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Latar Belakang: Osteoartritis (OA) lutut merupakan salah satu masalah kesehatan utama pada lansia yang menyebabkan nyeri dan keterbatasan fungsi gerak. Di wilayah pesisir Kalimantan Timur, akses terhadap layanan fisioterapi masih terbatas. Tujuan: Mengoptimalkan manajemen nyeri dan peningkatan fleksibilitas melalui intervensi fisioterapi berupa stretching dan Transcutaneous Electrical Nerve Stimulation (TENS) pada lansia dengan OA lutut. Metode: Program pengabdian masyarakat ini menggunakan desain pre-test dan post-test yang melibatkan tiga lansia di Posbindu pesisir. Intervensi dilakukan secara rutin selama beberapa minggu, dengan pengukuran nyeri menggunakan Visual Analog Scale (VAS) dan fleksibilitas menggunakan Sit and Reach Test. Hasil: Terjadi penurunan nyeri rata-rata sebesar 3 poin VAS dan peningkatan fleksibilitas 2–5 cm pada Sit and Reach Test. Kesimpulan: Intervensi stretching dan TENS efektif dalam menurunkan nyeri dan meningkatkan fungsi gerak lansia dengan OA lutut. Program ini menunjukkan bahwa layanan fisioterapi berbasis komunitas di Posbindu merupakan pendekatan yang efisien, aplikatif, dan berkelanjutan di wilayah dengan keterbatasan layanan kesehatan.

Background: Post operative pain is a common clinical effect found in patients undergoing surgical procedures that are usually seen in the first 24-48 hours after surgery so that it is included in acute pain. Methods: This study is a descriptive observational study of five patients with ORIF femur surgery who underwent surgery at Pandan Arang Boyolali Hospital using epidural anesthesia. Results: five patients successfully underwent epidural anesthesia as one of the anesthesia used with major surgery and as an option for continuous anesthetic drug administration and used as post-surgical pain management. Conclusion: Epidural analgesic administration can also be done using a syringe injector attached to the patient as one of the post-surgical pain management in patients.

A burn or combustio is a tissue trauma characterized by skin damage due to heat, chemicals, electricity or radiation. Patients with severe root injuries (such as grade IIb-III) often develop serious functional complications. Hypertrophic scarring can lead to contractures and joint movement limitations. In addition, scars often experience itching and pain, especially in superficial partial wounds and skin withdrawal areas. Patients perform therapy 2 times with the aim of physiotherapeutic intervention is to optimize LGS in the lower extremities (knee and ankle dextra), Reduce motion pain AGB dextra, Increase muscle strength AGB dextra, Increase LGS joint Knee and ankle dextra), Increase scar tissue elasticity. Multimodal physiotherapy interventions provided in the form of ROM Exercise, Strengthening, Ankle Pumping, Gait Training. The result is a difference in measurement results in the form of an increase before and after receiving the intervention.

Appendicitis ranks highest among emergency cases in the abdomen if not treated immediately will cause severe infection until the intestinal lumen can rupture. Pain will appear as a nursing problem for patients who have undergone appendectomy surgery because it is an act of removing the infected appendix through surgery. Pain can be minimized, one of which is with autogenic relaxation training. Activities start from measuring vital signs, pain scale, assessing anxious expressions, then autogenic relaxation training. Education is carried out to assess the knowledge of the community with a history of post-appendectomy surgery about autogenic relaxation and is carried out in collaboration with local village officials. The method used in this activity is counseling about autogenic relaxation training from a team of nursing lecturers and nursing students as many as 36 respondents. The results obtained from respondents before being given education were 36 people who stated that they did not know about autogenic relaxation training and the pain scale felt was above 6 after appendectomy surgery. The output of the PkM that has been implemented is expected to increase knowledge about autogenic relaxation training after autogenic relaxation training is implemented in the community.

