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

Jenn Hobson

Truly exceptional health care providers

“I have been going Arbutus Physiotherapy for a little over five months now and cannot rave enough about everyone there. From the friendly smiling receptionists to my physio and kinesiology providers. They are such a lovely team to work with weekly. Their help, knowledge and expertise are on point. Never having seen a physiotherapist or…
A small black and white dog is looking at the camera from the left and standing on the grass beside a sidewalk. On the right are a pair of legs, which we can see up to the upper thigh. In the background is a light sky and there are also some evergreen trees.

If I could rate it higher I would

“Yesterday was my first visit to Arbutus Physiotherapy and if I could rate it higher I would. The location was perfect (lots of free parking all around), upon entering the staff was warm, welcoming and professional, and my appointment with Brandon was the best I’ve ever had with a physiotherapist. After his assessment he took…
Profile photo of Riota from Google Reviews

Most helpful physio I’ve had

“Friendly staff and the most helpful physiotherapist I’ve had.” Riota
Tracey Noseworthy review profile

Gratitude

“Lena was amazing! So grateful” Tracey Noseworthy
The profile photo for Trav Friesen on Google Reviews, showing a small black and white dog.

A true professional

“Hatty is excellent at what she does. She diagnosed my injury, treated it, which greatly improved my mobility within days, and gave me the proper exercises via Email/app to help me get back to 100% ASAP. A true professional, I highly recommend.” Trav Friesen
Heather Seaman review profile

Balance of professional conduct and personal ease

“Super pleasant personally, thorough assessment and Connor made helpful suggestions and treatment plan. Nice balance of professional conduct, knowledge and personal ease- Impressed!” Heather Seaman