Dry needling, also known as intramuscular stimulation (IMS) or myofascial trigger point dry needling is the use of solid, thin needles to release tension in muscles and connective tissue.

Certified physiotherapists insert the needles into the skin and muscle to directly target tight knots of muscle called trigger points that can cause pain locally as well as refer pain to nearby structures. A trigger point can be anywhere in the body in response to sudden injury, repetitive microtrauma, or muscle overloading. These trigger points negatively alter the activity of the muscle causing scarring, myofascial pain, muscle recruitment and muscle activation insufficiencies.

Dry needling can treat a variety of pain, both acute and chronic. It can be used as a part of a physiotherapy treatment plan to effectively manage conditions like headaches, plantar fasciitis, tendinitis, as well as shoulder, back, and neck pain.

Benefits of Dry Needling:

Relaxes Tight Muscles: It is believed dry needling resets the electrical balance within the trigger point, which restores the muscle to its normal resting length.

Improves Blood Flow: Dry needling causes the relaxation of tight muscles, which allows more blood to move into the area, bringing with it more nutrients to increase tissue health.

Releases Neurotransmitters: Dry needling releases neurotransmitters, which work to block transmission of pain information to the brain and spinal cord.

Improves Movement: Muscles restored to their normal length, reduced pain levels and increased blood flow all contribute to an increase in range of motion.

 Who can do IMS?

Dr. Gunn had a unique system for assessing and treating chronic pain conditions. Physiotherapists and physicians who are certified to perform Chan Gunn Intramuscular Stimulation technique can perform this technique properly. This certification is issued by the Institute for the Study and Treatment of Pain, founded by the developer of the IMS technique, Dr. Chan Gunn M.D.

 What are the contraindications of IMS treatment?

IMS is not recommended for during pregnancy (mostly first trimester), recent surgery, local infection, and hemophilia. If you have phobia of needles, you can discuss other treatment methods with your physiotherapist

How many sessions of IMS will I need?

The number of treatments you require will vary depending upon several factors such as the duration and extent of your condition. If the pain is of recent origin, one or two treatments may be all that is necessary. More chronic problems will probably require more treatments. In published studies of patients with low back pain, the average number of IMS treatments required was 8.2.

How frequent should I get IMS done?

Treatments are usually once per week to allow for tissue healing. Patients may experience a deep achy feeling following treatment for 24-36 hours. This is normal, and considered a good reaction. Patients can use heat or warm baths to help with soreness.

Treatments can be scheduled by contacting our office.

Phone: (416) 477-1101

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