Efficacy of local heat therapy in alleviating symptoms of mild to moderate idiopathic carpal tunnel syndrome

Document Type : Original Article

Authors

1 Neuroscience Research Center, Institute of Neuropharmacology, Kerman university of Medical Sciences, Kerman, Iran AND Department of Persian Medicine, Faculty of Traditional Medicine, Kerman University of Medical Sciences, Kerman, Iran

2 Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran; Department of Persian Medicine, Faculty of Traditional Medicine, Kerman University of Medical Sciences, Kerman, Iran

3 Neurology Research Scholar, Thomas Jefferson University, Philadelphia, PA, USA

4 Department of Biostatistics and, Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Objectives: This study aims to assess the efficacy of local heat therapy (Kaiy) in alleviating symptoms of mild to moderate idiopathic carpal tunnel syndrome (CTS).
Methods: A single-blind clinical trial was conducted involving patients with mild and moderate idiopathic carpal tunnel syndrome. A total of 120 patients were randomly assigned to either the intervention or control group. Both groups utilized a medical wristband during nighttime. The intervention group received pen moxa as a local heat therapy tool (Kaiy) applied to the wrist region. The Boston questionnaire was employed for assessment.
Results: Heat therapy using Kaiy (pen moxa) significantly improved symptom severity (P≤0.0001), functional status (P≤0.0001), and pain scores (P≤0.0001) in patients with mild to moderate CTS compared to those in the control group without heat therapy.
Conclusion: This study demonstrates the positive impact of heat therapy (Kaiy) as a non-surgical approach for reducing pain, symptom severity, and functional impairment in CTS patients. Integrating complementary and alternative medicine with conventional treatment modalities could enhance symptom management with minimal side effects.

Highlights

Mohammad Setayesh [Pubmed] [Google Scholar]

 

