Background:Chronic pelvic pain is prevalent in 2% of women population globally. The etiology is multifactorial. Even in the absence of pelvic pathology, there is a subgroup of women who do not respond to analgesic and anti-inflammatory therapy. Chronic pelvic pain can be inhibited by direct inhibition of impulses in the preganglionic afferent neuron by closing the hypothetical gate in the dorsal horn of the spinal cord. Transcutaneous electrical nerve stimulation (TENS) is based on the gate control theory of abolishing the painful stimuli by providing simultaneous inputs in larger myelinated nerve fibers.Aims and Objectives:This study was designed to assess the effectiveness and safety of TENS in idiopathic chronic pelvic pain.Methods:It is a prospective, experimental study to evaluate the effectiveness of TENS versus placebo in reducing pain severity in chronic pelvic pain (G1 = 30, G2 = 32, G3 = 30, and G0 = 30). Patients with chronic pelvic pain due to benign lesions of genital tract, gastrointestinal, and renal disorders were excluded from the study after performing an ultrasound study of abdomen and pelvis. Ten treatment sessions (5 sessions/week) of 30 min were conducted.Observations and Results:There was a significant improvement in pain scores in TENS group as compared with control group, and two patients were completely pain free following TENS therapy.Conclusion:In women patients with idiopathic chronic pelvic pain, TENS can be a useful intervention. TENS units are safe, economical, and easily commercially available.

Objective: To determine and compare the effects of Theraband exercises with Incentive Spirometer exercise in improving respiratory muscle strength among bronchial asthma. Methods: In this study, 30 Individuals with Bronchial asthma were taken and assessed for FEV1/FVC, Maximum voluntary ventilation (MVV) using a computerized spirometer, dyspnea level graded using MMRC scale and diaphragm muscle strength assessed using manual muscle testing (MMT) as pre-test then the individuals were randomly allocated in two groups: Group A and Group B. Group A (n=15) received Theraband exercise and Group B (n=15) were treated with incentive spirometer for a total period of 4 w following which the outcome measures were repeated for post-test. Results: Based on the obtained statistics, both the groups showed significant improvement within groups when comparing pre and post-test measures. On comparing the mean values of the post-test between the groups, theraband exercises showed clinically higher significant results than incentive spirometer exercises. Conclusion: From the result, it shall been concluded that both theraband exercises and incentive spirometer exercises shows improvement in MVV, FEV1/FVC, reduced dyspnea and increased respiratory muscle strength. Hence, theraband exercises are effective compared to the incentive spirometer.

HighlightsAn interparietal inguinal hernia with undescended testis & obstructed external ring is a rare presentation.In Interperital hernia, the sac passes between the layers of the abdominal wall.Pre-operative diagnosis even with the help of USG & CT is really a challenging issue.Treatment is surgical exploration which also confirms the final diagnosis.

In elderly women, patients with OAB where other co-medications have their own anticholinergic side effects and impairment of cognition is a concern, TENS can be a useful intervention. TENS units are safe, economical and easily commercially available.

The Flutter is a medical handheld device, which is designed for patients suffering from various lung diseases. This device is designed to mobilize the excessive secretion of in the direction of airways and helps to loosen the mucus from the lungs and removed. Sometimes mucous in the lungs can become thick and hard to clear from the airways. If this mucous stays in the airways, it could block them, making it harder to breathe. Infection is also possible when mucous stays trapped in the airways. When one breathes out through the Flutter, it causes the ball inside to bounce. This bouncing causes increased pressure inside the chest and sends vibrations down through the airways. The combination of increased pressure and vibrations helps the mucous move from the lungs into the airways where it can be coughed out. Some patients cannot blow very forcefully, so our project is designed in such a way that the resistance of the blow is measured using a strain gauge. If the value goes below the certain threshold, limit the beep sound is heard and a light indication is provided so that we can find whether the patient should blow out even more faster. This device is small, portable, and easy to use and has no side effects.