Effect of Piroxicam Phonophoresis on Incisional Pain after Cesarean Section

Background: Cesarean section rate has been increased due to medical advances. But, incisional pains still constitute a great complaint for all women underwent this operation. Different techniques and modalities were used for cesarean section pain, but pain relief is still inadequate in many women.Objective: This study was performed to investigate the effect of Piroxicam Phonophoresis on the incisional pain after cesarean section.Method: Thirty full term primepara females who underwent lower segment cesarean section were selected from El-Khazendarah general Hospital. They were divided randomly into two equal groups (A B). Group “A” received Piroxicam Phonophoresis around the incisional site for two days, the 1st session was performed 20 minutes after the operation. Then every 8 hours for 6 sessions. While, group B received traditional medical treatment which included 6 intravenous injections of Piroxicam every 8 hours for two days also.Assessment: Present pain intensity scale and serum cortisol level were measured to assess pain level before and after treatment in both groups.Results: Present pain intensity scale and serum cortisol level showed significant decrease (improvement) (p 0.05) in group A than group B after treatment period.Conclusion: Piroxicam phonophoresis seemed to be an effective, localized on the pain site, safe to mothers and newborns than oral drugs as it does not transmit through breast milk, non invasive, easy in performing and painless than injection. So, it resulted in significant decrease of incisional pain and early mobilization of the patients after cesarean section.