Effect of transcutaneous neuromodulation on normalization of dermal body temperature and pain in a tender scar in the presence of low back pain: An update and case report

Author:

Molina-Payá Francisco J1,Sánchez Romero Eleuterio A.2345ORCID,Fernández-Carnero Samuel26,Noguera-Iturbe Yolanda1,Selva-Sarzo Francisco378

Affiliation:

1. Department of Physiotherapy, Faculty of Health Sciences, Universidad Cardenal Herrera-CEU, Elche Campus, Elx, Alicante, Comunitat Valenciana, Spain

2. Department of Rehabilitation, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain

3. Interdisciplinary Group on Musculoskeletal Disorders, Faculty of Sport Sciences, Universidad Europea de Madrid, Madrid, Spain

4. Physiotherapy and Orofacial Pain Working Group, Sociedad Española de Disfunción Craneomandibular y Dolor Orofacial (SEDCYDO), Madrid, Spain

5. Research Group in Nursing and Health Care, Puerta de Hierro Health Research Institute-Segovia de Arana (IDIPHISA), Majadahonda, Spain

6. Universidad de Alcalá, Facultad de Enfermería y Fisioterapia, Departamento Fisioterapia, Grupo de Investigación en Fisioterapia y Dolor, Alcalá de Henares, Spain

7. Department of Physiotherapy, University of Valencia, Valencia, Spain

8. Department of Physiotherapy, University of Valencia, Master of Permanent Training in Assessment, Physiotherapy and Performance in Sport, Valencia, Spain

Abstract

Low back pain affects over 20% of individuals during their lifetime, and in some patients, it may be associated with scar tissue formation after surgery. Small-fiber neuropathy and scar tissue dysfunction can lead to localized pain by affecting signals to the thalamus. Transcutaneous neuromodulation using Tape with Magnetic Particles shows promise in relieving perceived pain, modulating vascularization and the autonomic nervous system, and reducing dermal temperature. In the present case, a 24-year-old woman with L5-S1 disk herniation experienced low back pain and leg pressure. The surgical intervention provided temporary relief, but scar restrictions caused pain recurrence. Tape with Magnetic Particles application initially induced scar hypothermia and pressure tolerance during posteroanterior tests on lumbar spinous processes increased, reducing pain perception for at least 12 h. Transcutaneous neuromodulation with Tape with Magnetic Particles modulated dermal temperature immediately and for 12 h, reducing perceived pain and sustaining improvement thereafter. This highlights the potential of Tape with Magnetic Particles in managing chronic low back pain associated with scar tissue.

Publisher

SAGE Publications

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