Pain relief effect of Tramadol Hcl with and without interferential current therapy

Statement of the Problem: Women who have experienced intimate partnerviolence (IPV) are at greater risk for physical and mental health problems including posttraumatic stress disorder (PTSD) and alcohol dependency. On their own IPV, PTSD and alcohol dependency result in significant personal, social and economic cost and the impact of all three may compound these costs. Researchers have reported that women with these experiences are more difficult to treat; many do not access treatment and those who do, frequently do not stay because of difficulty maintaining helping relationships. However, these women’s perspective has not been previously studied. The purpose of this study is to describe the experience of seeking help for alcohol dependency by women with PTSD and a history of IPV in the context in which it occurs. Methodology & Theoretical Orientation: An inter subjective ethnographic study using hermeneutic dialogue was utilized during participant observation, in- depth interviews and focus groups. An ecological framework was utilized to focus on the interaction between the counselors and the staff to understand this relationships and the context in which it occurs. Findings: The women in this study were very active help seekers. They encountered many gaps in continuity of care including discharge because of relapse. Although the treatment center was a warm, healing and spiritual place, the women left the center without treatment for their trauma needs and many without any referral to address these outstanding issues. Conclusion & Significance: Women with alcohol dependence and PTSD with a history of IPV want help however the health and social services do not always recognize their calls for help or their symptoms of distress. Recommendations are made for treatment centers to become trauma- informed that would help this recognition. Biography: Abdul Haseeb Bhutta has his expertise in pain management after sports injuries or surgical pain having expertise in research work focusing on generating protocols for Pain management in context to evidence based practice. Interferential current therapy module used for potentiating effect of opioids type drugs Tramadol being prescribed to the patients with severe pain flourished by Dr Keramat Ullah mentor of the Dr Abdul Haseeb bhutta. The foundation is based on case report conducted by Dr Keramat Ullah in Ireland were the potentiating effects of the drug tramadol was identified in a patient. Randomized cross over study design utilized in this study to identify the effect of which tramadol with and without interferential current therapy. This approach is responsive to all stakeholders and has a different way of focusing. Recent Publications: Keramat, K. U., Khalily, M. A., Bhutta, A. H., Khattak, P., Habib, A., & Bhutta, N. I. (2022). Risk factors evaluation of cerebral palsy in Hazara division KPK Pakistan: A cross-sectional survey. Journal of the Pakistan Medical Association. Ullah, K., Bhutta, N. I., & Bhutta, A. H. (2021). PSYCHOMETRIC ANALYSIS OF URDU VERSION OF SHOULDER PAIN AND DISABILITY INDEX: A RELIABILITY AND VALIDITY STUDY: soi: 21-2017/retrjvol05iss01p245. The Rehabilitation Journal, 5(02), 245-252. Haseeb Bhutta, A., Rauf, D., Bhutta, N. I., Ali, W., & Haneef, K. (2021). EFFECTS OF LATISSIMUS DORSI STRETCHING ON FUNCTIONAL DISABILITY RELATED TO CHRONIC LOW BACK PAIN: soi: 21-2017/re-trjvol05iss01p208. The Rehabilitation Journal, 5(01), 208-212. Ahmed, F., Rahman, M. U., Ullah, K., & Bhutta, A. H. (2020). Combination of Core Stability Exercises and Maitland Manual Therapy is Better Alternative in the Management of Chronic Low Back Pain. Journal Riphah College of Rehabilitation Sciences, 8(01), S24-S28. Keramat, K. U., Babur, M. N., Mcloughlin, P., Bhutta, N. I., Bhutta, A. H., Khattak, P., ... & Habib, A. (2021). Translation and cultural adaptation of Shoulder Pain and Disability Index in Urdu (SPADI-U). Rehman Journal of Health Sciences, 3(1), 10-16.

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