Adjunctive Interferential Electrotherapy Provides Transient Postoperative Analgesia After Hemilaminectomy in Dogs
Open Access
Abstract
In dogs undergoing hemilaminectomy for acute intervertebral disc extrusion (IVDE), adjunctive nonpharmacologic therapies may help provide postoperative analgesia while reducing reliance on opioids and their associated adverse effects. This prospective, randomized, blinded, controlled trial evaluated the short-term analgesic effects of interferential current electrotherapy (IFC) in dogs following thoracolumbar hemilaminectomy for acute IVDE. Twenty dogs were randomly assigned to receive conventional analgesia alone (control, n = 10) or conventional analgesia plus IFC (n = 10). The IFC group received three IFC sessions administered within the first 24 h postoperatively. Outcome measures were collected at three predefined postoperative time points corresponding to IFC treatment sessions: T1 (2–4 h), T2 (8–18 h), and T3 (20–24 h postoperatively). Outcome measures included Modified Glasgow Composite Pain Scale–Short Form (CMPS-SF) scores, total postoperative opioid consumption, and peri-incisional mechanical sensory thresholds. Dogs treated with IFC demonstrated significantly lower CMPS-SF pain scores at the T2 time point compared with controls (p = 0.03); however, no differences were observed at T1 or T3 time points. Total opioid consumption and mechanical sensory thresholds did not differ significantly between groups at any time point. These findings suggest that IFC may provide transient postoperative analgesic benefit but does not appear to reduce opioid requirements or mechanical sensory thresholds within the first 24 h following hemilaminectomy. Further studies with larger sample sizes are warranted to better define the role of IFC in multimodal postoperative pain management and to explore optimal treatment protocols.Keywords
Funding Information
- American Association of Rehabilitation Veterinarians
- Nestlé Purina PetCare Company (16682)
This publication has 29 references indexed in Scilit:
- Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysisBrazilian Journal of Physical Therapy, 2023
- Effectiveness of interferential current therapy in patients with knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trialsScientific Reports, 2022
- A Systematic Review and Meta-analysis Investigating the Pain-Relieving Effect of Interferential Current on Musculoskeletal PainAmerican Journal of Physical Medicine & Rehabilitation, 2021
- Immediate analgesic effect of transcutaneous electrical nerve stimulation (TENS) and interferential current (IFC) on chronic low back pain: Randomised placebo-controlled trialJournal of Bodywork and Movement Therapies, 2021
- AnalgesiaVeterinary Clinics of North America: Small Animal Practice, 2020
- Long-term postoperative pain evaluation in dogs with thoracolumbar intervertebral disk herniation after hemilaminectomyJournal of Veterinary Internal Medicine, 2020
- Influence of experimental protocol on response rate and repeatability of mechanical threshold testing in dogsThe Veterinary Journal, 2015
- Effectiveness of transcutaneous electrical nerve stimulation for treatment of hyperalgesia and painCurrent Rheumatology Reports, 2008
- Development of the short-form Glasgow Composite Measure Pain Scale (CMPS-SF) and derivation of an analgesic intervention scoreAnimal Welfare, 2007
- Transcutaneous electrical nerve stimulation: Basic science mechanisms and clinical effectivenessThe Journal of Pain, 2003