Comparative Effectiveness of Acupuncture and Tramadol for Treatment of Acute Ankle Injury
Keywords:
Acute ankle injury, VAS pain score, Acupuncture, Tramadol, Ottawa Ankle RulesAbstract
Background : Acute ankle injuries are common musculoskeletal problem in the general population. Acupuncture is an alternative treatment for acute ankle sprain, and the World Health Organization has recommend edits use for relief of musculoskeletal pain.
Objective : The objective of this study was to study the effectiveness of acupuncture compared with intramuscular tramadolin treatment of patients with acute ankle injury within 1 week.
Methods : This was a clinical trial of 72 patients, aged over 14 years, who presented with acute ankle injury or partial tear of tendon without fracture diagnosed by Roentgenogram, who pain score more than 6 were treated by acupuncture or tramadol. Visual analog scale pain score was assessed before and after treatment with acupuncture or tramadol at the time of the first treatment, after 0 minutes, and then after 10, 20, 30 minutes, 1 week and 4 weeks.
Results : The mean age of the patients was 32.15 ± 12.62 years old, 62.5% were female, 66.70% had ankle sprain grade II, 52.80% had left ankle sprain and 70.8% had a non-road traffic injury. The Body Mass Index was 23.52 ± 5.27 Kg/ m2.The effectiveness of acupuncture and tramadol in patients with acute ankle injury within 1 week were different. More pain reduction was seen in patients using acupuncture than in patients using tramadol after 10 minutes, 20 minutes, 30 minutes and 1week. No difference in pain reduction was seen at 4 week. Moreover, the patients who had pain scores less than 4 in acupuncture group were more than tramadol group significantly at 20minutes, 30 minutes and one week.
Conclusion : Treatment of patients with acute ankle injury with acupuncture can relieve pain more than tramadol within 20 minutes with statistical significantly.
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