# US 2023/0054897 A1 · Muscle and fascia pain identification by electrical stimulus > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 2023/0054897 A1 - Document ID: US20230054897A1 - Status: Published application - Kind: A1 - Application number: 18/046,368 - Filed: 2022-10-13 - Published: 2023-02-23 - Earliest claimed: 2021-02-12 - Assignees: Norman Marcus M.D., P.C. - Inventors: Norman J. Marcus - Web page: https://patentgrep.com/patent/US20230054897A1 ## CPC - A61B 5/4824: {Touch or pain perception evaluation (A61B5/4821 takes precedence)} - A61B 5/395: Details of stimulation, e.g. nerve stimulation to elicit EMG response - A61B 5/4047: {afferent nerves, i.e. nerves that relay impulses to the central nervous system} - A61B 5/4519: {Muscles (measuring muscular strength A61B5/224; using electromyography [EMG] A61B5/389)} - A61B 5/7435: {Displaying user selection data, e.g. icons in a graphical user interface} - A61B 5/748: {Selection of a region of interest, e.g. using a graphics tablet} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A nerve stimulation system including a stimulation probe including a handle and a stimulation head at an end of the handle; a reference electrode; and a control system in communication with the stimulation probe and the reference electrode, the control system configured to generate an electrical stimulation signal that, when delivered to a skin surface of a patient using the stimulation probe, induces an activation potential in a plurality of nociceptors while remaining below a threshold that induces a muscle contractile response. ## Claims ### Claim 1 A sensitized muscle identification system comprising: a stimulation probe comprising a handle and a stimulation head at an end of the handle; a reference electrode; and a control system in communication with the stimulation probe and the reference electrode, the control system comprising: a processor configured to execute instructions stored in memory of the control system; a signal generator configured to generate an electrical stimulation signal to be delivered to a skin surface of a patient via the stimulation head, wherein a voltage amplitude of the electrical stimulation signal is controlled by the signal generator; a muscle identification system comprising information identifying major muscle groups of the patient and a plurality of individual muscles within each of the major muscle groups; and a user interface comprising a graphical interface and controls for adjusting parameters of the electrical stimulation signal generated by the signal generator, the user interface configured to: (i) display, via the graphical interface, depictions of the major muscle groups and the plurality of individual muscles within each of the major muscle groups, (ii) receive user selections of one or more individual muscles of the plurality of individual muscles, and (iii) receive patient input that indicates a sensation experienced in a stimulated muscle of the patient in response to applying the electrical stimulation signal to the skin surface of the patient overlying the stimulated muscle, wherein the electrical stimulation signal, when delivered to the skin surface of the patient using the stimulation probe, induces an activation potential in a plurality of nociceptors within the stimulated muscle, the activation potential sufficient to produce the sensation of pressure or discomfort within the stimulated muscle while remaining below a threshold that induces a contractile response in the stimulated muscle. ### Claim 2 (depends on 1) The sensitized muscle identification system of claim 1, wherein the control system is further configured to store information relevant to locations of the plurality of individual muscles within each of the major muscle groups, and to control the user interface to display the information relevant to locations of the plurality of individual muscles in response to the user selections of one or more individual muscles of the plurality of individual muscles. ### Claim 3 (depends on 2) The sensitized muscle identification system of claim 2, wherein the information relevant to locations of the plurality of individual muscles includes one or more of: an origin point location, an insertion point location, a frequently identified muscle corresponding to pain described by the patient, a muscle name, a muscle identification landmark, a biological feature nearby each of the plurality of individual muscles, a nerve, a vascular hazard, a suggested stimulation signal parameter. ### Claim 4 (depends on 1) The sensitized muscle identification system of claim 1, wherein the control system is further configured to store a description of one or more supplementary treatments for each of the plurality of individual muscles and display at least one supplementary treatment of the identified muscles responsive to the patient input that indicates a sensation experienced in a stimulated muscle. ### Claim 5 (depends on 4) The sensitized muscle identification system of claim 4, wherein the one or more supplementary treatments comprises dry needling, trigger point injections, muscle tendon injections, injections of various medications, massage, electrical nerve stimulation, acupressure, acupuncture, photo-bio-modulation, or stretching. ### Claim 6 (depends on 5) The sensitized muscle identification