title: Position Statement of the Israeli Society for Musculoskeletal Medicine on Intramuscular Stimulation for Myofascial Pain Syndrome-A Delphi Process.
abstract: To develop consensus on a position paper on the use of intramuscular stimulation (IMS) for the treatment of myofascial pain syndrome (MPS) by physicians in Israel.
  
  
  
  The Israeli Society of Musculoskeletal Medicine ran a modified Delphi process to gather opinions from a multidisciplinary expert panel. Eight experts in the treatment of MPS were chosen and asked to participate, and six participated. The position paper was iterated three times.
  
  
  
  After three iterations, general consensus was reached by all six experts. The general statement that was agreed on was: "IMS is one of the preferred treatments for myofascial pain syndrome. The treatment is evidence-based, effective, safe, and inexpensive. The position of the Israeli Society of Musculoskeletal Medicine is that the treatment should be taught and used by all primary care physicians and those physicians in other areas of medicine who deal with pain in their work."
  
  
  
  The position paper is a basis for clinical work and education programs for physicians interested in a better understanding and ability to treat patients with a musculoskeletal complaint or manifestation of disease.
authors.affiliation: Pain Unit, Loewenstein Rehabilitation Hospital, Raanana, Israel.|Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
authors.forename: Motti
authors.initials: M
authors.lastname: Ratmansky
authors.affiliation: Institute for Pain Medicine, Rambam Health Care Campus, Haifa, Israel.|Department of Family Medicine, Clalit Health Services, Haifa and Western Galilee District, Israel.|Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
authors.forename: Amir
authors.initials: A
authors.lastname: Minerbi
authors.affiliation: Physical Therapy Department, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
authors.forename: Leonid
authors.initials: L
authors.lastname: Kalichman
authors.affiliation: Institute for Pain Medicine, Rambam Health Care Campus, Haifa, Israel.|Macabbi Health Care Services, Western Galilee District, Israel.
authors.forename: John
authors.initials: J
authors.lastname: Kent
authors.affiliation: Pain Relief Unit, Hadassah Medical Center, Jerusalem, Israel.
authors.forename: Osnat
authors.initials: O
authors.lastname: Wende
authors.affiliation: Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.|Department of Orthopaedics, Assaf Harofeh Medical Center, Zerifin, Israel.
authors.forename: Aharon S
authors.initials: AS
authors.lastname: Finestone
authors.affiliation: Institute for Pain Medicine, Rambam Health Care Campus, Haifa, Israel.|Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
authors.forename: Simon
authors.initials: S
authors.lastname: Vulfsons
mesh_terms: D015670:Acupuncture Therapy / Q000379:methods*; D000328:Adult; D032921:Consensus; D003697:Delphi Technique; D006801:Humans; D007557:Israel; D059352:Musculoskeletal Pain / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D009209:Myofascial Pain Syndromes / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy*; D059408:Pain Management / Q000379:methods*; D010820:Physicians; D012955:Societies, Medical
keywords: Delphi process; clinical guidelines; dry needling; intramuscular stimulation; myofascial; myofascial pain syndromes; trigger points