A randomized controlled clinical study to evaluate the efficacy of Hijamah (wet cupping) in Irq-un-Nasa (Sciatica)

Background: Sciatica is "pain in the lower back and hip which radiates to the distribution of the sciatic nerve due to its affection". In the Unani system of medicine, sciatica is known as Irq-un-Nasa; Hijamah (wet cupping) is recommended as one of the treatment options for its management. In the modern system of medicine, sciatica is treated by NSAIDs and/or spinal surgery. Objectives: This study was conducted to evaluate the safety and efficacy of Hijamah to manage sciatica. Materials and Methods: This was an open-label, prospective, and randomized controlled clinical study. Hijamah (wet cupping) was done on Warik (gluteal depression) and Fakhiz (lateral aspect of mid-thigh) of the affected side in group A patients (n=27); and on Saaq (over calf muscle) and Kaab (below lateral malleolus) in group B patients (n=25) on day 0, day 14 and day 28. Results: The pain (VAS score) was reduced from 65.52 ±8.90 to 20.18±10.96 (p