Effect of Cupping Therapy on Nitric Oxide Level in Patients With Cervical Spondylosis

Effect of Cupping Therapy on Nitric Oxide Level in Patients With Cervical Spondylosis

this study will be conducted to investigate the effect of cupping therapy on the nitric oxide level in patients with cervical spondylosis

Cupping therapy is one of the oldest alternative medical procedures, along with acupuncture, with more than 3500 years of history to treat pain and various disorders. Cupping induces various biological responses that could be evoked by suction of the skin, About 5 to 10 minutes of cupping causes extravascular blood within the subcutaneous tissue and creates bruise-like marks. Therefore, cupping induces mild damage to a painful part of the body and accelerates healing by evoking the natural healing process. While this hypothesis is acceptable for some people, it might not be enough to change the minds of skeptics since cupping itself has no curative effects. Suppose the healing process after cupping can be accelerated by merging cupping with scientifically proven techniques. In that case, this new form of therapy might help to persuade skeptics of the efficacy of cupping. Integrative medicine, including acupuncture, dry needling, and cupping, is being used increasingly in the United States. evidence regarding their efficacy in the management of musculoskeletal conditions is heterogeneous and subject to several limitations. despite these limitations, acupuncture consistently is more effective than no treatment and is relatively safe. for chronic back pain, it is recommended as a first-line noninvasive therapy. for neck pain, acupuncture provides benefits when it is combined with other treatments. dry needling is similar to acupuncture and frequently is regarded as a form of acupuncture. sixty patients with cervical spondylosis will receive cupping therapy for three months.

Inclusion Criteria:

• Patients with (cervical spondylosis) from both sexes.
• Age range (24-60) in chronic stages.
• BMI from20-25 kg/m2.

Exclusion Criteria:

• Renal and hepatic patients.
• Anemia, hepatic disease, and dermatological diseases.
• Morbid obese patients if their BMI exceeds the 25 kg/m2 will be also excluded.
• the patients are taking any medications known to affect the pain level
• The patients have a systemic illness, dermatological problems, skin allergy, local ischemic problems