Fibromyalgia (FM) is a condition with varied and complex presentation with chronic generalized and widespread pain and fatigueness. Various medicines show mild to moderate efficacy in the management FM symptoms, but most of these drugs has very little effect on the pain that is induced by various physical activity and exertions. Recent literature suggests that nonpharmacologic interventions are the treatment of choice to treat the chronic disabling pain and these interventions relatively harmless, low-cost so these approaches can be clubbed with medical. There is strong evidence that therapeutic exercises are very effective in the management of FM, with movement-evoked pain which limits patients’ participation in various activities. Use of nonpharmacologic approaches that decrease movement-evoked pain that might promote the patient to actively participate in activities, this will increase the patients perceived global improvement.^3,4

Transcutaneous electrical nerve stimulation (TENS)- it is a machine that delivers current to the surface of skin via surface electrodes. It is a non-invasive nonpharmacological intervention use to control the pain. We are designing a randomized controlled trial to examine and assess the effects of TENS in patients with FM, using a study protocol that does not entail shortcomings and limitations of previous studies. Our primary aim is assessing the efficacy of repeated long-term TENS application on movement-evoked pain in FM patients. Secondary aims to evaluate the effects of TENS on fatigue, function, and QoL outcomes.

Aims and Objective-

Primary objective- To ascertain the differential effects of TENS plus standard treatment on movement-evoked pain and resting pain in FM patients compared with standard treatment alone.

Secondary objective- To assess the effects of TENS on the patient function, quality of life, physical activity, or other associated symptoms, such as anxiety, fatigue, or sleep disturbance