الفهرس 
DIFFERENT TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION MODES IN RELIEVING chrONIC PUDENDAL NEURALGIA IN FEMALES
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Abstract
Purpose: to evaluate and compare effects of two different transcutaneous electrical nerve stimulation modes (conventional TENS and SLR acupuncture-like TENS ) on the female pudendal neuralgia. Methods of evaluation (Measurement of the serum cortisol level (SCL) and the visual analogue scale (VAS). Methods:- Thirty female patients suffering from chronic pudendal neuralgia from out-clinic of the gynecological and obstetrical department, OM-EL MISRIEEN hospital, were participated in this study. Their ages were ranged from 30 to 40 years old.Those patients had chronic pudendal neuralgia that may be associated with childbirth, pelvic surgery, strenuous exercise, abnormalities of the sacroiliac joint, and may be connected to age-related changes that confirmed by physical exam, reproduction of pain with digital rectal examination, pressure at the level of the left ischial spine and positional nature of the pain and relief when sitting on a lavatory seat. They were assigned randomly into two groups; the first study group (A) was composed of 15 patients who received the conventional TENS in addition to the traditional physical therapy and medical care for 3 months. The second study group (B) was composed of 15 patients who received the SLR (Acupuncture-like) TENS in addition to the traditional physical therapy and medical care, duration of treatment was 20 minutes , every other day for three months as a total period of treatment. Results:- Result showed that both the transcutaneous electrical nerve stimulation modes were effective and beneficial in improving the pudendal neuralgia as manifested by the highly decreased SCL and VAS, but when we compared the results of the two groups, we found that SLR acupuncture like TENS was more effective. Conclusion: SLR acupuncture-like TENS was more fruitful and effective than the conventional TENS in improving the female pudendal neuralgia