Pain relief through Intramuscular Electrical Stimulation
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Intramuscular electrical stimulation can help relieve pain following open pancreaticoduodenectomy, according to results from a randomized clinical trial. Needle electrical twitch obtaining intramuscular stimulation (NETOIMS) has been used to alleviate muscular pain from muscle strain or myofascial pain syndrome. However, it is noteworthy that the recovery times of peak cough flow and gait speed also have been drastically reduced in NETOIMS group.

NETOIMS targets the deep motor endplate zones of skeletal muscles and results in muscle relaxation immediately following the electrically elicited muscle contractions.

If future studies confirms the efficacy of this method, then it could be part of the multimodal perioperative pain strategy. One could imagine combining a multimodal, preferably opioid-free, drug therapy with pain blocks based on single shot or continuous administration of local anesthesia near the wound, with NETOIMS.

source: https://www.journalacs.org/article/S1072-7515(20)30493-2/fulltext
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