If it's a backscratcher, it's not a fakir's backscratcher. Certainly, holy men like fakir's wouldn't need to create a tool to scratch their backs. Fakir's horns were a way around them carrying weapons (a bit of a cop out, frankly, if you ask me). But the whole point of the holy life is to do away with this kinds of material necessities when one can.
Also, I can't see it being a backscratcher at all because it doesn't have a long handle for the purpose.
It is almost certainly a dagger.
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