Home / Fees and hours / Functional dry needling (FDN) aka intramuscular stimulation (IMS)

Functional dry needling (FDN), aka intramuscular stimulation (IMS)

We provide functional dry needling (FDN), also referred to as intramuscular stimulation (IMS). It is a physical therapy modality used to treat myofascial and neuropathic pain. It is grounded in Western Medical Science, and relates particularly to radicular pain.

More performance, less pain

The goal of treatment is to achieve a local twitch response in order to release muscle tension, eliminate neuromuscular dysfunction and pain, and restore functional movement. Penetration of a normal muscle is painless. However, a shortened, supersensitive muscle will ‘grasp’ the needle in what can be described as a cramping sensation.

FDN/IMS involves insertion of a filament needle into an area of muscle that has become contracted and shortened (trigger points), and/or an area near the spine where the nerve root may have become irritated and supersensitive. FDN/IMS directly treats the cause of the pain by relaxing the shortened muscle and allowing it to return to its normal state.

It is a physical therapy modality used to treat myofascial and neuropathic pain. It is grounded in Western Medical Science, and relates particularly to radicular pain.

FDN/IMS involves insertion of a filament needle into an area of muscle that has become contracted and shortened (trigger points), and/or an area near the spine where the nerve root may have become irritated and supersensitive. FDN/IMS directly treats the cause of the pain by relaxing the shortened muscle and allowing it to return to its normal state.

The goal of treatment is to achieve a local twitch response in order to release muscle tension, eliminate neuromuscular dysfunction and pain, and restore functional movement. Penetration of a normal muscle is painless. However, a shortened, supersensitive muscle will ‘grasp’ the needle in what can be described as a cramping sensation.

The resulting pain reduction and increased range of motion is achieved by:

  • Stretching the receptor in the muscle by stimulation, therefore producing a relaxation or lengthening of the muscle
  • Creating an electrical potential in the muscle to make the nerve function normally again (“reset”)
  • Drawing blood flow to the area of dysfunction, therefore initiating the body’s natural healing process

The number of treatments required depends on several factors: general health, the duration and extent of the condition, how much scar tissue there is, and how quickly one’s body can heal. The rate of healing also depends on the condition of the nerves. If the pain is of recent origin, 1-2 treatments may be all that is necessary. The average person responds very well within 4 to 6 treatments.

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Exceptional, evidence-based care

“I’ve been a client at Arbutus Physiotherapy for about 7 years and have been treated by many practitioners in both their locations. Arbutus Physiotherapy provides exceptional evidence-based care; the staff there are easily accessible and I’ve had a significant improvement in my health and well being as a result of regular treatment. They have a…
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Within weeks she had me back to running!

“I have rolled my ankles quit a few times over the past 2 years leading to swollen ankles to the point it hurt to stand for long periods of time and decided to make an appointment with Physiotherapist, Sandy Wilson. After the first visit, I had full confidence in her and within weeks she had…
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Real progress after living with pain for over 10 years

“I truly appreciate the approach Josh has taken to my treatments. His explanations are very clear both before we start and as the treatment is underway. I’m seeing some real progress now on my shoulder after living with pain and limited mobility for over 10 years. Josh stands out relative to most other medical professionals…
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One of the best appointments I’ve ever had

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I feel like a different person!

“Hatty is fantastic! I went in with what I believe is called “middle-aged desk job back”, barely able to walk, and 100% feeling my age. Hatty took the time to build a recovery plan that was achievable but challenging. Eight weeks later I feel like a different person! 10/10″ Kirstine RJ Rose