The Effect of Mud Pack Treatment in Knee Osteoarthritis

Authors: Odabasi E (1) , Turan M (1) , Erdem H (2) , Pay S (3) , Güleç M (2) , Karagülle MZ (4)
Affiliations:
(1) Department of Medical Ecology and Hydroclimatology, Gülhane School of Medicine (2) Department of Public Health, Gulhane School of Medicine (3) Department of Rheumatology, Gulhane School of Medicine (4) Department of Medical Ecology and Hydroclimatology, İstanbul Medical Faculty, İstanbul University
Source: Turkish journal of rheumatology (Impact Factor: 0.23). 01/2009; 24(2).
DOI: Not specified Publication date: 2009 Jan E-Publication date: Not specified Availability: full text Copyright: Not specified
Language: English Countries: Not specified Location: Not specified Correspondence address: Dr. Ersin Odabaşı,
Gülhane Askeri Tıp Akademisi, Tıbbi Ekoloji ve Hidroklimatoloji Anabilim Dalı, Ankara, Türkiye
Tel.: +90 312 304 45 82
E-mail: ersinodabasi@hotmail.com

Keywords

Article abstract

Objective: The aim of this study was to evaluate the efficacy of mud pack treatment in patients with knee osteoarthritis (OA).

Material and Methods: Fifty-seven patients with bilateral primary OA of the knee were enrolled in the study. Patients were divided into two groups based on their availability for mud application during the study period. The patients in the study group (32 patients) were subjected to daily mud pack treatment on weekdays only for three weeks, applied to both knees for 30 minutes (min) at 45°C (total 15 applications). Mud applications were done in the musculoskeletal outpatient clinic by the same person. The patients in the control group (25 patients) had analgesic treatment with acetaminophen 2 g/day. All patients were evaluated three times by assessors who were blinded to both the intervention and evaluation period: (1) at the baseline, (2) immediately after the 15th application, and (3) 30 days after the end of the treatment. Western Ontario and McMaster Universities osteoarthritis index (WOMAC), pain intensity (as measured with 100 mm VAS) and patient’s and physician’s assessment of disease severity index were the primary outcome measures of the study.

Results: As compared to the baseline, significant decreases were observed in both groups in terms of WOMAC, pain intensity, and disease severity index scores. The improvements were found to be superior in the study group as compared to the controls. Moreover, a significant number of patients in the study group had minimal clinically important improvement when compared to the control group.

Conclusion: Mud pack treatment significantly improves the pain and functional status of patients with knee OA.
 

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