~ 114 ~ International Journal of Herbal Medicine 2017; 5(6): 114-118 E-ISSN: 2321-2187 P-ISSN: 2394-0514 IJHM 2017; 5(6): 114-118 Received: 20-09-2017 Accepted: 21-10-2017 Mohammad Tausif PG Scholars Dept. of Ilaj bit Tadbeer NIUM Bengaluru, Karnataka, India Hamid Ali Lecturer Dept. of Ilaj bit Tadbeer NIUM Bengaluru, Karnataka, India Abuzar Lari PG Scholars Dept. of Ilaj bit Tadbeer NIUM Bengaluru, Karnataka, India Correspondence Mohammad Tausif PG Scholars Dept. of Ilaj bit Tadbeer NIUM Bengaluru, Karnataka, India Comparative evaluation of effects of Hijama bila Shart and tens in Wajaur raqaba (Cervical spondylosis) Mohammad Tausif, Hamid Ali and Abuzar Lari Abstract This study was conducted as an open, randomized, controlled, clinical study on 50 patients with 25 each in test and control group. Test group was treated with Hijama bila Shart and control group with TENS on alternate days, total 8 sittings were done in 15 days. The objective findings of pre and post treatment were assessed with the help of VAS and Vernon & Mior Cervical Spine Questionnaire.This study reveals that Hijama in test group and TENS in control group were found highly significant in the treatment of Wajaur raqaba (Cervical spondylosis). In fact a more reduction in mean score (In pain as well as in neck disability) was found in the test group than the control group and the intergroup comparison also shows that a significant difference exist between the groups, which signifies that Hijama has superior effect on TENS therapy in the treatment of Wajaur raqaba (Cervical spondylosis) on short term basis. Keywords: Wajaur raqaba, Hijama bila Shart, Cervical spondylosis, TENS 1. Introduction Cervical spondylosis is defined as the osteoarthritis in the cervical spine characterized by degeneration of the intervertebral disc and osteophyte formation [1] . It is considered as the most common progressive disorder in the aging cervical spine [2] . in which a sequence of changes takes place in the intervertebral disc, vertebral bodies, and facet joints. It is seen in 10% of individuals by the age of 25 years and in 95% by the age of 65 years [3] . Most of the individuals with degenerative changes of the cervical spine remain asymptomatic while the symptomatic patients are usually older than 40 years of age [4] .There are three main symptom complexes related to cervical spondylosis: neck pain, cervical radiculopathy, and cervical myelopathy [5] . Axial neck pain is the typical presentation of the patients of cervical degenerative disc disease, while pain is the most prominent feature in acute cervical radiculopathy and diminishes as the condition becomes more chronic. It may be described as sharp, achy, or burning and may be located in the neck, shoulder or arm, depending on the nerve root involved. Symptoms of myelopathy are produced by the compression of the spinal cord rather than the nerve root as in case of the cervical radiculopathy, are almost bilateral and can affect the upper and lower limb unlike the radicular symptoms which is usually unilateral and affect the upper limb only. Upper motor neuron signs develop in the limbs with spasticity of the legs appearing first before the arms are involved and patients often feeling insidiously the unsteadiness of gait. Degeneration of cervical spinal elements is the primary etiological factor in the development of cervical spondylosis. Cervical radiculopathy develops as a result of compression of the nerve root at or near the cervical neural foramen. It may be less commonly caused by some other factors e.g. intraspinal and extraspinal tumors, synovial cyst, and dural arteriovenous fistula & tortuous vertebral arteries [6, 7] . Cervical myelopathy develop as a result of compression of spinal cord or spinal vascular compression; it is also the most common cause of non-traumatic spastic paraparesis and quadriparesis. As far as Unani system of medicine is concerned, the term Wajaur raqaba is not mentioned at all in any classical text, but most of the eminent physicians used the term Wajaul Mafasil to represent all types of joint pain, and also named them accordingly like Niqras (Gout), WajaulWarik (Ischial pain), Irqunnasa (Sciatica), Wajaur Rakaba (Knee pain) etc. Similarly, when Wajaul Mafasil occurs in Fiqrate Unuq and causes neck pain, it is known as Wajaur raqaba (Cervical spondylosis), because here Waja stands for pain and Raqaba stands for neck. So cervical spondylosis is also described as Wajaur raqaba a type of WajaulMafasil, and treated as per the line of treatment of Wajaul Mafasil asdescribed in Unani text. The management of Wajaur raqaba (Cervical spondylosis) in modern medicine includes pharmacological and rehabilitation components. Non-steroidal anti-inflammatory drugs, corticosteroids, analgesics, muscle relaxants, anti convulsants and antidepressants are