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By Dr. med. Gabriel Stux, Prof. Bruce Pomeranz MD, Ph. D (auth.)

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Until recently we were quite sceptical of the entire skin resistance phenomenon. This was because the measurements were not made in accordance with established biophysical practice. Neither published reports [10, 18, 157, 158] nor clinical anecdotal observations had been based on properly conducted studies, as pointed out by others [18, 117, 131, 192]. Recently we have improved the methodology. To avoid electrochemical potentials Ag/ AgCl electrodes were used with a salt bridge; to avoid polarization from DC currents biphasic pulses were used; to avoid electrical damage of skin small (microampere) currents were applied; to avoid mechanical injury of the skin springloaded probes were used; and to overcome skin moisture variations very small amounts of saline were supplied through a millipore filter from the salt bridge.

Facchinetti F, Sandrini G et al (1984) Concomitant increase in nociceptive flexion reflex threshold and plasma opioids following transcutaneous nerve stimulation. Pain 19: 295-303 52. Fox E1, Melzack R (1976) Transcutaneous electrical stimulation and acupuncture comparison of treatment for low back pain. Pain 2: 141-148 53. Fu TC, Halenda SP, Dewey WL (1980) The effect of hypophysectomy on acupuncture analgesia in the mouse. Brain Res 202: 33-39 54. Fujishita M, Hisamtsu M, Takeshige (1986) Difference between nonacupuncture point stimulation' and AA after o-phenylalanine treatment.

Similarly, strong electrical stimulation should be avoided. Thus mild stimulation with needles inserted directly into trigger points is recommended [191]. 12-17, 28, 29, 36-41, 48, 49; and G B. 27 - 30, 50. Although the cause of trigger point tenderness is unknown, one possibility is that poor inactivation of calcium by muscle sarcoplasmic reticulum causes calcium to cross link the actin and myosin with ensuing permanent contracture. How needling rectifies this problem, however, is unclear [191].

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