A homeopathic ointment preparation compared with 1% diclofenac gel for acute symptomatic treatment of tendinopathy

Explore (NY). 2005 Nov;1(6):446-52. doi: 10.1016/j.explore.2005.08.010.


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.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage*
  • Confidence Intervals
  • Diclofenac / administration & dosage*
  • Female
  • Gels / administration & dosage
  • Homeopathy / methods*
  • Humans
  • Male
  • Middle Aged
  • Minerals / administration & dosage*
  • Ointments / administration & dosage
  • Pain Measurement
  • Plant Extracts / administration & dosage*
  • Tendinopathy / drug therapy*
  • Treatment Outcome


  • Anti-Inflammatory Agents, Non-Steroidal
  • Gels
  • Minerals
  • Ointments
  • Plant Extracts
  • Traumeel S
  • Diclofenac