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Study aim
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Determining the effect of topical application of the combination of Arnica, Aconitum, Atropa belladonn, Calendula officinalis, Hypericum perforatum, Ruta graveolens and Hamamelis in relieving chronic occupational low back pain
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Design
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Clinical trial with control group, with parallel groups, triple blind, randomized, phase 2-3, 20 patients in each group, randomization with random prescription of one of the packages containing the compounds or placebo.
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Settings and conduct
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Patients referred to the orthopedic clinic of Shahid Ghazi hospital in Sanandaj, Kurdistan province, will be included in the study according to the inclusion and exclusion criteria. In both groups, patients' demographic information will be recorded and measured by pain intensity using the Visual Analogue Pain Index and disability will be assessed using the Million Visual Analogue Scale and Oswestry questionnaire.
In the case group, a combination containing the plants will be prescribed. A placebo will also be prescribed in the control group. The packaging of the compounds in the two groups is coded as A and B and researchers, patients and statistical consultants will not know the contents of the tubes until the end of the study. Patients will be followed up for two months, during which time they will be visited every 14 days.
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Participants/Inclusion and exclusion criteria
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Patients referred to orthopedic clinic.
Inclusion criteria: Diagnosis of chronic occupational low back pain
over 18 years of age
Exclusion criteria: pregnancy, lactation, taking any analgesic and anti-inflammatory drugs except the studied compounds.
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Intervention groups
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Including case and control groups: in the case group, 5.2 grams of the herbal combination will be used once every 8 hours, and in the control group, placebo will be prescribed in the same way.
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Main outcome variables
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Pain intensity; Pain frequency; Disability intensity; Side effects