpenLabel Randomized Controlled Clinical Trial is contemplated