The Journal of Pain
Volume 10, Issue 6 , Pages 601-608, June 2009

Effects of Traditional Cupping Therapy in Patients With Carpal Tunnel Syndrome: A Randomized Controlled Trial

  • Andreas Michalsen

      Affiliations

    • Immanuel Hospital Berlin, Department of Internal and Complementary Medicine, Berlin, Germany
    • Institute of Social Medicine, Epidemiology and Health Economics, Charité-University Medical Centre, Berlin, Germany
    • Corresponding Author InformationAddress reprint requests to Professor Dr. Andreas Michalsen, Immanuel Krankenhaus Berlin, Zentrum für Naturheilkunde, 14109 Berlin, Germany.
  • ,
  • Silke Bock

      Affiliations

    • Kliniken Essen-Mitte, Department of Internal and Integrative Medicine, University Duisburg-Essen, Essen, Germany
  • ,
  • Rainer Lüdtke

      Affiliations

    • Karl and Veronica Carstens Foundation, Essen, Germany
  • ,
  • Thomas Rampp

      Affiliations

    • Kliniken Essen-Mitte, Department of Internal and Integrative Medicine, University Duisburg-Essen, Essen, Germany
  • ,
  • Marcus Baecker

      Affiliations

    • Kliniken Essen-Mitte, Department of Internal and Integrative Medicine, University Duisburg-Essen, Essen, Germany
  • ,
  • Jürgen Bachmann

      Affiliations

    • Augusta-Medical Clinic, Hattingen, Germany
  • ,
  • Jost Langhorst

      Affiliations

    • Kliniken Essen-Mitte, Department of Internal and Integrative Medicine, University Duisburg-Essen, Essen, Germany
  • ,
  • Frauke Musial

      Affiliations

    • Kliniken Essen-Mitte, Department of Internal and Integrative Medicine, University Duisburg-Essen, Essen, Germany
  • ,
  • Gustav J. Dobos

      Affiliations

    • Kliniken Essen-Mitte, Department of Internal and Integrative Medicine, University Duisburg-Essen, Essen, Germany

Received 20 May 2008; received in revised form 14 November 2008; accepted 6 December 2008. published online 20 April 2009.

Abstract 

We investigated the effectiveness of cupping, a traditional method of treating musculoskeletal pain, in patients with carpal tunnel syndrome (CTS) in an open randomized trial. n = 52 outpatients (58.5 ± 8.0 years) with neurologically confirmed CTS were randomly assigned to either a verum (n = 26) or a control group (n = 26). Verum patients were treated with a single application of wet cupping, and control patients with a single local application of heat within the region overlying the trapezius muscle. Patients were followed up on day 7 after treatment. The primary outcome, severity of CTS symptoms (VAS), was reduced from 61.5 ± 20.5 to 24.6 ± 22.7mm at day 7 in the cupping group and from 67.1 ± 20.2 to 51.7 ± 23.9mm in the control group [group difference –24.5mm (95%CI –36.1; –2.9, P < .001)]. Significant treatment effects were also found for the Levine CTS-score (–.6 pts: 95%CI –.9; -.2, P = .002), neck pain (-12.6mm; 95%CI −18.8; −6.4, P < .001), functional disability (DASH-Score) (–11.1 pts; 95%CI –17.1; –5.1, P < .001), and physical quality of life (.3; 95%CI .0; .3, P = .048). The treatment was safe and well tolerated. We conclude that cupping therapy may be effective in relieving the pain and other symptoms related to CTS. The efficacy of cupping in the long-term management of CTS and related mechanisms remains to be clarified.

Perspective

The results of a randomized trial on the clinical effects of traditional cupping therapy in patients with carpal tunnel syndrome are presented. Cupping of segmentally related shoulder zones appears to alleviate the symptoms of carpal tunnel syndrome.

Key words: Carpal tunnel syndrome, complementary medicine, cupping, double crush syndrome, randomized trial, treatment

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 Supported by a grant of the Karl and Veronica Carstens Foundation, Germany.

PII: S1526-5900(09)00372-1

doi:10.1016/j.jpain.2008.12.013

The Journal of Pain
Volume 10, Issue 6 , Pages 601-608, June 2009