Referring Physicians Resources

Information for referring physicians:

• Males and females patients of all ages (including children over age 12) can benefit from eToims®.
• Patients are those suffering from acute or chronic muscle discomfort and/or pain due to trauma such as car-accidents, sports injuries (sprains, strains, acute muscle spasms), work-injuries, aging, activities of daily living.
• Patients who have no pain but have muscle tightness are also candidates for eToims® since the method exercises, stretches and relaxes muscles to improve range of motion and improve quality of life.
• People who just want a relaxing massage can also benefit from the scientific massage effects of eToims®.
• Patients suffering from nerve related muscle pain will need diagnostic workup including electromyographic studies and nerve conduction studies. These test procedures are covered by most health-care plans.
• The ideal patient is a person who sustained injury recently and should optimally present for treatment within 24 hours of the injury to achieve the best results possible using eToims®. The more long-standing the pain and/or discomfort, the more the number of sessions and the need for continued treatments. Patient referrals should occur as soon as possible after the injury rather than later after all other treatments have failed.
• Age is a factor determining the outcome after an injury, with older patients being more difficult to treat due to the tightness of the muscles from preexistent age related nerve injuries from degenerative spine disease.
• Information on training courses in eToims® Twitch Relief Method, will be available at a later date.

Case Histories:

Case 1
46 year old female presented in 2003, with 1.5 years history of continued pain in right buttock, right posterior thigh, right lateral calf and pain to the right foot with numbness in the lateral two toes of right foot.  She is status post L5-S1 laminectomy for herniated disc pressing on right S1 nerve root.  She did not have significant pain relief after surgery and the pain did not improve with various medications orally including two epidural injections. At time of initial evaluation, her pain levels were 5-7/10, she was unable to perform the straight leg raise testing and she had severe restrictions in activities of daily living.  MRI scan showed persistent right S1 nerve root sleeve.  She began weekly self-pay treatments initially with the ETOIMS needling device and with the state-of-art noninvasive eToims® device in October 2006.  Between 2003 to December 2007 she has undergone a total of 187 treatments with present pain levels ranging from 1-5/10 with enriched quality of life, able to work at home and travel.  She is on a low dose of Neurontin for pain control.

Case 2
51 year old female presented in 2004 with chronic neck and upper limb pain for five years following a vehicular accident. Initial pain levels were 2-4/10, and the pain was not helped by medications and physical therapy. MRI scan showed C5-C6 disc bulge.  EMG showed partial axonal involvement along the left C6 nerve root. She began weekly self-pay treatments initially with the ETOIMS needling device, and with the state-of-art noninvasive eToims® device in October 2006.  Between 2004 to December 2007, she has undergone a total of 102 treatments.  Present pain levels ranged from 1-2/10 with a normal quality of life.  She is not on any medications for pain.

Case 3
45 year-old female presented in 2004 with acute neck pain for one month following a vehicular accident.  She also had an aggravation of chronic lower back pain.  Initial pain levels 4-8/10.  Cervical spine x-rays showed spurring of Lushka joints at C5-C6.  EMG showed partial axonal involvement of bilateral C6 nerve roots and right C7 nerve root. She began weekly self-pay treatments initially with the ETOIMS needling device, and with the state-of-art noninvasive eToims® device in October 2006.  Between 2004 to December 2007, she has undergone a total of 192 treatments.  Present pain levels ranged from 1-3/10 with a normal quality of life.  She is not on any medications for pain.

Case 4
23 old female presented in 2007 with complaints of headaches, neck and low back pain and pain down the left upper and lower limbs for 9 months after a slip and fall injury.  Initial pain levels were 4-10/10 and pain was not responsive to Topamax and pain medications.  X-rays were normal.  EMG showed partial axonal involvement of multiple lumbosacral nerve roots on left side and also along the right S1 nerve root.  She began weekly self-pay treatments with the state-of-art noninvasive eToims® device and after 12 treatments, the pain level was 0-1/10.  She was discharged from treatments having attained a normal quality of life.  She is not on any medications for pain.

Case 5
59 year-old male presented in 2003 with complaints of right shoulder pain for five months.  Pain started after playing golf.  Past history included a vehicular accident at age 25 during which he sustained cervical spine trauma when his head went through the windshield.  Initial pain levels on presentation were 6-7/10.  MRI scan of the cervical spine showed multilevel degenerative disc disease with mild central spinal stenosis at C4-C5 and disc bulging at C5-C6 and C6-C7.  MRI scan of the right shoulder showed a small focal tear of the supraspinatus tendon. EMG showed partial axonal involvement of right C4-C6 nerve roots and left C6 nerve root. He began weekly self-pay treatments initially with the ETOIMS needling device, and with the state-of-art noninvasive eToims® device in October 2006.  Between 2003  to December 2007, he has undergone a total of 128 treatments. For the past 2 years since 2005, he has been completely pain-free with a normal quality of life.  He self-selects to continue treatment for relief of muscle tightness although he has no pain.  He is not on any medications for pain.

Case 6
47-year-old male presented in 1996 with 7 year history of right upper limb pain after a vehicular accident and status post neurolysis of the brachial plexus.  Initial pain levels at presentation were 7-9/10 and pain was not helped by medications.  MRI scan of the cervical spine showed C5-C6 mild disc herniation with mild cervical stenosis.  EMG showed moderate partial axonal involvement of multiple cervical nerve roots, especially along the right C6 nerve root. He began weekly self-pay treatments initially using the ATOIMS® needling device and then with ETOIMS® needling device.  He began treatments with the state-of-art noninvasive eToims® device in October 2006.  Between 1996 to December 2007, he has received 570 treatments.  His current pain level is 4-5/10 and he has fair quality of life.  He needs minimal pain medications.