Iontophoresis Case Study

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DISCUSSION The study results showed that Iontophoresis of Diclofenac sodium and Lidocaine hydrochloride both reduce pain, increased cervical range of motion of flexion, extension, side flexion right and left side, rotation right and left and decrease neck disability index score of the patients with non specific cervicalgia. Thus both the interventions improved the recovery of the patients within the group individually but on comparing both the groups there was non- significant changes seen. The result of the present study supports the null hypothesis that there was no significant changes in the effectiveness of treatment outcomes with iontophoresis of diclofenac sodium and lidocaine hydrochloride…show more content…
On comparing pain variable in both the groups, there was non significant changes. It was assumed that in group A (diclofenac) there was decrease in pain level the reason behind that might be the diclofenac was effective in reducing pain on non specific cervicalgia by inhibit the transmission of pain through A- beta fibre to close the pain gate. Diclofenac inhibit the mediators of the inflammatory response to injury such as a prostaglandins. Iontophoresis is a application of current to transdermally applied ionized drug move to skin. The current causes the ions deposits into the tissues. As regarding diclofenac reducing pain the present study agreed with S. Hariharan et al(2006) iontophoresis increase the penetration of diclofenac into the tissues and increased analgesic effects. Another study Ross et al, said that NSAIDS medications can decrease nerve inflammation thus help in immediate pain reduction. One study R.N. Dermites who found that iontophoresis of diclofenac sodium is more effective to decrease pain than sodium salicylate on lateral…show more content…
The mechanism behind of decreasing pain in lidocaine drug due to blockage of sodium channels. Iontophoresis of lidocaine ion pharmacodynamics mechanism decrease pain by blockage of upregulated sodium channels on peripheral nocioceptive afferent pathway our study agree with chabal et al (1989). Thomas E Yarrobino conducted a study on iontophoresis of lidocaine ion lateral epiconylitis they were concluded iontophoresis of lidocaine ion decrease pain and improving functions on lateral epicondylitis. One another study showing dexamethasone with lidocaine hydrochloride iontophoresis reducing pain, increasing range of motion (ROM), and improving function in tennis players suffering lateral elbow tendinopathy. Louis P Gangarosa et al said iontophoresis of lidocaine drug can provide deeply analgesic effects with shorter time span. The study was showing result of lidocaine hydrochloride decreasing pain. Pain was decreased due to lidocaine drug penetrate more deeply Penetration of lidocaine ion through stratum corneum . Stratum corneum is most resistance layer of the skin iontophoresis lidocaine transfer through this layer Kalbitz et al 1996. Lidocaine ion transfer all layers of tissue through active electrode including ligaments and tendon Massimiliano Nino et al 2010. One article shown the result of lidocaine iontophoresis over other conventional therapy( Passive

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