Clinical training in The eToims® Technique.
Clinicians trained in The eToims® Technique will be able to elicit muscle twitch responses to assess electrical activity of potentially involved peripheral nerve and skeletal muscle tissue in muscle pain and/or discomfort, muscle weakness, muscle spasm or aberrant sensation. Evoking twitch responses of abrupt onset and brisk character identifies and diagnose the presence of irritable neuromuscular junctions in such patients.
These clinicians who can be trained under the supervision and instruction of one who is skilled in The eToims® Technique include licensed physicians, dentists, osteopaths, chiropractors and physical therapists. These trained clinicians will apply appropriate stimuli to diagnose the presence of irritable neuromuscular junctions for neurological monitoring and assessment in a clinical environment. Twitches evoked on stimulation of irritable neuromuscular junctions with The eToims® Technique can result also in simultaneous pain/discomfort relief, increase in range of motion as well as associated relief of tingling and numbness or and/or muscle weakness depending on the degree and duration of nerve involvement.
The probable benefit to health from the use of The eToims® Technique.
Many patients with nerve related muscle pain remain undiagnosed since common tests such as electromyography and nerve conduction studies are not sensitive enough to detect early physiological changes associated with acute or ongoing presence of nerve irritation on a chronic basis. Additionally, due to the invasive nature and very focal needling involved with such testing, many involved muscles cannot be tested and multiple electromyographic examinations in the same day or every day is not useful or recommended. Radiological studies such as MRI scans and CAT scans also are not studies meant for physiological changes associated with acute or chronic nerve root irritation since these imaging studies are meant primarily for anatomical changes in the spine or disc.
However in early nerve irritation, the motor points are very sensitive to electrical stimulation producing large force twitches with The eToims® Technique. On the contrary, in chronic cases of nerve irritation, due to the tightness of the muscles, motor points are very difficult to locate and difficult to stimulate and the twitch forces obtained are weak. Thus, clinicians trained in The eToims® Technique can benefit patients due to the ability to perform early diagnose of the presence of irritable neuromuscular junctions in multiple muscles in acute as well as chronic ongoing nerve involvement. Additionally, The eToims® Technique by stimulating irritable neuromuscular junctions will be able to help patients by providing simultaneous relief of neuromuscular pain/discomfort, and abnormal sensation such as tingling and numbness or and/or those with muscle weakness depending on the degree and duration of nerve involvement.
The eToims® Technique can also be used to perform early diagnosis of the presence of irritable neuromuscular junctions in the healthy population with discomfort complaints of muscle tightness, aching, soreness or stiffness. The healthy population when diagnosed early with The eToims® Technique benefits by experiencing simultaneous increased range of motion, reduced muscles stiffness, soreness, aching sensation, etc. depending on the degree and duration of nerve irritation.
This early diagnosis with simultaneous therapeutic pain/discomfort relieving effects can prevent development or reduce the degree of chronic pain when such healthy patients or those already in chronic pain are exposed to insidious or acute sudden onset trauma associated with falls, auto accidents, sports, work or repetitive injuries, depending on the degree and duration of nerve involvement.
Carefully following protocols for frequent and regular use of The eToims® Technique with long-term follow-up has not caused any adverse events, injury or illness to the patient or practicing clinician and has been found to be safe and efficacious. (Chu J, Schwartz I: eToims Twitch Relief Method in Chronic Refractory Myofascial Pain (CRMP). Electromyogr Clin Neurophysiol 48: 311-320, 2008).