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.

Mike Neill runs across the finish line of an Ironman event.

What our patients say about us

Margaret Kavanagh rides a moutain bike on a forest trail.

All sorted out and pain-free

“I received treatment for an unusual ailment of my left foot. Josh, my therapist, was spot on with his diagnosis and treatment so within a relatively short period of time, things were sorted out and I am now pain-free. I will be back if needed for future ailments” Margaret Kavanagh
Brian Glover smiles with his hand raised, next to someone smiling.

Above and beyond

“Josh is a sincere and deeply devoted practitioner. The degree of personal care and attention he puts into his work is above and beyond what I’ve previously experienced with other physiotherapists, and he has helped me to overcome significant challenges.” – Brian Glover
Fred Thrlfall

Felt heard

“Very easy to talk and listened to my problem.” Fred Thrlfall
Purple hand weights

Treated with care and respect

“What a beautiful place to get recovered from. I felt warm welcomed, and treated with professionalism, care and respect. Thank you Rachel and Jamie!” Jason Zhang
Flowers on tree branches against a blue sky.

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…
Casey McDowall stares, non smiling, and kind of silly, with wide open eyes, wearing a toque.

I had the best experience

“Had broken my elbow and wrist. I had the best experience. Josh had made a detailed program for me, and it was fantastic. It was progressive without overdoing anything. He listened when I said I had certain pains and changed up the exercises as needed to suit where I was at. Will 100% go back…