Phase II Non Randomised Comparative Open Clinical Evaluation of “Notchi Elai Kattu” (Bandage) with Alternate Hot and Cold Application for Pain Management of Kuthikaal Vadham (Calcaneal Spur)

I have to summarize this study with the following highlights. 30 cases of Kudhikaal Vadham were diagnosed clinically. Among 30 patients, 20 patients were treated with Notchi Elai Kattu in OPD, 10 patients were treated with Hot And Cold Water therapy in OPD for 20 days in Department of Pura Maruthuvam, Government Siddha Medical College, Chennai-106. ❖ The study Protocol was approved by Institutional Ethical Committee (GSMC-CH-ME- 2/020/2019). Before initiating the clinical trial, it was registered in Clinical Trial Registry of India and the registration number Ref No Is: CTRI/2021/08/035443. ❖ The various Siddha methods of examination of the disease were carried out and the data were recorded in the prescribed proforma for the 30 selected cases. Among the 30 cases, 20 cases were included in group I and 10 cases were included in group II. For group I patients, the trial therapy NOTCHI ELAI KATTU was given for 20 days (alternative days). For group II patients, alternate HOT AND COLD THERAPY was given for the same above mentioned period. ❖ During the period of treatment all the patients are advised for Pathiyam (specific dietary regimen chart for the disease given to each patient). Laboratory investigations are done periodically for all the cases before and after treatment and radiological investigations are done for all the cases before treatment. ❖ As per the Siddha Literature and recent research articles, the ingredients of the trial drugs was found to have anti-inflammatory and analgesic properties. The observations made during the clinical study showed that external trial therapy NOTCHI ELAI KATTU is effective in relieving the pain in Kudhikaal vatham patients. During the study period, there was no adverse event reported. ❖ For group I, there was good improvement in cases with mild symptom, mild improvement in cases with moderate symptom and there was no improvement in severe cases. For group II patients, there was good improvement in mild pain cases, and no improvement seen in patients with moderate and severe ...