[Omeo33] Art 1196 - Explore, 2005, 1 (6), 446-452

[Gino Santini]

A Homeopathic Ointment Preparation Compared With 1% Diclofenac Gel for  
Acute Symptomatic Treatment of Tendinopathy
Christian Schneider, Peter Klein Dipl-Math, Pelle Stolt and Menachem  
Oberbaum

Context - The incidence of tendon injuries and tendinopathy has risen  
substantially in the past decades.
Objective - To assess the noninferiority of therapy based on the  
homeopathic preparation Traumeel S ointment (Heel GmbH, Baden-Baden,  
Germany) compared with treatment based on diclofenac 1% gel in  
patients with tendinopathies of varying etiology.
Design - Nonrandomized, observational study.
Setting - Ninety-five homeopathy and conventional medical practices in  
Germany.
Patients - Three hundred fifty-seven patients aged 18 to 93 years with  
tendinopathy of varying etiology based on excessive tendon load rather  
than inflammation.
Interventions - Traumeel S ointment or diclofenac 1% gel for a maximum  
of 28 days.
Main Outcome Measures - Efficacy was measured on a four-degree scale  
on pain-related variables, on variables related to motility, and on  
overall treatment outcome. Tolerability was monitored as adverse  
events. Compliance was assessed by practitioner and patient on a four- 
degree scale.
Results - The patients groups were comparable at baseline. The changes  
in summary score of all pain-related variables were −5.3 ± 2.7 (all  
values means ± SD) in the Traumeel group and −5.0 ± 2.7 in the  
control group. Changes for all motility-related variables were −4.2  
± 3.8 with Traumeel and −3.7 ± 3.4 with control therapy. The  
summary scores for all clinical variables were reduced by −9.5 ± 5.7  
with Traumeel therapy and by −8.7 ± 5.4 with diclofenac-based  
treatment. Homeopathic therapy was noninferior to diclofenac therapy  
on all variables. For motility-related variables, there was a trend  
toward superiority of Traumeel. Treatments were well tolerated with no  
treatment-related adverse events.
Conclusions - The results suggest that Traumeel ointment is an  
effective alternative to nonsteroidal antiinflammatory drugs therapy  
for the acute symptomatic treatment of patients with tendinopathy.

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