The purpose of tihs study is to determine whether transcutaneous electric nerve stimulation (TENS) during thyroidectomy is effective in the reduction of posterior neck pain after thyroidectomy.
Thyroidectomy is performed in supine position with the neck fully extended. After thyroidectomy, 80 percent of patients experience posterior neck pain as well as the incision site pain. The posterior neck pain is thought to be due to hyperextension is continued during an average of 90 minutes of surgery. Non-steroidal anti-inflammatory agents or opioids are administrated to reduce the pain, but the pain still remained. TENS is simple, non-invasive analgesic technique that is used extensively to reduce acute and chronic pain. TENS has beneficial effect for the reduction of postoperative pain. The conventional way of administering TENS is to use electric characteristics that selectively activate large diameter Aβ fiber mediating touch perception without activating smaller diameter Aδ and C fiber. In this study, TENS during thyroidectomy in posterior neck pain will be evaluated.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
100
transcutaneous electric nerve stimulation frequency of 100 Hz pulse duration of 200 µs wih stimulation intensity of feeling strong but non-painful paresthesia in the upper trapezius
Department of Anesthesiology and Pain Medicine, Gangnam Severance Hospital, Anesthesia and Pain Research Institute, Yonsei University College of Medicine
Seoul, South Korea
Numerical Rating Scale of Posterior Neck Pain 0.5 Hours After Thyroidectomy
numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable
Time frame: 0.5 hours after thyroidectomy
Numerical Rating Scale of Posterior Neck Pain 6 Hours After Thyroidectomy
numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable
Time frame: 6 hours after thyroidectomy
Numerical Rating Scale of Posterior Neck Pain 24 Hours After Thyroidectomy
numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable
Time frame: 24 hours after thyroidectomy
Numerical Rating Scale of Posterior Neck Pain 48 Hours After Thyroidectomy
numerical rating scale from 0 - 10. where 0 indicates no pain and 10 indicates the worst pain imaginable
Time frame: 48 hours after thyroidectomy
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.