Intramuscular stimulation therapy using localized electrical sti

Surgery – Miscellaneous – Methods

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A61B 1900

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active

060589388

ABSTRACT:
A modality of twitch obtaining intramuscular stimulation (IMS) pain relief therapy employs an EMG needle having a Teflon coated shaft and exposed conductive tip to apply micro-electrical stimulation locally and focally to muscle motor end plate zones or regions of adjacent motor end plate zones. The electrical stimulation facilitates the elicitation of strong twitch responses from muscle fibers associated with the stimulated motor end plates, generally without requiring physical needle manipulation following the initial pin insertion. Less skill is required to effectively elicit pain relieving twitch responses, thus facilitating training of medical personnel to carry the procedure. Rapid movement between multiple treatment sites is possible allowing treatment of a larger number of afflicted muscles and muscle areas in a single treatment session. The strength and number of twitches obtained at the treatment sites can provide substantial relief from regional and diffuse myofacsial pain of radiculopathic origin. In addition, since physical manipulation of the pin is generally unnecessary, patients experience less pain and discomfort during the procedure, and the risk of repetitive stress injury to the therapist is reduced.

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Jennifer Chu, M.D., "Dry Needling (Intramuscular Stimulation) in Myofascial Pain Related to Lumbosacral Radiculopthy", 1995, Eur. J. Phys. Med. Rehabil. 1995:5 No. 4, pp. 106-120.
Jennifer Chu, M.D., "Comment on the Simons Literature Review Column, `Myofascial Pain Syndrome--Trigger Points`," J. Musculoskeletal Pain, vol. 5(1) 1997, pp. 133-135.
Photographs of IMS device purchased from Mr. Young H. Lee in Feb., 1996.
C. C. Gunn, et al., "Dry Needling of Muscle Motor Points for Chronic Low-Back Pain: A Randomized Clinical Trial With Long-Term Follow-Up", Spine, vol. 5, No. 3, May/Jun. 1980, pp. 279-291.
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C. Chan Gunn, M.D., "The Gunn Approach to the Treatment of Chronic Pain: Intramuscular Stimulation for Myofascial Pain of Radiculopathic Origin", (2d ed.), 1996.
Open letter re IMS treatment offered by Jennifer Chu, M.D., University of Pennsylvania Medical Center, Mar. 13, 1996.
"Patient Information on Intramuscular Stimulation (IMS) For Management of Soft-Tissue/Neuropathic Pain", University of Pennsylvania Medical Center, Apr. 8, 1996.
Travell, J.G., Simons, D.G., "Myofascial Pain and Dysfunction: The Trigger Point Manual", vol. 1. Williams and Wilkins, Baltimore, 1983, Table of Contents, Preface, Chapter 3 "Apropos of Muscles".
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Chu, J. "Does EMG (dry needling) Reduce Myofascial Pain Symptoms Due to Cervical Nerve Root Irritation?" Electromyogr. clin. Neurophysiol., 37:259-272, 1997.
Chu, J., "Twitch-Obtaining Intramuscular Stimulation: Its Effectiveness in The Long-Term Treatment of Myofascial Pain Related to Lumbosacral Radiculopathy", Arch. Phys. Med. Rehabil., 78:1024, Sep. 1997 (abstract).
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