Authors' objectives:

The objective of this assessment is to determine the safety, effectiveness and cost implications of heat treatment for degenerative changes of skeletal system.

Authors' results and conclusions: There is insufficient evidence to support the effectiveness and safety of microwave therapy, short wave diathermy, interferential therapy, infrared therapy, and hot-packs therapy for the treatment of musculo-skeletal degenerative disease. In addition, there is inconclusive evidence to support the effectiveness of ultrasound, wax bath, laser, and corona discharge (Sonotron) for the treatment for musculo-skeletal degenerative disease. However. Capsaicin has been found to be safe and useful for treating osteoarthritis, but there is insufficient evidence of its effectiveness in treating rheumatoid arthritis. In a survey of the local situation, it was found that there is variation in selection of the modality of treatment by surgeons and physiotherapists for some common conditions including musculo-skeletal degenerative disease.

Authors' recommendations: There is a need for greater standardization of treatment for common conditions requiring heat treatment. More studies need to be carried out at the local level to examine the effectiveness of some of these modalities.

Authors' methods: Systematic review

Project Status: Completed

URL for project: http://www.moh.gov.my/

Year Published: 2002

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: Malaysia

Organisation Name: Malaysian Health Technology Assessment Unit

Contact Address: Health Technology Assessment Unit, Medical Development Division, Ministry of Health Malaysia, Level 21, PERKIM Building, Jalan Ipoh, 51200 Kuala Lumpur, Malaysia. Tel: 603 4045 7781, Fax: 603 4045 77 40

Copyright: Malaysian Health Technology Assessment Unit (MHTAU)