– or neurological disorders?
– Previous operations: ALC & Hamstring graft, shaving of miniscus
Patient’s Consent
1:40 If I can have your signature here to say you are okay with it (proceeding with the hijama treatment)

Explanation of possible side-effects of Hijama
1:43 The possible side-effects: Scarring from the small scratches and small marks it is quite uncommon, but it is possible with some patients. Obviously as I mentioned, you can feel light-headed, and you can feel itchy for one or two days afterwards, and sometimes it can sting, so try not to scratch the area or anything like that. And that is pretty much it.

Taking the patients blood pressure.
2:08 Nice healthy blood-pressure 120/70 it’s not particularly low, which means you are less likely to faint or anything like that during the treatment.

Explanation of the treatment procedure.
2:17  We are going to be using these cups and we will be applying them on the sides of the knee and we will create a negative pressure by using this pump which sucks the air out which will create the negative pressure. As you can see the blood is increasing around that area, so it increases the blood circulation in that area, and we will take the cup off after a couple of minutes. We will make small scratches, that are basically tiny nips. They are not deep cuts, and it is literally a tiny nip of the skin. We will then pop the cup back on, re-apply the suction and leave it there for a little bit. It can be quite uncomfortable having the suction done. If anything is too strong then let me know. Also the little nips, again some people find them quite painful, most people find them ticklish. But if there is anything uncomfortable, you can stop me at any time. During the treatment you can feel a little bit light-headed. We are going to treat you sitting up, as we are working on the knee and it is easier to work on the knee in that way. If you do feel light-headed or dizzy at any time, then just let me know straight away, and we will lay you down, because you can feel faint – but most of the time it is from seeing the blood rather than anything else, people feel faint, that is why ask the (health-screen) questions before (as to whether you are blood-phobic), but it (the treatment) is pretty harmless otherwise.

Hijama Treatment
3:23 Okay, so we are going to start with the procedure now. I am just going to apply a little bit of oil onto the surface of the knee, to prevent any air getting into the cup, so we get a nice attachment to the knee. We are going to apply oil on the sides here, just smoothing the hair down. These are all single use cups. Everything we use in the clinic is single-use for each patient. So there is no chance of cross-infection and these sorts of things happening.

4:01 Right so we are going to leave these cups on now for a couple of minutes (the initial dry-cupping stage), to just let any swelling or inflammation to be drawn to the surface, and then we will start with some small scratches.

4:15 Okay we will start with the small cuts now, and we are going to see how it feels. A lot of people ask if this is painful, so I would want you to give some feedback on this video, of how it is feeling. Okay we will start with the first cut, tiny little scratch

To patient: Is that okay?
Patient: Yes that is fine. Didn’t really feel that

Okay tiny little nips, lots of them
Patient: Little spikes
That’s fine? Wasn’t too bad?
Patient: Not at all, felt like scratches
And we will pop the cup back on
And we will now go for the next cup, same thing again – tiny little scratches.
(Fourth cup): I think this is the one that is inflamed quite a lot.

5:23 All cups back on

How does it feel
Patient: Yeah fine. I am surprised, I was expecting it to be painful. I can’t feel anything. I was expecting to feel light-headed

5:35 Okay so we have left the cups on for about 7-8 minutes. We are going to start taking them off now and you can see what happens. So I am just going to put some tissue under the cup, and pop the nozzle of the cup to release the air. Pressure starts to release and I have to try not to make a mess of this. As you can see the blood is kind of congealed up. And then wipe the area.

Was that okay? Did that sting?
Patient: It’s fine.

I’m going to apply some wound wash, basically some anti-septic on the area. The bleeding is pretty much stopped straight away, you might get some tiny little drops still coming through, but that should stop in the next few minutes.

Treatment finished
7:10 Patient tries bending knee completely
Patient: Couldn’t do that before (the treatment)! So whatever you have done has worked. It’s strange isn’t it?  Well not strange..&nbsp

; it makes sense

Post-treatment feedback
7:21
How was it?
Patient: It feels fine. I can feel like a release of pressure. There is a little bit of a tingling where the scratches are. Other than that, I don’t feel light-headed and it feels good.

Institute of Clinically Applied Hijama Therapy (ICAHT)

• Practice hijama within safe clinical remits
• Treat patients with effective treatment techniques
• Know the limits of care and how to deal with emergencies
• Practice infection control to a clinical standard
• Understand the important anatomy of the human body

• Continued professional mentorship
• ICAHT membership
• Hands-on clinical training

ICAHT – “Uniting Traditional Practice with Clinical Science” 


–