The Effects of Sahatsathara Gel Innovation Combined with Massage and Herbal Compress on Pain Reduction in Patients with Myofascial Pain Syndrome
Keywords:
Sahasthara gel, Myofascial pain,, Thai traditional massage and herbal compress, Pain reduction, Herbal analgesic gelAbstract
This research was a clinical trial utilizing a quasi-experimental design.
The objectives were to compare the effectiveness of Sahasthara gel combined with Thai traditional massage and herbal compress versus traditional massage and herbal compress alone in reducing myofascial pain, and to evaluate patient satisfaction toward the developed Sahasthara gel innovation. The sample consisted of 50 patients aged 18 years or older with a pain score of 4 or higher. Participants were divided into an experimental group of 25 patients (receiving 3 sessions of massage and herbal compress therapy on days 1, 3, and 5, combined with self-application of Sahasthara gel at home twice daily, morning and evening) and a control group of 25 patients (receiving only
3 sessions of massage and herbal compress therapy). Data were analyzed using Paired
t-test, independent sample t-test (one-tailed), and Chi-square test, with statistical significance set at p < 0.05. The results revealed that both groups demonstrated
a statistically significant reduction in pain levels (p < .001). The experimental group's pain score decreased from 7.04 to 2.08 (t = 24.318, p < .001), while the control group's score decreased from 6.52 to 2.96 (t = 18.524, p < .001). When comparing between groups, the experimental group showed a significantly greater mean reduction in pain score (4.96 ± 1.02) than the control group (3.56 ± 0.96) (t = 4.996, p < .001). Furthermore,
the proportion of patients who achieved complete pain relief was significantly higher in the experimental group compared to the control group (72.0% vs. 36.0%, p < .011). Patient satisfaction toward the Sahasthara gel innovation was at the highest level (4.63 ± 0.51). The highest score was observed in safety with no reported allergic reactions or irritation (4.84 ± 0.37), followed by pain relief efficacy and portable packaging (4.76 ± 0.44). In conclusion, Sahasthara gel is a potential alternative adjunct therapy to massage and herbal compress for short-term muscle pain reduction.
References
Burden of Disease Research Program Thailand. (2023). Report on burden of disease and injuries of the Thai population 2022: Disability-Adjusted Life Years (DALYs) in Thailand 2022. International Health Policy Program Foundation. https://dol.thaihealth.or.th/File/media/7559d28e-ac78-40a5-81b7-1108ccae1cc6.pdf
Buttagat, V., & Harncharoenkul, B. (2019). Therapeutic effects of traditional Thai massage on cervical range of motion, pain and anxiety in patients with upper trapezius myofascial pain syndrome: An assessor-blind randomized controlled trial. Journal of Medical Technology and Physical Therapy, 31(1), 9–20. http://110-170-189-210.static.asianet.co.th/articles/2866
Chandran, R., & Das, S. (2021). Herbal gel formulations for the treatment of psoriasis: A review. Asian Journal of Pharmaceutics, 15(3), 356-363. https://doi.org/10.22377/ajp.v15i3.3372
Chotimuk, K. (2024). The effectiveness of Thai traditional herbal massage in office syndrome patient at Mukdahan Thai traditional medicine service clinic. Mukdahan Provincial Health Office. (in Thai)
Kakatum, N., Pinsornsak, P., Kanokkangsadal, P., Ooraikul, B., & Itharat, A. (2021). Efficacy and safety of Sahastara remedy extract capsule in primary knee osteoarthritis: A randomized double-blinded active-controlled trial. Evidence-Based Complementary and Alternative Medicine, 2021, Article 6635148. doi.org
Kaur, L., & Guleri, T. K. (2013). Topical gel: A recent approach for novel drug delivery. Asian Journal of Biomedical and Pharmaceutical Sciences, 3(17), 1-5. https://www.alliedacademies.org/articles/topical-gel-a-recent-approach-for-novel-drug-delivery.pdf
Medical Registration Division. (1999). The textbooks of traditional Thai medicine: Thai medicine branch (Vol. 1). Medical Registration Division, Office of the Permanent Secretary, Ministry of Public Health. (in Thai)
Rammanop, N., et al. (2025). Clinical efficacy of Sahatsatara spray for alleviating foot numbness in type 2 diabetes mellitus patients: A case study at Phra Nakhon Si Ayutthaya Hospital. Journal of Health Science, 34(1), 45-54. https://ayh.moph.go.th/ayh/images/Knowledge/JOHS/68/112025_1.pdf (in Thai)
Saiyot, L., & Saiyot, A. (2010). Educational research techniques (5th ed.). Suwiriyasan. (in Thai)
Sitthikraipong, K., et al. (2009). The efficacy of Thai massage to treat trigger finger (lock finger) at Health Promotion Centre of Thai Traditional Medicine. Institute of Thai Traditional Medicine, Department for Development of Thai Traditional and Alternative Medicine, Ministry of Public Health. (in Thai)
Suakittikul, T., Itharat, A., Pongcharoen, B., Ruangnoo, S., Lertdamrongdej, T., & Kanokkangsadal, P. (2020). Efficacy and safety of Sahasthara formulation cream for relief of knee pain in primary osteoarthritis patients: A pilot study. Thai Journal of Pharmacy Practice, 12(4), 1219–1227. https://he01.tci-thaijo.org/index.php/TJPP/article/view/239868 (in Thai)
Temsiririrkkul, R. (2012). Sahasthara: A Thai traditional herbal formulation for musculoskeletal disorders. Journal of Thai Traditional & Alternative Medicine, 10(2). (in Thai)
Thongthammachat, P., Yantrapakorn, A., Phanpho, T., Koedsa, M., & Singhveeratham, N. (2021). Development of Sahatsatara oil paraffin for alleviating hand numbness among clients at Nong Sanor Sub-district Health Promoting Hospital, Mueang District, Phetchaburi Province. Academic Journal of Community Public Health, 7(2), 86–96. https://he02.tci-thaijo.org/index.php/ajcph/article/view/248816 (in Thai)
Vangala, S., Sravani, S., & Shravani, K. (2025). Multipurpose topical herbal gel – A review article. Biomedical and Pharmacology Journal, 22(2). https://www.biotech-asia.org/vol22no2/multipurpose-topical-herbal-gel-a-review-article/
Wongwila, S., Dungkhokgruad, N., & Thaewpia, S. (2015). Effects of self-care program by manual therapy combined with Thai traditional medicine to reduce re-treatment of patients with upper back pain at Applied Thai Traditional Medical Service Center, Faculty of Medicine, Mahasarakham University. Mahasarakham Hospital Journal, 12(2), 143-153. (in Thai)
World Health Organization. (2019). Musculoskeletal conditions. https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Thai Traditional and Integrative Medicine Journal

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles in this journal are copyrighted by the x may be read and used for academic purposes, such as teaching, research, or citation, with proper credit given to the author and the journal.use or modification of the articles is prohibited without permission.
statements expressed in the articles are solely the opinions of the authors.
authors are fully responsible for the content and accuracy of their articles.
other reuse or republication requires permission from the journal."