Acupuncture Versus Transcutaneous Electrical Nerve Stimulation on Pain Post Upper Abdominal Surgeries

Acupuncture Versus Transcutaneous Electrical Nerve Stimulation on Pain Post Upper Abdominal Surgeries

This study was done to:

• Determine the therapeutic efficacy of acupuncture as physical therapy approach in minimizing pain post upper abdominal surgeries.
• Determine the therapeutic efficacy of transcutaneous electrical nerve stimulation in minimizing pain post upper abdominal surgeries.
• Compare the efficacy and safety of Transcutaneous electrical nerve stimulation versus acupuncture in minimizing pain post upper abdominal surgeries.

Postoperative pain is caused by tissue damage from surgical incisions, triggering acute nociceptive activity in sensory nerve endings. Pain sensations reach the brain through dorsal horn, where it is recognized and interpreted. Management modalities include pharmacologic and non-pharmacologic methods. This study aims to provide a guideline on the effect of acupuncture and transcutaneous electrical nerve stimulation on pain reduction after upper abdominal surgeries.

Inclusion Criteria:

• Patients who will have pain after upper abdominal surgery.
• Adult patients will be between 20 and 45 years of age.
• Both sexes will be included.
• Patients have no contraindications for acupuncture or transcutaneous electrical nerve stimulation.
• Patients with good compliance and fit for treatment.
• This study will be applied on upper abdominal surgeries [laparoscopic cholecystectomy, Gastrectomy].
• Physical therapy will be used for up to 48 hours after surgery or until the time of discharge.

Exclusion Criteria:

• Patients with other causes of pain other than that after upper abdominal surgery.
• Patients who will have any contraindication for both therapies used.
• Patients with cardiovascular disease, liver, or renal disease.
• Patients with malignant tumors.
• Patients with metal or electronic implants.
• Patients with autoimmune disease.
• Pregnancy, postpartum period, breastfeeding.
• Patients with recent injury in the treatment area