system of claim 5, wherein the control system is further configured to store historical treatment information related to a plurality of historical treatments for each of the individual muscles, and to control the user interface to display the historical treatment information on the graphical interface. ### Claim 7 (depends on 6) The sensitized muscle identification system of claim 6, wherein the historical treatment information comprises a historical treatment date, an indication of historical treatment, or a type of historical treatment. ### Claim 8 (depends on 1) The sensitized muscle identification system of claim 1, wherein the stimulation signal comprises a carrier wave and a modulation wave. ### Claim 9 (depends on 8) The sensitized muscle identification system of claim 8, wherein the carrier wave and the modulation wave each have a respective frequency parameter and a respective amplitude parameter. ### Claim 10 (depends on 9) The sensitized muscle identification system of claim 9, wherein the frequency parameter of the carrier wave is between 0.1 kHz and 10 kHz. ### Claim 11 (depends on 9) The sensitized muscle identification system of claim 9, wherein the frequency parameter of the modulation wave is between 0.01 kHz and 1 kHz. ### Claim 12 (depends on 1) The sensitized muscle identification system of claim 1, wherein the sensation of pressure or discomfort is produced within the stimulated muscle from an origin of the stimulated muscle to an insertion of the stimulated muscle. ### Claim 13 A sensitized muscle identification system comprising: a stimulation probe comprising a handle and a stimulation head at an end of the handle; a reference electrode; and a control system in communication with the stimulation probe and the reference electrode, the control system comprising: a processor configured to execute instructions stored in memory of the control system; and a signal generator configured to generate an electrical stimulation signal to be delivered to a skin surface of a patient via the stimulation head, wherein a voltage amplitude of the electrical stimulation signal is controlled by the signal generator to be exclusively between 0.1 and 10 Volts, wherein the electrical stimulation signal, when delivered to a skin surface of a patient using the stimulation probe, induces an activation potential in a plurality of nociceptors within a stimulated muscle, the activation potential sufficient to produce a sensation of pressure or discomfort within the stimulated muscle while remaining below a threshold that induces a contractile response in the stimulated muscle. ### Claim 14 A method, comprising: displaying, by a user interface of a sensitized muscle identification system, depictions of a plurality of major muscle groups; receiving, by the user interface, a first user selection of a major muscle group of the plurality of major muscle groups; displaying, by the user interface and in response to the first user selection, a plurality of individual muscles within the major muscle group, receiving, by the user interface, a second user selection of an individual muscle of the major muscle group; applying, from a stimulation head of the sensitized muscle identification system, a stimulation signal to a skin surface of a patient, the skin surface being proximate to the individual muscle, to induce an activation potential in a plurality of sensitized nociceptors present in the individual muscle while remaining below a threshold that induces a contractile response in the individual muscle, wherein the activation potential in the plurality of sensitized nociceptors induces a sensation of discomfort in the individual muscle that is experienced by the patient; and receiving, by the user interface, patient input that indicates a sensation experienced in the individual muscle in response to applying the stimulation signal. ### Claim 15 (depends on 14) The method of claim 14, further comprising displaying, by the user interface and responsive to the second user selection, information relevant to locating the individual muscle. ### Claim 16 (depends on 15) The method of claim 15, wherein the displaying the information relevant to locating the individual muscle includes: displaying one or more of an origin point location, an insertion point location, a frequently identified muscle corresponding to pain described by the patient, a muscle name, a muscle identification landmark, a biological feature nearby individual muscles, a nerve, a vascular hazard, a suggested stimulation signal parameter, or a referred pain muscle associated with the selected muscle. ### Claim 17 (depends on 14) The method of claim 14, further comprising displaying, by the user interface and responsive to receiving the patient input, at least one supplementary treatment of the identified muscle. ### Claim 18 (depends on 17) The method of claim 17, wherein the at least one supplementary treatment comprises dry needling, trigger point injections, muscle tendon injections, injections of various medications, massage, electrical nerve stimulation, acupressure, acupuncture, photo-bio-modulation, or stretching. ### Claim 19 (depends on 14) The method of claim 14, wherein the sensation of discomfort is produced within the individual muscle from an origin of the individual muscle to an insertion of the individual muscle.