The effect of Cupping on lumbar pain of the elderly

INTERVENTION: Intervention 1: Intervention group: After random allocation of patients in to two groups of cupping therapy and placebo, in cupping therapy group, 4‐10 acrylic cups with a diameter of 25‐50 mm were used, the air inside them was heated by the flame of alcohol cotton and the cups were placed on paravertebral region at a distance between l1 and l5 in parallel, for 7‐10 minutes. As the air inside the cup cools down and creates suction, the skin is drawn into the cup due to the created vacuum. In such a way that the skin turns from bright red to dark pink. The duration of treatment is 10 days, into every other day in even or odds day to avoid patients of two groups confronting each other. Generally, each person is subjected to 5 sessions. If analgesics are needed, matching is done in both groups. Intervention 2: Control group: In the placebo group, by a manual cupping machine with a single suction and double adhesive support, 4‐10 acrylic cups with a diameter of 25‐50 mm, are attached only to the suction position on both sides of the vertebral column and in parallel at a distance between l1 and l5 (without changing the color of the skin). The cups are removed after 7‐10 minutes. The duration of treatment is 10 days, into every other day in even or odds day to avoid patients of two groups confronting each other. Generally, each person is subjected to 5 sessions. If analgesics are needed, matching is done in both groups. CONDITION: low back pain. ; ?????? M54.5 PRIMARY OUTCOME: Low back pain intensity. Timepoint: registration of daily pain intensity from day 0‐10. Method of measurement: Visual Analog Scale questionnaire: VAS (0‐10). INCLUSION CRITERIA: Willingness and satisfaction of the patient to participate in the study The presence of non‐specific musculoskeletal pain in the lower back based on the doctors diagnosis Age>60 years (35) Mild to moderate pain intensity 4‐8 on VAS Low back pain>=3 month (8) BMI <35 (34)