Vol. 6, Issue 1, Part A (2024)

Transverse myelitis (TM) is an inflammatory condition affecting the spinal cord, leading to sensory deficits, motor dysfunction, and autonomic disturbances. Transcutaneous Electrical Nerve Stimulation (TENS) is a non-invasive therapeutic modality that has shown promise in alleviating sensory impairments and enhancing sensorium in various neurological disorders. This case study explores the efficacy of TENS in improving sensory functions in a patient with transverse myelitis. We provide an in-depth analysis of the patient's background, intervention, outcomes, and the implications of TENS therapy in the management of TM. A 35-year-old female was complaining of sudden onset of bilateral leg weakness, numbness, and bowel/bladder dysfunction. On investigation MRI confirmed transverse myelitis at the thoracic level. Initial treatment included high-dose corticosteroids and plasmapheresis. On examination there was hypoesthesia below the level of T6, decreased proprioception, and paraesthesia in the lower limbs; resulting in sensory deficits, with MMT graded 3/5 in lower extremities. Physiotherapy interventions consisted of standard TENS for paraspinal region at T6 level along with the dermatomes course of lower limb and strength training and gait training. Duration of the intervention was 8 weeks (40 sessions). Outcome measures were then reassessed for progression at 8 week and was found significant potential in managing sensory deficits and enhancing overall functionality in patients with transverse myelitis (TM).