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Evidence-based dry needling treatment for chronic pain as part of a
comprehensive physiotherapy treatment plan.
Intramuscular Stimulation (IMS) is a scientific treatment approach for chronic pain due to muscle shortening and nerve dysfunction. IMS treatment addresses the root causes of chronic pain for lasting relief.
The needle insertion causes an immediate local twitch response (LTR), a brief involuntary contraction followed by immediate relaxation. This breaks the pain-spasm cycle and restores normal muscle length.
The deep mechanical stimulus travels along nerve pathways to the spinal cord, triggering segmental reflexes that normalize muscle tone and reduce nerve sensitization.
As muscles lengthen and relax, blood flow is restored. Fresh oxygen and nutrients arrive while metabolic waste products that contribute to pain are cleared away.
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The needle creates a controlled microtrauma that triggers your body's natural healing response, bringing growth factors and repair mechanisms to chronically dysfunctional tissue.
IMS is cumulative. Most patients require 6-10 sessions for significant improvement. Sessions are typically scheduled weekly or bi-weekly to allow tissue healing between treatments.
Loose, easily removable clothing. Tank tops and shorts allow access to common treatment areas (back, shoulders, legs). Your physiotherapist will use appropriate draping for your comfort.
IMS is included as part of your physiotherapy session. To book, select "Clinical Physiotherapy" from our online platform.
All treatment components, including assessment, needle insertion, post-treatment care instructions, and integration with other therapies, are included in your session fee.
Direct billing available for most extended health plans that cover physiotherapy.
IMS treatment uses acupuncture needles inserted into tight muscle bands, or close to the spine, to target compressed nerve roots. Each needle causes a small, therapeutic injury which causes the muscle to cramp onto the needle. This process stimulates spinal cord reactions which relaxes the muscle and returns nerves to regular function. Improved circulation to the area also encourages the healing process.
Once the needle is inserted into the affected muscle, you can expect to feel a twitch or deep ache from the muscle. While this sensation is not painful, it will feel mildly uncomfortable. The achy feeling may last for 24-46 hours. Patients usually see benefits from IMS within 6-10 treatments. Your physiotherapist will determine the appropriate length and timeline of treatment based on your condition.
Prior to any recommended treatments your physiotherapist will screen you to ensure you are a safe candidate for dry needling. Before your IMS session you should have a light snack, refrain from any caffeine, alcohol, or nicotine for at least 2 hours, and dress in treatment-appropriate clothing (tank top, shorts, etc.)
IMS sessions are cumulative, meaning the more you do it, the better off you’ll be. Time will be allotted between treatments to ensure the tissue heals effectively. If aches or discomfort are felt after a session, try drinking water, soaking in a warm bath, or applying hot compresses to the area. Patients who have experience with acupuncture may find IMS slightly more painful as the needle is inserted into the affected muscle, rather than in specific acupuncture points. Bruising and local tenderness are common side effects of IMS. These effects shouldn’t last more than 24-36 hours.
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To book, please select Clinical Physiotherapy from our online booking platform. To maximize your session’s value, and take advantage of our diverse treatment options, fees are inclusive of all treatments used during your session. Your physiotherapist will work with you to help assess which treatments will be most beneficial during your visit.
VanCity Physio offers direct billing.
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