Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee

Purpose – Rtsa-byugs, a massage oil from Bhutan, is a traditional herbal formula known for its anti-inflammatory properties and used in osteoarthritis treatment. This study investigates the efficacy of rtsa-byugs vs diclofenacgel in relieving knee pain in osteoarthritis patients. Design/methodology/...

Full description

Bibliographic Details
Main Authors: Dorji Nidup, Somboon Kietinun, Sunyarn Niempoog, Kusuma Sriyakul
Format: Article
Language:English
Published: College of Public Health Sciences, Chulalongkorn University 2021-08-01
Series:Journal of Health Research
Subjects:
Online Access:https://www.emerald.com/insight/content/doi/10.1108/JHR-09-2019-0223/full/pdf?title=efficacy-of-rtsa-byugs-vs-diclofenac-gel-in-relieving-knee-pain-of-patients-with-osteoarthritis-of-the-knee
_version_ 1827880315826208768
author Dorji Nidup
Somboon Kietinun
Sunyarn Niempoog
Kusuma Sriyakul
author_facet Dorji Nidup
Somboon Kietinun
Sunyarn Niempoog
Kusuma Sriyakul
author_sort Dorji Nidup
collection DOAJ
description Purpose – Rtsa-byugs, a massage oil from Bhutan, is a traditional herbal formula known for its anti-inflammatory properties and used in osteoarthritis treatment. This study investigates the efficacy of rtsa-byugs vs diclofenacgel in relieving knee pain in osteoarthritis patients. Design/methodology/approach – A single-blind, randomized controlled trial was conducted amongst osteoarthritis knee patients at an orthopedic outpatient department of Thammasat University Hospital. Participants were randomly allocated to the rtsa-byugs (N = 31) or the Diclofenac gel (N = 31) group. Primary outcomes were assessed by the knee injury and osteoarthritis outcome scores (KOOS), visual analog scale (VAS) and goniometer at day 0, 1, 3, 7. Findings – 62 participants completed the study. The result of the KOOS scores demonstrated a significant improvement of symptoms at the end of the study in both treatment groups. Improvement of symptoms, pain, daily life living, sport and recreational score and quality of life assessment showed a significant difference from baseline (p < 0.001) within both groups. The quality of life score for the rtsa-byugs group increased significantly on day 3 and 7. The VAS score in both groups decreased with a significant difference from baseline to day 7. The mean value of extension of angle measurement was decreased in day 7, and the mean of flexion score increased in both groups when compared with the baseline. Research limitations/implications – The duration of the study was very limited and included a small sample consisting of men and women. Originality/value – Rtsa-byugs is safe and effective in relieving pain from osteoarthritis of the knee and can be used as an alternative treatment for knee osteoarthritis.
first_indexed 2024-03-12T18:19:53Z
format Article
id doaj.art-232f7e6906a64cfe86b96848f0c9cbad
institution Directory Open Access Journal
issn 0857-4421
2586-940X
language English
last_indexed 2024-03-12T18:19:53Z
publishDate 2021-08-01
publisher College of Public Health Sciences, Chulalongkorn University
record_format Article
series Journal of Health Research
spelling doaj.art-232f7e6906a64cfe86b96848f0c9cbad2023-08-02T08:55:37ZengCollege of Public Health Sciences, Chulalongkorn UniversityJournal of Health Research0857-44212586-940X2021-08-0135542443310.1108/JHR-09-2019-0223655484Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the kneeDorji Nidup0Somboon Kietinun1Sunyarn Niempoog2Kusuma Sriyakul3Chulabhorn International College of Medicine, Thammasat University–Rangsit Campus, Patumthani, ThailandChulabhorn International College of Medicine, Thammasat University–Rangsit Campus, Patumthani, ThailandDepartment of Orthopaedic, Faculty of Medicine, Thammasat University, Patumthani, ThailandChulabhorn International College of Medicine, Thammasat University–Rangsit Campus, Patumthani, ThailandPurpose – Rtsa-byugs, a massage oil from Bhutan, is a traditional herbal formula known for its anti-inflammatory properties and used in osteoarthritis treatment. This study investigates the efficacy of rtsa-byugs vs diclofenacgel in relieving knee pain in osteoarthritis patients. Design/methodology/approach – A single-blind, randomized controlled trial was conducted amongst osteoarthritis knee patients at an orthopedic outpatient department of Thammasat University Hospital. Participants were randomly allocated to the rtsa-byugs (N = 31) or the Diclofenac gel (N = 31) group. Primary outcomes were assessed by the knee injury and osteoarthritis outcome scores (KOOS), visual analog scale (VAS) and goniometer at day 0, 1, 3, 7. Findings – 62 participants completed the study. The result of the KOOS scores demonstrated a significant improvement of symptoms at the end of the study in both treatment groups. Improvement of symptoms, pain, daily life living, sport and recreational score and quality of life assessment showed a significant difference from baseline (p < 0.001) within both groups. The quality of life score for the rtsa-byugs group increased significantly on day 3 and 7. The VAS score in both groups decreased with a significant difference from baseline to day 7. The mean value of extension of angle measurement was decreased in day 7, and the mean of flexion score increased in both groups when compared with the baseline. Research limitations/implications – The duration of the study was very limited and included a small sample consisting of men and women. Originality/value – Rtsa-byugs is safe and effective in relieving pain from osteoarthritis of the knee and can be used as an alternative treatment for knee osteoarthritis.https://www.emerald.com/insight/content/doi/10.1108/JHR-09-2019-0223/full/pdf?title=efficacy-of-rtsa-byugs-vs-diclofenac-gel-in-relieving-knee-pain-of-patients-with-osteoarthritis-of-the-kneertsa-byugsdiclofenac gelosteoarthritis
spellingShingle Dorji Nidup
Somboon Kietinun
Sunyarn Niempoog
Kusuma Sriyakul
Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee
Journal of Health Research
rtsa-byugs
diclofenac gel
osteoarthritis
title Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee
title_full Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee
title_fullStr Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee
title_full_unstemmed Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee
title_short Efficacy of rtsa-byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee
title_sort efficacy of rtsa byugs vs diclofenac gel in relieving knee pain of patients with osteoarthritis of the knee
topic rtsa-byugs
diclofenac gel
osteoarthritis
url https://www.emerald.com/insight/content/doi/10.1108/JHR-09-2019-0223/full/pdf?title=efficacy-of-rtsa-byugs-vs-diclofenac-gel-in-relieving-knee-pain-of-patients-with-osteoarthritis-of-the-knee
work_keys_str_mv AT dorjinidup efficacyofrtsabyugsvsdiclofenacgelinrelievingkneepainofpatientswithosteoarthritisoftheknee
AT somboonkietinun efficacyofrtsabyugsvsdiclofenacgelinrelievingkneepainofpatientswithosteoarthritisoftheknee
AT sunyarnniempoog efficacyofrtsabyugsvsdiclofenacgelinrelievingkneepainofpatientswithosteoarthritisoftheknee
AT kusumasriyakul efficacyofrtsabyugsvsdiclofenacgelinrelievingkneepainofpatientswithosteoarthritisoftheknee