Electrical Muscle Stimulation or “Stim” is the most common second treatment protocol in a chiropractic office. It comes in multiple forms: Interferential, Russian, Premodulated, High Volt and TENS are the most ubiquitous. Russian offers muscle building and range of motion increases. While the rest offer various types of pain reduction and tissue repair. For more than a 100 yrs this form of therapy has been commonplace because it is so effective and can be so broadly applied to care.