COMPARISON OF EFFICACY BETWEEN TENS AND IFC IN TREATMENT OF TRIGEMINAL NEURALGIA

Navinderpal Singh

Abstract


TN occurs more frequently in second and third division of trigeminal nerve, so deep and limited to the territory of trigeminal distribution. The attacks are accompanied by salivation, lacrimation, rhinorrhea, nasal mucosa congestion, skin redness, facial swelling and/or contraction of the muscles acting on jaw. It is also characterized by regions of increased arousal, called trigger zones.There is gamut of medical and surgical treatment modalities available for trigeminal neuralgia, with other treatment methods like physiotherapy, acupuncture and psychological methods.5To control pain in patients with TN,carbamazepine should be offered and oxcarbazepine,baclofen,lamotrigine and pimozide may be considered6Physiotherapy is one of the methods to treat TN ,pain control is usually achieved by means of electrical stimulation .The two currents most often used to achieve this intention are pulsed current usually referred as transcutaneous electrical nerve stimulation(TENS) and burst modulated medium frequency alternating current in the form of interferential current(IFC).

Efficacy of TENS and IFC on Trigeminal Neuralgia have been studied separately but studies on comparison arenot available. So present study was taken up with the purpose of comparing efficacy of TENS and IFC on trigeminal neuralgia

Both TENS and IFC has significant efficacy in case of Trigeminal Neuralgia when studied separately. But in comparative study between efficacy of TENS and IFC in Case of Trigeminal Neuralgia, TENS was found to be better option over IFC.

 


Keywords


TENS; IFC; Trigeminal Neuralgia

Full Text:

 Subscribers Only

References


Obermann M. Treatment options in trigeminal neuralgia. Therapeutic Advances in Neurological Disorders. 2010;3(2):107-115.

Merskey H, Bogduk N.Classification of chronic pain .Descriptors of chronic pain syndromes and definitions of pain terms.2nd edn.Seattle: IASP Press, 1994.

Goto F, Ishizaki K, Yoshikawa D, Obata H, Arii H, Terada M. The long lasting effects of peripheral nerve blocks for trigeminal neuralgia using a high concentration of tetracaine dissolved in bupivacaine. Pain. 1999 Jan 1;79(1):101-3.

Toda K. Trigeminal Neuralgia—Symptoms, Diagnosis, Classification, and Related Disorders—. Oral Science International. 2007 May 31;4(1):1-9.

Shamimul Hasan et.al. Trigeminal Neuralgia: An Overview Of Literature With Emphasis On Medical Management IRJP 2012,3(11),p.235-238.

Walsh DM, Howe TE, Johnson MI, Moran F, Sluka KA. Transcutaneous electrical nerve stimulation for acute pain. The Cochrane Library. 2009 Jan 1.

Robertson VJ, Spurritt D. Electrophysical agents: implications of their availability and use in undergraduate clinical placements. Physiotherapy. 1998 Jul 31;84(7):335-44.

Pope GD, Mockett SP, Wright JP. A survey of electrotherapeutic modalities: ownership and use in the NHS in England. Physiotherapy. 1995 Feb 28;81(2):82-91.

Chung JM. Anti-nociceptive effects of peripheral nerve stimulation. Prog Clin Biol Res 1985; 176:147-61.

Yameen F, Shahbaz NN, Hasan Y, Fauz R, Abdullah M. Efficacy of transcutaneous electrical nerve stimulation and its different modes in patients with trigeminal neuralgia. JPMA-Journal of the Pakistan Medical Association. 2011 May 1;61(5):437.

Soomro N, Hamid M, Yamin F, Bibi R. The Efficacy of Interferential Current on Trigeminal Neuralgia. Medical Channel. 2012 Apr 1;18(2).

Ward AR, Lucas-Toumbourou S, McCarthy B. A comparison of the analgesic efficacy of medium-frequency alternating current and TENS. Physiotherapy. 2009 Dec 31;95(4):280-8.

Singla S, Prabhakar V, Singla RK. Role of transcutaneous electric nerve stimulation in the management of trigeminal neuralgia. Journal of neurosciences in rural practice. 2011 Jul 1;2(2):150.

Thorsen SW, Lumsden SG. Trigeminal neuralgia: sudden and long-term remission with transcutaneous electrical nerve stimulation. Journal of manipulative and physiological therapeutics. 1996 Dec;20(6):415-9

Vladimir Kaye. Transcutaneous Electrical Nerve Stimulation; Medicine Journal, Jan 29, 2002, Vol 3, Number 1.

Waked IS. Interferential Current Therapy versus Narrow Band Ultraviolet B Radiation in the Treatment of Post Herpetic Neuralgia. Indian Journal of Physiotherapy and Occupational Therapy-An International Journal. 2013;7(1):70-5.

Cheing GL, Hui-Chan CW. Analgesic effects of transcutaneous electrical nerve stimulation and interferential currents on heat pain in healthy subjects. Journal of rehabilitation medicine. 2003 Jan 1;35(1):15-9.

Dalal VP, Sheth MS, Vyas NJ. Comparison of analgesic effect of interferential therapy and transcutaneous electrical nerve stimulation on pressure pain threshold on young healthy individuals. Journal of Clinical & Experimental Research│ May-August. 2014;2(2):129.

Shanahan C, Ward AR, Robertson VJ. Comparison of the analgesic efficacy of interferential therapy and transcutaneous electrical nerve stimulation. Physiotherapy. 2006 Dec 31;92(4):247-53

Fuentes JP, Olivo SA, Magee DJ, Gross DP. Effectiveness of interferential current therapy in the management of musculoskeletal pain: a systematic review and meta-analysis. Physical therapy. 2010 Jul 20.

Palmer ST, Martin DJ, Steedman WM, Ravey J. Alteration of interferential current and transcutaneous electrical nerve stimulation frequency: effects on nerve excitation. Archives of physical medicine and rehabilitation. 1999 Sep 30;80(9):1065-71.


Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 INDIAN JOURNAL OF PHYSICAL THERAPY