MDE Mammari¹*, T Bassaid², KE Dib¹, A Ladjali², A Amari¹ and E Ourad²

¹Physical Medicine and Rehabilitation, Regional Military University Hospital of Oran, Algeria
²Radiology, Regional Military University Hospital of Oran, Algeria

*Corresponding Author: MDE Mammari, Physical Medicine and Rehabilitation, Regional Military University Hospital of Oran, Algeria.

Received: August 01, 2024; Published: September 17, 2024

Abstract

Background and Aims: Radio-clinical study by functional MRI of the TENS effects, and their impact on the lumbar intervertebral disc in chronic low back pain.

Material and Method: Prospective randomized blinded study, running from September 2021 to August 2023, concerning two groups of chronic low back pain patients with disc herniations, hospitalized for five days. G1 (n = 74) underwent five very low frequency TENS sessions, G2 (n = 66) underwent five physiotherapy sessions combining: infrared, ultrasound and physiotherapy such as Cyriax (n = 66). All patients (n = 149) benefited from analgesic drug treatment and wearing of a lumbar support. Follow-up was done for six months by: age – VAS pain score – root irritation signs, body mass index, chronic smoking – level of disc herniation – VAS-100 satisfaction score – use of surgery - Oswestry Questioner - functional MRI including: CDA of Nucleus Pulposus (VP) and Annulus Fibrosis (AF). The exploration of the results is carried out by the SPSS-20 software.

Results: The two groups are homogeneous, there are no statistically significant differences between TENS and physiotherapy groups concerning age p = 0,6 (mean 34 years), BMI p = 0,2 (mean 24,9), protrusion stage p = 0,55 and concerning Oswestry score on Day-0; p = 0,24.The results are better in TENS group with significant and very significant differences in concerning; pain VAS score (p = 0,004 at 12 weeks and p = 0,001 at 24 weeks), NP CDA (p = 0,01 at 24 weeks), duration of associated medical treatments (p = 0,001), the Oswestry Questioner and EVA-100 satisfaction scores (p = 0,001 at 24 weeks), and concerning.

Discussion and Conclusion: This study shows a good clinical response of TENS treatment associated to lumbar disc diseases repair improving disc hydration state, in patients with chronic low-back pain. It could be an additional argument to increase the role of TENS in chronic low back pain treatment.

 Keywords: Chronic Low Back Pain; TENS; Functional MRI; Disc CDA

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Citation

Citation: MDE Mammari., et al. “Interest of Transcutaneous Electrical Nerve Stimulation Versus Physiotherapy-Cyriax, in Lumbar Disc Repair. A Prospective and Randomized Study”.Acta Scientific Medical Sciences 8.10 (2024): 79-82.

Copyright

Copyright: © 2024 MDE Mammari., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.