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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What our patients say about us

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Walking and hiking again

“My physiotherapist Remy helped me to walk/hike again without pain. He provided me with hip strengthening exercises at each session & explained the instructions in good detail. Staff at Arbutus Physio are very friendly!” – Jennifer Ellis
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My first choice when in need of physio

“Jamie at Arbutus Physio Westshore is professional, thorough and knows her stuff. Great reception staff too, my first choice when in need of physio.” Nick Pletsch
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The first person I contact to assess and deliver treatment

“Whenever I have an injury in need of diagnosis, Sandy Wilson is the first person I contact to assess and deliver treatment. Her advice on returning to training and racing comes from the fact that she is an athlete herself. Her treatment plans always get me back out there running and being active faster than…
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Everyone is very kind, welcoming, and approachable.

“I love this clinic. Everyone is very kind and welcoming. Brandon is very approachable and always has great insight in how to help. I recently tweaked my back and Brandon had me up and mobile very quickly. I can’t recommend him enough.” Kathryn Mullis
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Great communication

“I had a great experience with Arbutus! Front desk staff was awesome, great communication and super friendly. Remy, my physiotherapist, was super easy to work with. The communication as to the “why” and ” how” of our sessions really helped me. Thanks for getting me back into a healthy space! Definitely recommending Arbutus to all…
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Back to a pain-free life

“They were very professional and took the time to really look at what my needs were to get healed and back to day-to-day life, pain-free.” Dave Pepperall