Use of traditional medicine for primary headache disorders in Kuwait
Affiliations
Affiliations
- Department of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat, 13115, Kuwait City, Kuwait. jasemkumsa@hotmail.com.
- Department of Medicine, Faculty of Medicine, Health Sciences Centre, Kuwait University, Kuwait City, Kuwait. jasemkumsa@hotmail.com.
- Department of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat, 13115, Kuwait City, Kuwait.
- Department of Neurology and Psychiatry, Al-Minia University, Minia, Egypt.
- Mubarak Al- Kabeer Hospital, Jabriya, Hawalli, Kuwait.
- Division of Neurology, Amiri Hospital, P.O. Box 1661, Qurtoba, 73767, Kuwait City, Kuwait.
Abstract
Background: Traditional Medicine (TM) is widely accepted to be used for the treatment headache disorders in Kuwait however, researches remain poorly documented. We aimed to study the frequency of TM use and its impact in the primary headache patients.
Methods: This is a cross sectional self-reported efficacy study, which was conducted in Headache clinic in Kuwait throughout 6 months. Patients who were diagnosed with primary headache disorders of both genders aged from 18 to 65 years were included. Self-reported questionnaires were distributed to patients who used TM in the previous year. It included demographic, and characteristics of headache (headache frequency, duration, number of analgesic used in days per month and severity of headache). TM queried included blood cupping (Hijama), head banding, herbal medicine (sabkha), and diet modification. It assessed characters of headache before and 3 months after the final TM session. Independent sample t test, paired sample t test and Chi-square test were used to compare between different values. P < 0.05 is considered significant.
Results: A total of 279 patients were included. The mean age is 40.32 ± 11.75 years; females represented 79.6% of the cohort. Most patients (n = 195; 69.9%) reported the use of TM before presentation to headache clinic, mainly Hijama (47.3%). Cultural / religious beliefs were the cause of seeking TM in 51.3% versus 10% used it due to ineffective medical treatment and 8.6% used it because of intolerance of medical treatment. Patients used TM were older at the onset of headache (24.24 ± 10.67 versus 20.38 ± 8.47; p < 0.003), and had longer headache disease duration (19.26 ± 13.13 versus 16.12 ± 11.39; p < 0.044). All patients with chronic headache (100%) and most of episodic migraine patients (90.4%) sought TM while only (31.5%) of Tension type headache sought TM; p < 0.047. Patients who sought TM had more frequent episodes of headache, longer duration of attacks and higher number of days of analgesic-usage respectively over last 3 months before presentation to our side (9.66 ± 7.39 versus 4.14 ± 2.72; p < 0.001), (41.23 ± 27.76 versus 32.19 ± 23.29; p <. 0009), (8.23 + 7.70 versus 3.18 ± 3.06; p < 0.001). At 3 months after the final TM session, there was no significant reduction of frequency of headache days per month (9.19 ± 7.33 versus 8.99 ± 7.59; p < 0.50), days of analgesic use per month (7.45 ± 7.43 versus 6.77 ± 6.93; p < 0.09) and duration of headache (41.23 ± 27.76 versus 41.59 ± 27.69; p < 0.78). However, there was a significant reduction of the severity of headache (p < 0.02). Few patients (17.9%) reported adverse events with TM. Most of TM cohorts were not satisfied after receiving this type of medicine.
Conclusion: TM was widely used in Kuwait for primary headache. Patients sought TM before seeking physician because they found them more congruent with their own cultural and religious beliefs. Health care professionals involved in the management of headache should be aware of this and monitor potential benefits or adverse events of TM. The usage of TM was not effective in reducing headache attacks and severity.
Keywords: Hijama; Kuwai; Migraine; Tradional medicine.
Conflict of interest statement
The authors declare that they have no competing interests.
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KMEL References
References
-
- WHO . In: General guidelines for methodologies on research and evaluation of traditional medicine. WHO Traditional Medicine Strategy 2002-2005, editor. Geneva: World Health Organization; 2000. pp. 1–71.
-
- Zulfakar, R. S. (2013). Pendakwaan Jenayah Sihir: Prinsip-Prinsip Pembuktian dan Akta Keterangan Mahkamah Syariah” (kertas kerja, Muzakarah Pakar: Pendakwaan Pesalah Sihir di Mahkamah Syariah. Shah Alam, Malaysia: Jabatan Mufti Negeri Selangor dengan kerjasama PISANG.Şeker N: [Prophet and preventive medicine:The case of bloodletting.] The University of Kahramanmaras Sutcu Imam Review of the Faculty of Theology,;21:157–87 [in Turkish]
-
- Siapush M. Post-modern values, dissatisfaction with conventional medicine and popularity of alternative therapies. J Social. 1998;34:58–70. doi: 10.1177/144078339803400106. - DOI
-
- Qur'an, Surah An-Nahl 16:69, http://www.searchtruth.com/chapter_display.php?chapter=16&translator=2&m...
-
- El-Wakil A. Observations of the popularity and religious significance of blood-cupping (al-hijama) as an Islamic medicine. Contemporary Islamic Studies. 2011;2011:2. doi: 10.5339/cis.2011.2. - DOI
-
- El-Hag AG, Al-Jabri AA, Habbal OA. Antimicrobial properties of Lawsonia inermis (henna): a review. Australian Journal of Medical Herbalism. 2007;19(3):114.
-
- Tfelt-Hansen P, Pascual J, Ramadan N, Dahlof C, Diener HC, Hansen JM, Lanteri Minet M, Loder E, McCrory D, Plancade S, Schwedt T, International Headache Society Clinical Trials Subcommittee Guidelines for controlled trials of drugs in migraine: third edition. A guide for investigators. Cephalalgia. 2012;32:6–38. doi: 10.1177/0333102411430849. - DOI - PubMed
-
- Rossi P, Di Lorenzo G, Malpezzi MG, Faroni J, Cesarino F, Di Lorenzo C, Nappi G. Prevalence, pattern and predictors of use of complementary and alternative medicine (CAM) in migraine patientsatt ending a headache clinic in Italy. Cephalalgia. 2005;25:493–506. doi: 10.1111/j.1468-2982.2005.00898.x. - DOI - PubMed
-
- Thomas K, Coleman P. Use of complementary or alternative medicine in a general population in Great Britain. Results from the National Omnibus survey. J PublicHealth. 2004;26:152–157. - PubMed
-
- World Health Organization . Policy and economic issues. 2012. Traditional and complementary medicine policy.
-
- Albinali H. Traditional medicine among gulf Arabs. Heart Views. 2004;5(2):1–11.
-
- Abu ‘Abdullah Muhammad bin Isma’il al-Buhary, Sahh, Kita b al-Tib (2011).71:587, 603, 605