Study record managers: refer to the Data Element Definitions if submitting registration or results information. Sacral nerve stimulation has been recently tried for management of chronic anal fissure with promising results. However, the technique described is invasive with the need for surgically implantable expensive stimulator electrodes. The aim of this study was to evaluate the efficacy of posterior tibial nerve stimulation PTN by transcutaneous electrical nerve stimulation TENS and to compare it to the conventional LIS.
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Electrical stimulation of anal sphincter or pudendal nerve improves anal sphincter pressure.
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Transcutaneous Electrical Nerve Stimulation: Mechanisms, Clinical Application and Evidence
Transcutaneous electrical nerve stimulation TENS is a non-invasive, inexpensive, self-administered technique to relieve pain. There are few side effects and no potential for overdose so patients can titrate the treatment as required. In general, conventional TENS is used in the first instance. The purpose of conventional TENS is to selectively activate large diameter non-noxious afferents A-beta to reduce nociceptor cell activity and sensitization at a segmental level in the central nervous system.
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