Thoracolumbar versus inguinal transcutaneous electrical nerve stimulation in iliohypogastric postoperative neuralgia / Mohamed Mahmoud Mostafa Radad ; Supervised Zakaria Mowafy Emam Mowafy , Khowailed Abdelhalim Khowailed , Marwa Mahmoud Abdelmotalb

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Surgery

To evaluate efficacy of the thoracolumbar and local (inguinal) transcutaneous electrical nerve stimulation on iliohypogastric postoperative neuralgia. 40 male and female patients with iliohypogastric postoperative neuralgia, were divided into two groups. Group (A) first study group that received the thoracolumbar TENS in addition to the traditional physical therapy and medical care for 3 months. Group (B) second study group that received the local inguinal TENS in addition to the traditional physical therapy and medical care only for 3 months, duration of treatment was 20 minutes, every other day for the 3 months as a total period of treatment. Methods of evaluation (Measurement of the visual analouge scale and the carbamazepin medicament intake). Results showed that both the thoracolumbar transcutaneous electrical nerve stimulation (TENS) (to greater extent) and the local inguinal TENS (to lesser extent) were effective and had a valuable effects in decreasing the postoperative chronic inguinal pain in the form of iliohypogastric postoperative neuralgia as evidenced by the highly significant decreases in visual analogue scale (VAS) and carbamazepin medicament Intake (CMI). The thoracolumbar TENS was more fruitful than the local inguinal TENS and that could be attributed to the vasodilating effect of thoracolumbar TENS, which increased the peripheral circulation, increased oxygen and nutrient supply as well as decreased the postoperative neuralgia

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