Post-operative pain after upper extremity ORIF is complex, involving tissue damage, inflammation and nociceptive mechanisms that require a comprehensive pharmacological approach. The intensity of post-ORIF pain typically ranges from moderate to severe in the first 48-72 hours and can affect early mobilisation, respiratory function and the patient's physiological stress response. Research objective: To determine the pattern of analgesic use for pain management after upper extremity ORIF surgery under general anaesthesia at Pandan Arang Boyolali Hospital. Research Methods: This is a qualitative research with case study approach. Data was collected using quota sampling technique. The sample in this study amounted to 5 patients with inclusion criteria: upper extremity orthopaedic surgery patients who will undergo ORIF in the Central Surgical Installation of Pandan Arang Boyolali Hospital in April 2025, patients with general anaesthesia Laryngeal Mask Airway (LMA). Results: Based on the results of observations, it was found that the pattern of use of pharmacological pain management in patients after upper extremity ORIF surgery with general anaesthesia at Pandan Arang Boyolali Hospital was the administration of 100 mcg fentanyl and 4 mg ondansentrone dripped in 500 ml Tutofusin infusion for surgery with a duration of > 1 hour and a large incision area.

 Chronic pain is pain that persistent and will continue beyond the proper healing time, there are two time points used in daily practice, namely 3 months and 6 months after the first injury. Sensitivity of peripheral nociceptive neurons and central underlying the process of transition from acute pain to chronic pain. There are several factors that influence the increasing incidence of postoperative chronic pain including preoperative, intraoperative and postoperative factors. Untreated acute postoperative pain also increases the risk of increasing chronic postoperative pain. In Asia, the prevalence of chronic pain varies widely, between 7% in Malaysia to 60% in Cambodia. The prevalence of postoperative chronic pain in adults is reported to be around 20% in developed countries. The incidence includes all ages with a higher incidence in women and the elderly. The purpose of this study was to describe the characteristics of postoperative chronic pain in outpatients in the surgical polyclinic and obstetrics and gynecology polyclinic at RSU Medan. The type of research used in this study was Observational with a Cross Sectional method approach. Based on the research that has been done, it was found that ages 26-35 years experienced the most chronic pain, namely as much as 29.8% and women experienced more chronic pain compared to men. Based on this study it was found that the majority of respondents experienced moderate pain intensity as many as 36 respondents (63.2%). There were descriptions of characteristics that were mostly 26-35 years old.

Community service has been carried out by the service team involving students from the Padangsidimpuan Midwifery Study Program, Poltekkes Kemenkes Medan. The community service activities carried out were to provide counseling and demonstrations about Endorphine massage which is a light touch or massage therapy that is quite important to be given to pregnant women, in the time leading up to and during childbirth. This massage can stimulate the body to release endorphin compounds which are pain relievers and can create a feeling of comfort. Endorphins in the body can be triggered through various activities, such as deep breathing and relaxation, and meditation. Endorphine massage should be done to pregnant women who are 36 weeks pregnant. Because endorphin massage can stimulate the release of the hormone oxytocin which can trigger the labor process (Kuswandi, 2014). This Community Service aims to demonstrate endorphin massage to reduce pain in mothers giving birth in the first stage in the Pintu Padang Health Center work area, South Tapanuli Regency. Target pregnant women in the third trimester, young couples, Participants 40, endorphin massage is expected to be implemented in the management of the first stage to reduce pain and speed up the labor process. The results of this community service are an increase in knowledge of 50% and skills of 87% about endorphin massage correctly applied when pregnant women later undergo the labor process. This community service is carried out in collaboration with partners used as the location of this activity, namely Kalurahan Pintu Padang, Batang Angkola District, South Tapanuli Regency and Health Cadres, Village Midwives at the local Health Center. This activity received a positive response from local participants, and as a follow-up, it can be carried out by Health Cadres and midwives at the Health Center to monitor the skills that have been obtained when pregnant women are in the labor process that will be undergone

