Sharma Nidhi, Rekha Kaja, Srinivasan Jayashree K
Department of Obstetrics and Gynaecology, Saveetha Medical College, Saveetha University, Chennai, Tamil Nadu, India.
Department of Physiotherapy, Saveetha University, Chennai, Tamil Nadu, India.
J Midlife Health. 2017 Jan-Mar;8(1):36-39. doi: 10.4103/jmh.JMH_60_16.
Chronic pelvic pain is prevalent in 2% of women population globally. The etiology is multifactorial. Even in the absence of pelvic pathology, there is a subgroup of women who do not respond to analgesic and anti-inflammatory therapy. Chronic pelvic pain can be inhibited by direct inhibition of impulses in the preganglionic afferent neuron by closing the hypothetical gate in the dorsal horn of the spinal cord. Transcutaneous electrical nerve stimulation (TENS) is based on the gate control theory of abolishing the painful stimuli by providing simultaneous inputs in larger myelinated nerve fibers.
This study was designed to assess the effectiveness and safety of TENS in idiopathic chronic pelvic pain.
It is a prospective, experimental study to evaluate the effectiveness of TENS versus placebo in reducing pain severity in chronic pelvic pain (G1 = 30, G2 = 32, G3 = 30, and G0 = 30). Patients with chronic pelvic pain due to benign lesions of genital tract, gastrointestinal, and renal disorders were excluded from the study after performing an ultrasound study of abdomen and pelvis. Ten treatment sessions (5 sessions/week) of 30 min were conducted.
There was a significant improvement in pain scores in TENS group as compared with control group, and two patients were completely pain free following TENS therapy.
In women patients with idiopathic chronic pelvic pain, TENS can be a useful intervention. TENS units are safe, economical, and easily commercially available.
慢性盆腔痛在全球2%的女性人群中普遍存在。其病因是多因素的。即使在没有盆腔病变的情况下，也有一部分女性对镇痛和抗炎治疗无反应。通过关闭脊髓背角的假设性闸门，直接抑制节前传入神经元的冲动，可抑制慢性盆腔痛。经皮电刺激神经疗法（TENS）基于闸门控制理论，通过在较大的有髓神经纤维中提供同步输入来消除疼痛刺激。
本研究旨在评估TENS治疗特发性慢性盆腔痛的有效性和安全性。
这是一项前瞻性实验研究，旨在评估TENS与安慰剂相比在减轻慢性盆腔痛疼痛严重程度方面的有效性（G1 = 30，G2 = 32，G3 = 30，G0 = 30）。在对腹部和骨盆进行超声检查后，将因生殖道良性病变、胃肠道和肾脏疾病导致慢性盆腔痛的患者排除在研究之外。进行了10次治疗，每次30分钟（每周5次）。
与对照组相比，TENS组的疼痛评分有显著改善，两名患者在接受TENS治疗后完全无痛。
对于患有特发性慢性盆腔痛的女性患者，TENS可能是一种有用的干预措施。TENS设备安全、经济且易于商业化获得。
