HEALTH

Fighting Pain: A Look at Leishmaniasis Treatments in Ethiopia

Addis Ababa, EthiopiaWed Aug 27 2025

In Ethiopia, Localized Cutaneous Leishmaniasis (LCL) is a common but often overlooked skin disease. Two primary treatments are employed:

  1. Injections of Sodium Stibogluconate (SSG)
  2. Cryotherapy (a freezing method)

Both treatments can be extremely painful, yet there has been little research on the patient experience or the levels of pain endured.

Recent Study Findings

A recent study involved 36 participants, mostly men, with a few children. The key findings:

  • More than half of the participants reported very high pain levels (8 or higher on a pain scale) during treatment.
  • The method of cryotherapy significantly impacted pain levels:
  • Using a cotton bud resulted in lower pain levels compared to a spray device.

Inconsistencies in Treatment Administration

The study also revealed significant variations in how the treatments were administered. This inconsistency may contribute to the high pain levels experienced by patients.

Recommendations for Improvement

Researchers suggested:

  • Better training for healthcare providers.
  • Clearer guidelines to standardize treatment administration.

The Urgent Need for Better Treatment Options

Living with LCL is challenging, and the painful treatments only compound the suffering. The findings underscore the urgent need for:

  • Less painful treatment alternatives.
  • Standardized administration protocols to improve patient experiences.

questions

    Could the high pain scores reported by patients be a result of intentional mistreatment by healthcare providers?
    Do patients who receive cryotherapy treatments get to wear cool ice princess/prince crowns?
    Is the wide variation in treatment administration a deliberate strategy to confuse patients and hide the true effectiveness of the treatments?

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