The knee is the largest joint in the human body. Like other joints, the knee consists of several structures, such as muscle cartilage, ligaments, tendons, and nerves. Almost all leg movements depend on the knee joint. Therefore, the Knee Brace or Health Knee Brace is a tool designed to provide stability support and reduce knee pain. The purpose of this study was to design and build an Arduino-based knee pain therapy tool and to test the safety and effectiveness of the tool in reducing knee pain. This tool is designed using Arduino Mega as a microcontroller, using a DS18b20 sensor that functions as a temperature reader on the Knee support which has a heater pad as a heat generator, a Vibration Motor as a vibration effect giver on the tool and a 2.4 TFT LCD Touch Screen as a display and a 12V adapter on this tool. According to the analysis of the tool made by the researcher, based on the results of the function and performance tests, the Arduino-based Knee Pain Therapy tool can function properly and safely.

Low back pain (LBP) is one of the most common musculoskeletal problems experienced by workers, especially those in professions that require prolonged static sitting, such as public transportation drivers. This condition not only impacts work productivity but can also disrupt daily activities and increase the risk of chronic health problems. This study aims to analyze factors associated with the incidence of LBP in public transportation drivers on the Latuhalat route at Mardika Terminal, Ambon City. The study design used an observational analytical approach with a cross-sectional approach. The study population consisted of 96 public transportation drivers, and 51 were selected as samples through a purposive sampling technique based on inclusion criteria. The independent variables in this study included driving position, driving duration, age, and length of service, while the dependent variable was low back pain. Data were collected using questionnaires and observation sheets, then analyzed using the Chi-square test. The results showed that all independent variables, namely driving position, driving duration, age, and length of service, had a significant relationship with the incidence of LBP (p < 0.05). Thus, ergonomic factors and workload significantly contribute to the occurrence of NPB in public transportation drivers. Therefore, ergonomic interventions, proportional work hour arrangements, and the implementation of occupational health programs are important steps in reducing the risk of NPB in drivers.

Chronic pain is pain that persistent and will continue beyond the proper healing time, there are two time points used in daily practice, namely 3 months and 6 months after the first injury. Sensitivity of peripheral nociceptive neurons and central underlying the process of transition from acute pain to chronic pain. There are several factors that influence the increasing incidence of postoperative chronic pain including preoperative, intraoperative and postoperative factors. Untreated acute postoperative pain also increases the risk of increasing chronic postoperative pain. In Asia, the prevalence of chronic pain varies widely, between 7% in Malaysia to 60% in Cambodia. The prevalence of postoperative chronic pain in adults is reported to be around 20% in developed countries. The incidence includes all ages with a higher incidence in women and the elderly. The purpose of this study was to describe the characteristics of postoperative chronic pain in outpatients in the surgical polyclinic and obstetrics and gynecology polyclinic at RSU Medan. The type of research used in this study was Observational with a Cross Sectional method approach. Based on the research that has been done, it was found that ages 26-35 years experienced the most chronic pain, namely as much as 29.8% and women experienced more chronic pain compared to men. Based on this study it was found that the majority of respondents experienced moderate pain intensity as many as 36 respondents (63.2%). There were descriptions of characteristics that were mostly 26-35 years old.

