Cupping Case Study

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Analgesic Effect of Cupping on Osteoarthritis Abstract Objective: To evaluate the analgesic effect of cupping therapy at a clinical setting and to compare its effect among cervical, lumbar and knee osteoarthritis. Method: A single arm, open clinical trial was conducted. The patients were subjected to dry cupping for 20 minutes around effected joint for 4 consecutive days followed-up on each sitting to determine the effects of cupping therapy utilizing both objective and subjective assessment. The assessment was done before and after treatment spreading over a period of five days. Results: The results of this study shows significant and better results in overall management of cervical, lumbar and knee osteoarthritis, particularly…show more content…
Research Officer, LRIUM, New Delhi. Introduction Cupping is done for the purpose of imala as well as excretion. Excretion is done through wet cupping whereas imala i.e. diversion of the accumulated metabolite, is achieved through dry cupping. The chemical changes through physical procedures and subsequent diversion resulting in excretion from the site or body is known as imala. (Khan, Jahangir, & Urooj, 2013) The vacuum pulls the body fluid from the capillaries thereby, breeching it. (Spink & Lewis, 1973) The extravastated blood aids in the diversification. Besides, diversification and analgesia dry cupping serves yet another purpose of providing heat to the affected area. (Masihi, 1986) Osteoarthritis (OA) is a bone and more specifically subchondral plate disorder. A number of studies have indicated both morphological and biochemical changes in the bone tissue due to abnormal cell metabolism (Lajeunesse, 2004) (Pelletier, et al., 2000) The cause is abnormal mechanical stress and alignment coupled with system factors including genetic background. (Sasho, Morya, Tsuruoka, Nakagawa, & Wada, NA) OA causes joint pain, typically worse with weight bearing and activity as well as can manifest with stiffness after inactivity.(Mahajan, Verma, & Tandon, July 2005) The disease is gradual in its onset and usually begins after the age of 40.(RC, Felson, & Helmick, 2011)(Martin & Buckwalter, 2002)(SK & Ramakrishnan ,…show more content…
Temperament of the Ma-adda ghair mehmooda or metabolites. 3. Fat deposition in the area. The fats deposited is inversely proportionate to the ecchymosis, blisters, etc. 4. The severity of disease - the amount of metabolites accumulated or the pathological changes since cupping ensures imala, the more the metabolites the more the time is spend in diversifying them. 5. History of prior cupping - if the patient had been undergoing cupping for some time his metabolites are already in a state of movement. 6. Bathing or Perspiration - if the patient has had a bath prior to cupping session. The water absorbed by the skin during bathing or post perspiration is excreted in the form of blisters during cupping sessions. 7. Local use of anti inflammatory drugs - the anti inflammatory drugs too cause a change in the metabolitic status of the joint. The haemodynamic changes brought about through dry cupping are evident from ecchymosis and blister. These biochemical changes that resulted from vacuum are signs of imala. The vacuum pulls the muscle beyond its normal elastic limits and causes breeches in microvasculature of that area ensuring local hyperemia. Thus increasing the blood supply in the capillary system of that specific site. The metabolites that are diversified from the bony tissue towards muscle are taken up by the phagocytes from these capillary

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