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

David Berner review profile

More range of motion and less pain

Serious improvement after one visit. More range of motion and less pain and discomfort. Cody upped the ante and tackled some sore spots that will move the whole process along. Excellent work and easy-to-work-with personality. Many thanks. David Berner
Two yellow dumbbells on a blue mat.

Effective treatment for low back pain

“Sandy is excellent. She has given me the most effective treatment for low back pain I have had from any practitioner and was exceptional with assessing my 8 year old son, made it very comfortable and fun for him.” Karen Short
Marguerite Casey-Wolnicki's two gray kittens look at the camera.

Full mobility back

“Very welcoming atmosphere, friendly and knowledgeable. Joseph was an excellent physiotherapist and helped me get full mobility back after breaking my ankle.” Marguerite Casey-Wolnicki
A sunset through clouds over a grassy field.

Balance of professionalism and encouragement

“I saw Jamie Kavanagh for a knee injury, and I honestly couldn’t have asked for a better physiotherapist. From the first appointment, Jamie was thorough, knowledgeable, and genuinely invested in helping me recover properly, not just quickly. They took the time to assess my knee in detail, explained what was happening in a way that…
Victoria harbour on a rainy day.

Multiple disciplines in one location

“Direct bill and I like that I can see multiple disciplines in one location.” Megan Nahser
Chantelle van den Berg

Feeling so much relief

“Beautiful clinic, friendly and professional. PT Shannon was great and as a PT myself I really appreciated her experienced hands and knowledgeable help in relieving my neck muscle spasms with great tips and home exercises to continue with. I’m feeling so much relief already since my appointment, thank you again.” Chantelle van den Berg