chronic pain

Intramuscular Stimulation

IMS is used to treat neuropathic pain which is caused by irritation and/or pressure on the nerves causing specific muscles to become shortened and hypersensitive. Many chronic pain conditions are caused by neuropathic pain and can occur in the absence of significant inflammation or tissue damage. Since neuropathic pain can exist without ongoing inflammation or tissue damage, painkillers and anti-inflammatory medications may provide only temporary relief or have no effect at all. In addition, x-rays, CT’s, MRI’s and other diagnostic tests may not show any visible signs of injury.

HOW IMS WORKS

IMS is able to treat this neuropathic pain by desensitizing affected nerves and muscles using acupuncture needles. It is important to note that there is no use of electricity with IMS, rather it is the mechanical simulation of the insertion of the needle into the affected muscles that provides the therapeutic effect. The needle activates a reflex causing the muscle to release and in doing so, eases the pain. Inserting the needle also creates a minor therapeutic injury to the area, stimulating the body to increase local circulation and activate its healing systems. The technique is particularly effective for deep muscles that can be difficult or impossible to reach with other forms of treatment. For example, there are some muscles around the spine and pelvis that are too deep to be treated with massage, and can only be addressed with a needle.

Length of treatment is approximately: 30min

Treatment Frequency: 1 treatment per week for 4-8 weeks for most cases

CONDITIONS THAT CAN BE TREATED BY IMS

A broad range of musculoskeletal/orthopedic problems are successfully treated using the relatively new technique of Intramuscular Stimulation (IMS). We can treat a variety of ailments using IMS including:

• Chronic Tendonitis or Bursitis
• Low back pain
• Neck pain and whiplash
• Plantar fasciitis
• Repetitive Stain Injuries
• Shin splints
• Spinal disc problems
• TMJ pain
• Arthritic conditions
• Headaches
• Myofascial Pain Syndrome
• Patellofemoral syndrome
• Recurrent or Persistent Injuries (including sports injuries)
• Sciatica/piriformis syndrome
• Shoulder injuries (including frozen shoulder)
• Tennis/Golfers elbow
• Torticollis

It is important to note that IMS is NOT EFFECTIVE for non-musculoskeletal based pain, such as the following:

• Chronic inflammatory pain (active arthritic conditions such as rheumatoid arthritis)

• Pain related to cancer

• Metabolic neuropathies (diabetes)

• Degenerative neurological conditions (Lou Gehrigs’s disease, Parkinson’s disease)

If you have one of these conditions, it is unlikely that IMS will be recommended as your best treatment option.

Chiropractic is beneficial for Senior Citizens

Neck pain is one of the most common symptoms we see in Polyclinic Rehabilitation Institute. Often, neck pain results from auto injuries, but sometimes the origins of the neck symptoms might not be related to trauma. No matter what the cause, we find that our chiropractic approach really works for our patients and they agree!

A recent study from Spine Journal confirms what we’ve seen in our office: chiropractic works for treating neck pain.

In this study, researchers looked at 241 patients who were over 65 years old and who suffered from chronic neck pain. The patients were divided into three groups: one group received chiropractic adjustments with home exercises, another group received supervised exercises with additional home exercises, and the third group just did home exercises.

After 12 weeks of treatment, over 60% of chiropractic patients had at least a 75% improvement in pain, compared to approximately 25% of the patients in the supervised exercise group, and nearly 20% of the home exercise-only group.

This study was very important, because it showed that staying active as we get older is so important for our physical and mental health. And it showed that chiropractic provides a way to keep your spine healthy and flexible.

Another recent study found that chiropractic care is great at helping us keep moving as we get older. In this study, researchers set out to discover the difference in outcome for seniors who engaged solely in medical treatments versus those who received chiropractic care over a year’s time. Their participants were 65+ year old Medicare recipients with at least one claim resulting in a diagnosis of a musculoskeletal disease, dislocation, sprain, or strain.

Each participant’s functional outcomes were measured according their ability to bathe, sit in or get up from a chair, dress, eat, and walk across a room. They were also asked to assess their level of difficulty with specific activities such as lifting, reaching, stooping, and walking.

Individuals were also assessed regarding their self-reported health status on a scale of one to five, as well as their level of satisfaction with the care that they received (with included happiness with both treatment and cost). Once all of this information was obtained, the study participants were differentiated between those who had used any chiropractic services during the course of the year and those who did not and opted strictly for medical care instead.

What researchers found is that the individuals who engaged in some form of chiropractic care had fewer functional limitations, less difficulty engaging in activities such as lifting and walking, and a lower number of MD doctor’s visits and hospitalizations. They concluded that chiropractic had a sort of a “protective effect,” safeguarding them against physical deterioration.

Furthermore, patients of chiropractic were also more satisfied with their care during initial treatment as well as follow-up, the cost out-of-pocket, and the information provided to them about their condition. Therefore, this study suggests that engaging in chiropractic care, offers many benefits to seniors with spinal conditions, allowing them greater function and happiness as a result.

More Solutions to Chronic Pain

Chronic pain is a debilitating condition that affects people all over the world. In the North America, the prevalence of chronic pain is estimated at 30.7%, and spine and musculoskeletal disorders account for nearly 70 million physician office visits annually and 130 million outpatient, hospital, and emergency room visits. For persons under the age of 45, low back pain is the leading cause of disability. Back-related disabilities are also the most prevalent cause of disability in the military. To reduce treatment costs, as well as disability and absenteeism from work, acute pain cases (less than 6 weeks in duration) must be prevented from becoming chronic pain cases (more than 3 months in duration).

To address this challenge, the functional restoration treatment approach was developed in the 1980s in the United States. Economic aspects of chronic pain care were consequently addressed by a few studies. Gatchel et al clearly demonstrated the cost effectiveness of an early multidisciplinary intervention in acute low back pain patients who were identified as having a high risk for chronicity. Schweikert et al found that the cost of adding cognitive behavioral treatment to standard therapy was largely offset by lower indirect costs.

Evidence-based, novel, and cost-effective care pathways can be used to quickly and effectively triage the target-patient population at a central entry point. Treatment plans focus on a cross-disciplinary and multimodal approach to pain control utilizing evidence-based medical therapy, as well as on functional restoration and multidisciplinary pain rehabilitation programs that have been proven effective. Given the large population of patients affected by chronic back pain and the high and rapidly rising cost of treatment, comprehensive and multimodality delivery models are imperative for efficient triage, functional restoration, and pain rehabilitation.

One of the main goals of a Chronic Pain Rehabilitation Program is to wean patients off opiates so they avoid the short- and long-term side effects of chronic opioid management. The well-known side effects of opioids are nausea, sedation, euphoria or dysphoria, constipation, and itching. With chronic use of opioids, most side effects subside, as patient tolerance to side effects seems to be greater than tolerance to analgesic effects.

Sources Cited:
Johannes CB, Le TK, Zhou X, Johnston JA, Dworkin RH. The prevalence of chronic pain in United States adults: results of an Internet-based survey. J Pain. 2010 Nov;11(11):1230–1239.
Gatchel RJ, Polatin PB, Noe C, Gardea M, Pulliam C, Thompson J. Treatment- and cost-effectiveness of early intervention for acute low-back pain patients: a one-year prospective study. J Occup Rehabil. 2003 Mar;13(1):1–9.
Schweikert B, Jacobi E, Seitz R, et al. Effectiveness and cost-effectiveness of adding a cognitive behavioral treatment to the rehabilitation of chronic low back pain. J Rheumatol. 2006 Dec;33(12):2519–2526.