Comparing the effect of ergh alnasa phlebotomy with diclofenac tablets on pains spread to the lower limb: a randomized clinical trial

Mohammad Reza Morovvati^1*, Alireza Abbassian¹, Mansuor Rezaei², Reza Fattahian², Mohammad Hosein Farzaei^3,4, Saadi Morovati⁵, Zhila Sahihi⁶

¹Department of Traditional Medicine, School of Traditional Medicine, Tehran University of Medical Sciences, Tehran, Iran ²Kermanshah University of Medical Sciences, Kermanshah, Iran - ³Medical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran - ⁴Pharmaceutical Sciences Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran - ⁵Tabriz University of Medical Sciences, Tabriz, Iran - ⁶Kermanshah Azad University, Kermanshah, Iran

Introduction: Nowadays Musculo-skeletal pains are increasing and treatment of them has imposed different costs on patients, beside new medicine, some solutions in Iranian traditional medicine like ERGH ALNASA phlebotomy have been presented for redu- cing these pains. The purpose of doing this study has been also to compare the effect of ERGH ALNASA phlebotomy with Diclofenac tablets on the pains spread to the lower limbs.

Methodology: This randomized clinical trial was done in 2014-2015, patients were divided into phlebotomy and drug groups in the form of randomized allocation and without blinding, drug group was under classic treatment with Diclofenac tablets and phle- botomy group was under ERGH ALNASA phlebotomy treatment. Patients, backache was assessed by using of VAS, life quality and Roland-Morris disability questionnaires, for data analysis, Kruskal-Wallis, Chi-square, Kolmogorov-Smirnov and Mann-Whiney tests were also used.

Findings: 100 patients entered to phlebotomy, 49 persons were women and 51 persons were men with the age average of 43.57±11.04 years. VAS scale or the pain severity in the drug group was more than phlebotomy group meaningfully one hour (P<0.001), two weeks (P<0.001) and four weeks (P<0.001) after the start of study. Morris-Roland scale in the phlebotomy group was more than drug group meaningfully (P<0.001). The scales of physical health (P<0.001) and mental health of life quality (P<0.001) after phlebotomy in the phlebotomy group was more than drug group meaningfully.

Results: Decrease in serum hemoglobulin, hematocrit, systolic blood pressure and diastolic blood pressure, as well as increase in pulse rate after cesarean section was significantly more dramatic in those received lower dose of oxytocin. The need of extra medi- cation, atony and blood transfusion requirement were observed in 18%, 5.5%, and 3.5% of those treated with low dose oxytocin.There were absecent in patients treated with.

Conclusion: ERGH ALNASA phlebotomy in comparison with Diclofenac has better effect on the pains spread to the lower limb in terms of reduction of the pain severity, rehabilitation and life quality of patients.