Sectio Saesarea is a way of delivering a fetus by making an incision in the uterine wall through the front wall of the abdomen or vagina or SC is a hysterotomy to deliver a fetus in the uterus (Batara, 2022, p.1). SC is known as one of the procedures that can save both mother and baby. SC can effectively prevent death and disability in mothers and newborns. SC is performed on 3 indication factors, namely maternal, fetal and obstetric factors themselves. The problem that usually arises after SC is pain. Patients after sectio caesarea surgery will feel pain when the effects of anesthetic drugs have disappeared (Solehati & Kosasih, 2015). Postoperative pain after anesthesia is a common complication and will appear 1-3 hours (Saputra, at, al.2023). Pain appears due to the release of pain receptors due to the disconnection of tissue continuity due to the incision process during surgery. Post SC patients usually complain of pain in the abdominal incision area (Wahyuningsih et al., 2022). Pain in patients must be treated immediately so as not to interfere with the mother's activities. There are 2 pain management, namely pharmacological and non-pharmacological. Pharmacological therapy is carried out by administering drug therapy to reduce pain. Non-pharmacological therapy that can be done to reduce pain is one of them early mobilization. Early mobilization after cesarean section is a movement, position or activity carried out by the mother several hours after giving birth by cesarean section (Mawarni, 2018). Early mobilization techniques are very effective in relieving pain. Early mobilization is recommended for post-SC mothers, because it can increase the independence of post-SC patients, as well as support the wound healing process, and reduce pain (Dirgahayu, 2019). Early mobilization interventions can help patients reduce the pain scale felt postoperatively. Case studies using descriptive methods with a nursing process approach were carried out on 3 respondents of post op pregnant women using the One Group Pretest Posttest research design which was measured using the NRS instrument for 3 days. The results showed a decrease in the pain scale in respondents after being given early mobilization interventions. 

Pain and inflammation are two clinical conditions that often occur together, especially in musculoskeletal disorders. Non-steroidal anti-inflammatory drugs (NSAIDs) are often used because they have dual effects as analgesics and anti-inflammatories. This study aims to compare the effectiveness of several types of NSAIDs in reducing pain intensity and inflammatory responses. This study used an experimental design with test animal subjects divided into several groups, each receiving treatment with different NSAIDs, namely ibuprofen, diclofenac sodium, and mefenamic acid. Pain assessment was carried out using the visual analog scale (VAS) method, while inflammation was measured by observing edema and inflammatory biomarker levels. The results showed that all three types of NSAIDs had a significant effect on reducing pain and inflammation compared to negative controls, but there were differences in effectiveness between drugs. Ibuprofen showed higher potential in relieving pain, while diclofenac was more effective in suppressing the inflammatory process.

Dysmenorrhea is one of the most common reproductive health problems experienced by adolescent girls, significantly affecting daily activities and academic performance. Non-pharmacological approaches such as abdominal stretching offer a safe, simple, and cost-effective alternative for reducing menstrual pain. This community service activity was conducted at SMPN 8 Lubuklinggau from April 11 to 17, 2022, aiming to enhance students’ knowledge and skills in managing dysmenorrhea through abdominal stretching exercises. The program included education, demonstration, independent practice, and pre- and post-test evaluations. The results showed that most participants experienced a reduction in menstrual pain intensity and improved understanding of dysmenorrhea management. The intervention proved to be effective and feasible to be integrated into regular school health programs. Additionally, the activity empowered adolescents to take a more active role in maintaining their reproductive health. Further research is recommended to evaluate the effectiveness of abdominal stretching on a broader scale.

Kabaddi is a traditional outdoor game played with slight variations across India. Prevention of hamstring injuries in kabaddi athletes requires a multifaceted approach, including a balanced muscle strengthening program, regular flexibility training, thorough warm-up before the match, and adequate recovery after intense activity. This study aims to analyze the effect of sports massage on muscle flexibility and pain threshold in the hamstring muscles of Surabaya Kabaddi athletes. The research method used was quantitative with a pretest-posttest design in two groups, namely the experimental group given sports massage intervention and the control group. The sample in this study was 12 Surabaya Kabaddi athletes who were divided into 2 groups, namely the treatment group and the control group using the Total Sampling technique. The results of the Paired t-test showed that there was a significant effect on the hamstring muscles after being given sports massage and a decrease in the pain threshold in the experimental group compared to the control group, as evidenced by the results of the t-test which showed a significant value <0.05. It can be concluded that sports massage can have an effect on hamstring muscle flexibility and pain threshold.

