• Br J Sports Med · Oct 2004

    Case Reports

    Electrical twitch obtaining intramuscular stimulation (ETOIMS) for myofascial pain syndrome in a football player.

    • J Chu, I Takehara, T-C Li, and I Schwartz.
    • Rehabilitation Medicine, Hospital of the University of Pennsylvania, Spruce Street, Philadelphia, Pennsylvania, USA. jechu@comcast.net <jechu@comcast.net>
    • Br J Sports Med. 2004 Oct 1;38(5):E25.

    BackgroundFlare up of acute lower back pain associated with myofascial pain syndrome (MPS) may require various forms of treatment including activity restriction and bracing. Electrical twitch obtaining intramuscular stimulation (ETOIMS) is a promising new treatment. It involves the use of a strong monopolar electromyographic needle electrode for electrical stimulation of deep motor end plate zones in multiple muscles in order to elicit twitches.Case ReportAn elite American football player with MPS symptoms failed to respond to standard treatments. He then received ETOIMS which completely alleviated the pain. After establishing pain control, the athlete continued with a further series of treatments to control symptoms of muscle tightness.ConclusionsETOIMS has a promising role in pain alleviation, increasing and maintaining range of motion, and in providing satisfactory athletic performance during long term follow up.

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