Efficacy of Turmeric-Boswellia Formulation for Acute Low Back Pain: A Double-blind, Randomized, Placebo-controlled Trial
Bibliographic record
Abstract
Objectives To evaluate the efficiency of the turmeric-Boswellia formulation (TBF, Rhuleave-K) in reducing acute low back pain (LBP) among healthy subjects. Materials and Methods This research aimed to assess the effectiveness of TBF compared to a placebo through a single dose of 1,000 mg, administered in a randomized, double-blinded, placebo-controlled trial with 76 participants experiencing acute low back pain. Efficacy was evaluated using objective outcome measures, namely the numerical rating scale (NRS), categorical pain relief scale (PRS), the onset of analgesia, and the short-form McGill questionnaire. NRS and PRS measurements were taken 30 minutes post-dose at rest, during movement, and under pressure application at the afflicted area. The onset of analgesia was assessed 6 hours post-dose. Quantitative analysis of the Sum of Pain intensity Difference (SPID) and Total Pain Relief (TOTPAR) values was conducted based on the NRS and PRS scores, respectively. Results Pain relief began quickly and all participants in the TBF group reported a significantly noticeable reduction in pain at about 76.4 minutes, compared to the 190 minutes in the placebo group. Similarly, 92.7% of participants in the TBF group experienced mean meaningful pain relief (MPR) as early as 224.1 minutes, compared to the zero MPR responders in the placebo group. There was a statistically significant difference in the time to pain relief between the TBF and placebo groups, with significant improvement in the TBF group (log-rank hazard ratio, p < 0.001). None of the individuals in the placebo group demonstrated a minimum of 50% maximum TOTPAR in rest, movement, and pressure. Whereas, 75.71% of the TBF group experienced at least 50% maximum TOTPAR in rest, 88.09% in movement, and 90.48% in pressure. The effectiveness of the treatment, as measured by the number needed to treat (NNT) for achieving at least 50% of MPR in the TBF group, was 1.2 at rest and 1.1 during both movement and pressure. Conclusion Oral administration of TBF (Rhuleave-K) to individuals with acute low back pain significantly reduces pain, providing meaningful relief within 4 hours of administration. This highlights the substantial analgesic effectiveness of TBF in the context of acute LBP.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.006 | 0.002 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.003 | 0.002 |
| Insufficient payload (model declined to judge) | 0.008 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".