Background: Pain is an unpleasant sensory and emotional feeling accompanying existing or impending tissue damages or reference to such damage. According to WHO annual report more than 16 billion IM injections are administered throughout the word. Intramuscular injection is a painful practice which is different from person to person. Helfer Skin Tap technique was suggested by Joanne Helfer. Skin tapping (Helfer skin tap technique) is one of the methods which keeps the muscles relaxed and while administration the intramuscular injection.

1. To compare the level of pain during intramuscular injection among adults of the experimental and control group.

2. To find the association between pain level and selected baseline variables of adults of the experimental and control group.

Materials and Methods: Study design used is quasi-experimental study with Post-test only design with control group. Study setting includes in-patient and outpatient department of Sandhu Multi-specialty Hospital. Study sample includes is 80 adults. Sampling technique used is Purposive sampling to select the eligible population and simple random sampling is used to allocate the subjects into experiment and control group. Tool used includes numerical pain rating scale.

Results: The data collected was analyzed using descriptive and inferential statistics. The study findings high lights that 32.5 % of the adults in the experimental group had mild pain, 67.5% perceived moderate pain during IM injection by using Helfer skin tap technique. 77.5% of the adults in the control group had moderate pain, 17.5% perceived severe pain during IM injection by using standard technique. There is no significant difference in pain score of the adults receiving intramuscular injection in experimental and control group p<0.05. This study explored the effect of Helfer skin technique (rhythmic tapping) over the skin before and during IM injection in relation to pain.

Interpretation and Conclusion: The present study findings supported that there is a significant difference in the pain score in the IM administration with Helfer skin tap technique.