Impact of Adding TENS to Conventional Physical Therapy Exercise on Pain Relief Among Patients With Pudendal Neuralgia.

Impact of Adding Transcutaneous Electrical Nerve Stimulation to Conventional Physical Therapy Exercise on Pain Relief Among Patients With Pudendal Neuralgia.

Fifty two male participants, 30-50 years old, suffering from chronic pudendal neuralgia were randomly assigned either into experimental group (26 patients) received TENS plus the traditional physical therapy program( including range of motion exercise, stretching exercise of obturator internus muscle, clam shell exercise, relaxation exercise and underwater exercise) 3 sessions per week for 8 successive weeks, or control group (26 patients) received only the traditional physical therapy exercise for the same period of time. Intensity of pain by Verbal rating scale (VRS) as well as Serum cortisol level (SCL)and Etodolac level intake are measured pre and post treatment.

Inclusion Criteria:

• Male with ages ranged from 30 to 50 years.
• Suffering from pudendal neuralgia and its intractable perineal pain that persists for a minimum one month beyond the acute onset.
• Pelvic pain with sitting that relived by standing or toilet sitting.
• Anal pain, dyspareunia and genital pain

Exclusion Criteria:

• Those who had history of skin malignancy.
• Diabetic,
• Sensory disorders,
• Circulatory insufficiency
• Acute infection of the treatment area,
• Renal failure