Keywords

Main Subjects

References

  1. The American Academy of Orthopedic Surgery (AAOS). Clinical practice guideline on the diagnosis of carpal tunnel syndrome. Rosemont: AAOS. 2007.
  2. Werner RA, Andary M. Electrodiagnostic evaluation of carpal tunnel syndrome. Muscle Nerve. 2011;44(4):597-607 doi:10.1002/mus.22208 PMid:21922474
  3. Huang K, Liang S, Sun Z, Zhang J. Startup mechanism of moxibustion warming and dredging function. Zhongguo Zhen Jiu = Chinese Acupunct Moxibust. 2017;37(9):1023-6.
  4. Genova A, Dix O, Saefan A, Thakur M, Hassan A. Carpal tunnel syndrome: a review of literature. Cureus. 2020;12(3). doi:10.7759/cureus.7333
  5. Moharrami M, Charsouei S, Dehkharghani SS. Prevalence of Carpal Tunnel Syndrome (P-CTS) in Iran: An Updated Systematic Review. Acad J. 2023.
  6. Qi Z. WHO Traditional Medicine Strategy. 2014-2023. Geneva: World Health Organization. 2013.
  7. Ghofrani; Tanhaei N. The therapeutic method of heating and its place and importance in the history of Muslim medicine. History of Islam and Iran. 2013;23.
  8. Gongwang e-cl. Clinical Acupuncture and moxibustion, 2006.
  9. Abbasi M. Anthropological investigation of heat therapy, a type of treatment and some similar methods in traditional medicine in different parts of Iran. J Res Hist Med. 2017.
  10. Jaladat AM, Vaghasloo MA, Atarzadeh F, Ayati MH, Kazemi AH, Akin E, et al. Similarities and differences between kaiy in Persian medicine and moxibustion in Chinese medicine. J Integr Med. 2023. doi:10.1016/j.joim.2023.05.002 PMid:37225613
  11. Deng H, Shen X. The mechanism of moxibustion: ancient theory and modern research. Evid Based Complementary Altern Med. 2013;2013 doi:10.1155/2013/379291 PMid:24159344 PMCid:PMC3789413
  12. Xinnong C. Acupuncture analgesia. Chinese acupuncture and moxibustion Beijing: Foreign Languages Press. 1987:513-23.
  13. Meems M, Den Oudsten B, Meems B-J, Pop V. Effectiveness of mechanical traction as a non-surgical treatment for carpal tunnel syndrome compared to care as usual: study protocol for a randomized controlled trial. Trials. 2014;15(1):1-7. doi:10.1186/1745-6215-15-180 PMid:24886455 PMCid:PMC4039326
  14. Lee JY, Park Y, Park KD, Lee JK, Lim OK. Effectiveness of ultrasound-guided carpal tunnel injection using in-plane ulnar approach: a prospective, randomized, single-blinded study. Medicine. 2014;93(29) doi:10.1097/MD.0000000000000350 PMid:25546691 PMCid:PMC4602597
  15. Hall B, Lee HC, Fitzgerald H, Byrne B, Barton A, Lee AH. Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome: a randomized controlled trial. Am J Occup Ther. 2013; 67(4):448-59. doi:10.5014/ajot.2013.006031 PMid:23791320
  16. Huisstede BM, Hoogvliet P, Randsdorp MS, Glerum S, van Middelkoop M, Koes BW. Carpal tunnel syndrome. Part I: effectiveness of nonsurgical treatments-a systematic review. Arch Phys Med Rehabilitat. 2010;91(7):981-1004. doi:10.1016/j.apmr.2010.03.022 doi:10.1016/j.apmr.2010.03.023
  17. Heybeli N, Kutluhan S, Demirci S, Kerman M, Mumcu E. Assessment of outcome of carpal tunnel syndrome: a comparison of electrophysiological findings and a self-administered Boston questionnaire. J Hand Surg Eur Vol 2002;27(3):259-64. doi:10.1054/jhsb.2002.0762 PMid:12074615
  18. Rezazadeh A, Bakhtiary AH, Samaei A, Moghimi J. Validity and reliability of the Persian Boston questionnaire in Iranian patients with carpal tunnel syndrome. Koomesh. 2014;15(2):138-45.
  19. Keith MW, Masear V, Amadio PC, Andary M, Barth RW, Graham B, et al. Treatment of carpal tunnel syndrome. JAAOS-J Am Acad Orthop Surg. 2009;17(6):397-405. doi:10.5435/00124635-200906000-00008 PMid:19474449
  20. Keith MW, Masear V, Chung KC, Amadio PC, Andary M, Barth RW, et al. American Academy of Orthopaedic Surgeons clinical practice guideline on the treatment of carpal tunnel syndrome. J Bone Joint Surg Am. 2010;92(1):218. doi:10.2106/JBJS.I.00642 PMid:20048116 PMCid:PMC6882524
  21. Ding Q, Shen F. Effects of acupuncture and moxibustion of Yangchi point on carpal tunnel syndrome. Int J Tradit Chin Med. 2013:117-9.
  22. Michlovitz S, Hun L, Erasala GN, Hengehold DA, Weingand KW. Continuous low-level heat wrap therapy is effective for treating wrist pain. Arch Phys Med Rehabilitat. 2004; 85(9):1409-16. doi:10.1016/j.apmr.2003.10.016 PMid:15375809
  23. Piravej K, Boonhong J. Effect of ultrasound thermotherapy in mild to moderate carpal tunnel syndrome. J Med Assoc Thai. 2004; 87: S100-6.
  24. Michalsen A, Bock S, Lüdtke R, Rampp T, Baecker M, Bachmann J, et al. Effects of traditional cupping therapy in patients with carpal tunnel syndrome: a randomized controlled trial. J Pain. 2009;10(6):601-8. doi:10.1016/j.jpain.2008.12.013 PMid:19380259
  25. Freiwald J, Magni A, Fanlo-Mazas P, Paulino E, Sequeira de Medeiros L, Moretti B, et al. A role for superficial heat therapy in the management of non-specific, mild-to-moderate low back pain in current clinical practice: A narrative review. Life. 2021; 11(8):780. doi:10.3390/life11080780 PMid:34440524 PMCid:PMC8401625
  26. Cakmak YO. A review of the potential effect of electroacupuncture and moxibustion on cell repair and survival: the role of heat shock proteins. Acupunct Med. 2009; 27(4):183-6. doi:10.1136/aim.2009.001420 PMid:19942727
  27. Lim MY, Huang J, Zhao B. Standardisation of moxibustion: challenges and future development. Acupunct Medicine. 2015; 33(2):142-7. doi:10.1136/acupmed-2014-010688 PMid:25510253
International Archives of Health Sciences
Volume 11, Issue 2
April 2024
Pages 79-84

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History

  • Receive Date: 21 August 2023
  • Revise Date: 14 January 2024
  • Accept Date: 30 January 2024

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