The process of labor is identical to the pain or pain that will be experienced. One method to overcome pain in a non-pharmacological way is the distraction method with birth ball which can reduce physiological pain, stress and anxiety. In addition, other non-pharmacological labor pain management is using lavender aromatherapy. This study aims to determine the effect of using birth ball and lavender aroma therapy in reducing labor pain during the active phase I at Sultan Muhammad Jamaludin I Hospital in 2025. This study used a qualitative approach with a case study approach. The population in this study were laboring mothers with normal labor status in the delivery room of the Sultan Muhammad Jamaludin I Hospital in February 2025. The sample in this study were 2 respondents of active phase I laboring mothers, namely 1 respondent to be given an intervention using birth ball and 1 respondent given an intervention using Lavender Aromatherapy.The results showed that the use of birth ball was effective in reducing labor pain during the active phase I at Sultan Muhammad Jamaludin I Hospital in 2025. After three observations, the pain score dropped from 8 to 5. The same thing happened with Lavender Aromatherapy, which also showed effectiveness in reducing pain, with the score dropping from 9 to 5. Comparison between the two methods showed a difference in the level of pain reduction by 1. Therefore, birth ball and Lavender Aromatherapy can be used as non-pharmacological methods to reduce labor pain, with the selection of methods adjusted based on individual comfort and response. 

Myogenic low back pain is a complaint of pain in the lower back area caused by disorders of muscle tissue or tendons, without nerve involvement. This complaint is often experienced by individuals who perform repetitive physical activities or maintain a hunched sitting position for long periods, resulting in muscle fatigue and discomfort. This study aims to analyze the effectiveness of McKenzie Exercise and infrared therapy in reducing myogenic low back pain. The study design used a one-group pre- and post-test with control design, with a total of 20 employees in the rehabilitation unit of RSU Medika Tanjung Mulia who had met the inclusion criteria. Subjects were randomly divided into two groups: Group I received McKenzie Exercise and infrared therapy interventions along with standard hospital therapy, while Group II only received standard hospital therapy. Pain levels were measured using a Numeric Rating Scale before and after the intervention. The results of statistical analysis showed a significant reduction in pain in both groups after the intervention, with a p value = 0.000 (p < 0.05). In addition, the results of the comparison between groups showed that the group receiving McKenzie Exercise and infrared therapy experienced a greater reduction in pain than the control group. This suggests that the combination of McKenzie Exercise and infrared therapy is more effective in reducing myogenic low back pain. This study recommends the use of both interventions as part of the physiotherapy management of low back pain caused by muscle disorders.  

Pain is one of the main problems often experienced by patients during treatment in hospitals, including in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. High levels of pain can affect comfort, quality of rest, and slow the patient's healing process. Various non-pharmacological interventions have been developed to help reduce pain, one of which is music therapy, which works through distraction and relaxation mechanisms. This study aims to analyze the effectiveness of music therapy in reducing pain levels in patients in the Zam-Zam 1 Ward of Sultan Hadlirin Hospital, Jepara. The research method used a quasi-experimental design with a pretest-posttest approach without a control group. The study sample consisted of 47 patients who met the inclusion criteria and were selected using a purposive sampling technique. The research instrument used a Numerical Rating Scale (NRS) to measure the patient's pain levels before and after the intervention. The music therapy process was carried out by playing relaxation music for a certain period according to the research procedure. Data analysis was carried out using a paired t-test to determine the difference in pain levels before and after music therapy. The results showed an average decrease in pain levels of 1.79 with a standard deviation of 1.05. The t-test results yielded a t-value of 9.017 with a p-value of 0.000 (p < 0.05), indicating a significant difference between pain levels before and after the intervention. These findings demonstrate that music therapy is effective in reducing pain perception in hospitalized patients. In conclusion, music therapy can be used as an alternative non-pharmacological intervention that is easily implemented by healthcare professionals to improve patient comfort and quality of care in hospitals.  

