Document Type : Research Article

Authors

• Mayssa Ragheb Ali ¹
• Arwa Abdulnasser Nattouf ²

¹ Lecturer

² Al Zahraa University for women

Abstract

This Randomized control trail research designs a proposed rehabilitation program using conservative treatment: McKenzie exercises and electrical stimulation TENS and diclofenac to relieve chronic sciatica pain.

Sciatica is a common cause of pain and disability, has a less favorable outcome. However, conservative treatment including McKenzie exercises, TENS and diclofenac have very effectible outcomes for lumber back pain including sciatica conducted on 300 patients to show its effect in reducing pain and other associated symptoms.

The research sample was chosen by the intentional method from Imam Zain AlAbedeen hospital and AL-saidaKhadija al-kubra hospital. Study research duration was from August 2022 to August 2023. We used oxford scale for muscle strength, visual analog scale (VAS) for pain, and goniometer for joint range of motion (ROM).

Results showed that there was a significant improvement in diclofenac group more than TENS and McKenzie exercises in reducing pain (p=0.006) (p=0.001) and improve knee flexion ROM(P=0.548 ). , increasing muscle power

There was significant decrease in patient pain by TENS modality and increase in muscle power by all treatment methods and there for, the knee flexion ROM improvement in diclofenac, but no significant difference between the two other treatment group

Keywords

• Sciatica,,
• ,،pain management,,
• ,،McKenzie exercises,,
• ,،TENS,,
• ,،diclofenac