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

victoria sunset review profile photo

Tremendous positive impact

“Arbutus Physiotherapy & Health Centre has made a tremendous positive impact on my well-being. Great thanks to Sandy Wilson, (BScPT) and staff!” Kelvin Lloyd
Two yellow dumbbells on a blue mat.

Excellent job fixing my body

“Excellent job fixing my broken body.” Jason Desroches
An orange sunrise over a blue ocean.

Entire staff are so kind

“Super thankful for my experience at Arbutus. Joshua spent several weeks helping me figure out my injury and after many beneficial visits, I feel healthier and way more aware of what my body needs day to day, and during exercise. He was very knowledgeable, easy to get along with and explained things perfectly. The entire…
A close up of a dandelion ready to spread it's seeds.

Really pleased with outcome

“Excellent care. Really pleased with the goals set and outcome from my physio! Very professional, thanks.” Maureen Mulzet
A male swan swims in water with sunlight sparkling around him.

Back in action within days

“Ramzi was awesome! I had severe spasm and cramping in my neck, I arrived with no mobility, and left with 30% more, then with his exercises, I was back in action within a couple days! Highly recommend!” Dan S.
Photo of a blue body of water under white clouds by Splash of Rain on Pexels.

Loving the positive and professional environment

“Six months of a painful torn rotator cuff brought me in. Madison has been working with me and three weeks later, pain has been much less and range of motion much better. Madison is also helping me with lower back issues and Hip replacement recovery. Thanks for great treatments. I’m loving the positive and professional…