Trigger Point Dry Needling and Intramuscular Stimulation (IMS)

Trigger Point Dry Needling and Intramuscular Stimulation involve the insertion of thin needles into tight, irritable muscles to alleviate pain. This technique impacts the muscles and connective tissues close to the needled areas and activates nerves to release the body's natural painkillers. Recognized as a safe and effective approach for both acute and chronic pain, as well as for rehabilitating injuries, dry needling excels in identifying and treating neuromuscular issues that cause pain and functional impairments.

What should I expect from treatment?

The number and location of needles will depend on your specific condition and the objectives of your treatment. Needles may be inserted deeply into the muscle, sometimes causing the muscle to twitch. While dry needling and IMS often accompany other treatment methods rather than being used alone, they are particularly effective for managing pain. Combined with additional physiotherapy techniques, they contribute to enhanced movement and function. Your physiotherapist will monitor your progress closely to ensure the treatment is effective. While many patients see improvements within 2-4 sessions, responses can vary based on the underlying cause of the symptoms, the patient’s overall health, and the practitioner's expertise.

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Complications of IMS and Trigger Point Dry Needling?

Yes. Any technique that punctures skin has a risk of complications. It is important you know the risks before treatment. Your physiotherapist will review all of this in detail with you prior to initiating IMS/Dry Needling.

Common minor complications that usually resolve on their own include bleeding, bruising, pain during or after treatment. Less common complications include aggravation of symptoms, drowsiness, fatigue, feeling faint, nausea, headache, feeling shaky, emotional release, numbness and nerve irritation. A stuck or bent needle is an uncommon, but significant, complication that may require medical attention. Serious complications such as infection, the puncture of vital tissue or breakage of a needle in the body are very rare and usually require intervention from other health-care providers.

Can the risks of complications be reduced?

To reduce the impact of complications:

Eat before your appointment
Show up well rested to your appointment
Tell your physiotherapist if you have any concerns, including past experiences where you have fainted from receiving a needle
Let your physiotherapist know if you experience pain, dizziness, nausea, shortness of breath or if you are feeling unwell
Follow your physiotherapist’s advice about positioning and movement during and after treatment
Inform your physiotherapist of any changes to medications such as blood thinners or pain relievers

Communication with your physiotherapist is key. Discuss your treatment and ensure your questions are answered. You can request your physiotherapist stop needling treatment at any time.

Do All Physiotherapists Perform IMS or Dry Needling?