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Abstract
Purpose: This study was conducted to investigate the effect of transcutaneous electrical nerve stimulation using acupuncture points (Bl33, Bl34) on chronic anal fissure pain. Methods: thirty patients who had anal fissure pain were participated in this study. Their age ranged between 25 to 40 years .The patients were randomly divided into two groups {Experimental TENS group and control pharmaceutical agents group}.Visual analogue scale (VAS) and constipation scoring system (CSS) calculated before the first session of treatment (pre) and two times post initiation of treatment, at the end of the 5th session (post I) and at the end of 9th session (post II) for group A (control group); they received GTN (Glyceryl Trinitrate cream 20gm). For group B (Experimental group); they received TENS using acupuncture points (Bl33, Bl34) 3sessions per week for3 weeks Results: The TENS therapy was more effective than pharmaceutical agents in decreasing chronic anal fissure pain. Conclusion: It was concluded that TENS is an effective method in decreasing chronic anal fissure pain