American Society of Hirudotherapy

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This library indexes the full evidence base. For orientation, begin with the core guides:

Conditions

13

Cervical Radiculopathy

Tier C

Investigational use for cervical radiculopathy; no verifiable published trial specific to this indication.

InvestigationalMechanistic

Migraine

Tier C

Investigational use; the only clinical evidence is a 7-patient case series and a 26-patient non-randomized pilot, and the proposed mechanism is hypothetical.

InvestigationalMechanistic

Peyronie's Disease (Stable Phase)

Tier C

Investigational use for stable-phase Peyronie's disease; evidence limited to one uncontrolled Russian series of 29 patients. Standard treatments (verapamil, collagenase, surgery) remain first-line.

InvestigationalMechanistic

Peripheral Vertigo (BPPV-Refractory / Vestibular Neuritis Recovery)

Tier C

Investigational adjunct for peripheral vertigo persisting after Epley maneuvers or during prolonged vestibular neuritis recovery; no study specific to these conditions was identified.

InvestigationalMechanistic

Tarsal Tunnel Syndrome

Tier C

Investigational use for posterior tibial nerve entrapment at the medial ankle; no clinical study of leech therapy for it was identified.

InvestigationalMechanistic

Pubic Symphysis Dysfunction (Non-Pregnancy)

Tier C

Investigational use for non-pregnancy pubic symphysis dysfunction, including osteitis pubis; no clinical study of leech therapy was identified.

InvestigationalMechanistic

Chronic Tension-Type Headache (≥15 Days/Month)

Tier C

Investigational adjunct for chronic tension-type headache (≥15 days/month) with persistent pericranial muscle tenderness; no study in patients diagnosed with this condition was identified.

InvestigationalMechanistic

Cervicogenic Headache

Tier C

Investigational adjunct for cervicogenic headache referred from upper cervical (C1-C3) joints; no clinical study in diagnosed cases was identified.

InvestigationalMechanistic

Chronic Anal Fissure (>8 Weeks)

Tier C

Investigational idea for chronic anal fissure refractory to medical therapy; no clinical study identified; sphincterotomy remains the gold standard.

InvestigationalMechanistic

Multiple Sclerosis Fatigue (Investigational Adjunct)

Tier C

Investigational adjunct for MS-related fatigue; no clinical study was identified; disease-modifying therapy and modafinil/amantadine remain primary.

InvestigationalMechanistic

Ramsay Hunt Syndrome (Investigational Adjunct, Convalescent Phase)

Tier C

Investigational adjunct for convalescent-phase Ramsay Hunt syndrome residual facial weakness; antiviral plus corticosteroid started within 72 hours of onset remains evidence-based.

InvestigationalMechanistic

Buerger's Disease / Thromboangiitis Obliterans (Investigational Adjunct)

Tier C

Investigational adjunct for Buerger's disease; absolute tobacco cessation is the only disease-modifying intervention; iloprost and surgical sympathectomy for selected cases.

InvestigationalMechanistic

Ischial Bursitis (Investigational Adjunct)

Tier C

Investigational adjunct for refractory ischial (ischiogluteal) bursitis; activity modification, hamstring loading, and selective injection remain primary.

InvestigationalMechanistic

Compounds

1

This website provides educational information and does not constitute medical advice, diagnosis, or treatment recommendations. Medicinal leech therapy carries clinically meaningful risks and should be performed only by qualified clinicians under institutionally approved protocols. FDA 510(k) clearance for medicinal leeches is limited to specific indications; investigational and off-label discussions are labeled accordingly. For patient-specific guidance, consult a qualified healthcare provider.

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