Chinese Journal of Integrative Medicine

, Volume 25, Issue 7, pp 502–506 | Cite as

Wet-Cupping Is Effective on Persistent Nonspecific Low Back Pain: A Randomized Clinical Trial

  • Mohsen Mardani-Kivi
  • Reza Montazar
  • Mohammad AzizkhaniEmail author
  • Keyvan Hashemi-Motlagh
Original Article



To compare the possible effects of wet-cupping therapy with conventional therapy on persistent nonspecific low back pain (PNSLBP).


In this randomized clinical trial, 180 participants with the mean age of 45±10 years old, who had been suffering from PNSLBP were randomly assigned to wet-cupping and conventional groups. The wet-cupping group was treated with two separate sessions (4 weeks in total) on the inter-scapular and sacrum area. In the conventional group, patients were conservatively treated using rest (6 weeks) and oral medications (3 weeks). The primary and the secondary outcome were the quantity of disability using Oswestry Disability Index (ODI), and pain intensity using Visual Analogue Scale (VAS), respectively.


There was no significant difference in demographic characteristics (age, gender, and body mass index) between the two groups (P>0.05). Therapeutic effect of wet-cupping therapy was comparable to conventional treatment in the 1st month follow-up visits (P<0.05). The functional outcomes of wet-cupping at the 3rd and 6th month visits were significantly increased compared to the conventional group. Final ODI scores in the wet-cupping and conventional groups were 16.7 ± 5.7 and 22.3 ± 4.5, respectively (P<0.01).


Wet-cupping may be a proper method to decrease PNSLBP without any conventional treatment. The therapeutic effects of wet-cupping can be longer lasting than conventional therapy. (Registration No. IRCT2013021672741))


low back pain chronic wet-cupping therapy traditional medicine Chinese medicine alternative medicine conservative treatment 


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Copyright information

© The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Mohsen Mardani-Kivi
    • 1
  • Reza Montazar
    • 2
  • Mohammad Azizkhani
    • 2
    Email author
  • Keyvan Hashemi-Motlagh
    • 3
  1. 1.Department of OrthopedicGuilan University of Medical SciencesRashtIran
  2. 2.General PractitionerTraditional Medicine SpecialistTehranIran
  3. 3.Orthopedic Research CenterRashtIran

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