Background: Dysmenorrhea is often experienced by women, the impact of untreated dysmenorrhea can interfere with daily activities. Purpose: The purpose of this study was to determine the effect of giving warm compresses to the abdomen on dysmenorrhea pain. Method: The quasi-experimental research method with the Pretest-Postest Nonequivalent Control Group Design. The population in this study were all female students at SMP Negeri 10 Denpasar totaling 547 students with a purposive sampling technique using the slovin formula. Result: The results of the Wilcoxon test on the pretest-posttest of the treatment group obtained a value of P = 0.0003 <0.05, meaning that there was a difference in the dysmenorrhea pain score before and after being given warm compresses to the abdomen and health education in the treatment group. The results of the next Wilcoxon test on the pretest-posttest of the control group obtained a value of P = 0.066> 0.05, meaning that there was no difference before and after health education in the control group. The results of the Man Whitney test on dysmenorrhea pain scores after being given Warm Compress Abdomen and Health Education in the Treatment and Control Groups obtained P = 0.000 <0.05 indicating that there is an effect of Warm Compress Abdomen and Health Education on dysmenorrhea pain. Conclusion: Warm abdominal compress therapy and health education are effective methods to reduce dysmenorrhea pain in adolescent girls. It is recommended that adolescent girls can apply warm compresses as an effort to reduce menstrual pain (dysmenorrhea) with complementary therapy both in the school environment and at home.

Background: Low back pain (LBP) is still one of the health problems, including in the dental profession. Doctor Dentists have a risk of experiencing Low Back Pain (LBP) when viewed from their static work activities. work activities that are static. The purpose of this study was to determine relationship between ergonomic factors and complaints of Low Back Pain (LBP) in general dentists practicing independently in Jambi City. general dentists practicing independently in Jambi City. Methods: This study is a quantitative study with an observational observational research design and using a cross sectional research design. The study population was general dentists practicing in Jambi City, totaling 204 people. Respondents in this study 70 people. Data collection using the ODI questionnaire for measurement LBP measurement, fingertip pulse oximeter for measurement of workload, Rapid Upper Limb Assessment (RULA) for work posture measurement, vibration meter for vibration measurement, and lux meter for lighting measurement. Data analysis using chi-square statistical test version 24. Results: The results showed the prevalence of complaints of Low Back Pain (LBP) in dentists was 60%. dentists amounted to 60%. The statistical test results show that the variables workload (p=0.000 <0.05), work posture (p=0.000 <0.05), length of work (p = 0.000 < 0.05), repetition (p = 0.003 < 0.05), lighting (p = 0.415 > 0,05). Conclusion: There is a relationship between workload, work posture, work duration, repetition with complaints of Low Back Pain (LBP) and there is no relationship between workload, work posture, work duration, repetition and lighting

Menstrual pain or dysmenorrhea is a common complaint experienced by adolescent girls throughout the world has shown that the incidence of dysmenorrhea is quite high, namely 43-93% of women experience dysmenorrhea and 5-10% of them experience very severe dysmenorrhea and leave their activities 1-3 days a month, where 8% of them have to leave school or work during menstruation The purpose of this study is to examine the effect of giving turmeric and tamarind with pineapple juice on reducing primary dysmenorrhea pain in TPMB "M".This study uses a qualitative research strategy, with a case study, which is a series of scientific activities carried out intensively, in detail and in depth about a program, event, and activity, both at the individual level, a group of people, institutions, or organizations to obtain in-depth knowledge about the event, this case study was conducted directly to adolescents who were menstruating and experiencing primary dysmenorrhea. The results of the study were conducted in Case 1, an adolescent who was experiencing Primary Dysmenorrhea pain with a pain scale of 9 after being given Turmeric Acid, the NRS value at Visit 1 was 7, Visit 2 was 5, Visit 3 was 3. While in Case 2 after being given Pineapple juice, the NRS value at Visit 1 was 7, Visit 2 was 4, Visit 3 was 2. both were the same in reducing pain, but consuming Turmeric Acid was more effective in reducing pain by 1 on the 2nd visit and the difference in pain reduction was 1 on the 3rd visit. It is hoped that this study can be used to add new knowledge about the treatment of dysmenorrhea pain in adolescents in a non-pharmacological way, namely by using turmeric acid and pineapple juice. as an alternative.