East Toronto Orthopaedic & Sports Injury Clinic and Trilogy Physiotherapy have partnered in order to provide you with the experienced and skilled care you deserve.
Intramuscular Stimulation (IMS) is a dry needling technique that is a special form of acupuncture used in the treatment of myofascial and neuropathic pain.
How Does it Work?
IMS treatment focuses on addressing tightened bands of muscle called trigger points, that cause chronic and painful conditions.
Once the connective tissue of a muscle or group of muscles is injured, healing stimulation is needed to correct the injury. Acupuncture needles are inserted at precise spots within these shortened muscles to loosen and lengthen the tissue.
In order for the body to move freely, the nerves and muscles must work in cooperation. When nerves become inflamed or are damaged, the muscles directed by those nerves become weakened and tender. This can be part of the condition referred to as neuropathic pain.
Treatment
During IMS treatment, knots within the muscles are loosened by targeting specific points along the muscle bands surrounding the centre of pain and the affected segments.
IMS treatment succeeds in addressing soreness even in cases where there are limited discernible indications of tissue damage or inflammation, such as for tennis elbow, whiplash, headaches, frozen shoulder, and other chronic pain issues. Regular IMS can be effective in easing chronic pain and muscle dysfunction by locating and treating knots in the deepest muscles.
When an IMS needle is inserted into a normal muscle supplied by a healthy nerve, there is little to no discomfort. However, when a needle targets an area in the muscle that is sore and tight, there can be cramping and tenderness.
Recovery
Patients often feel immediate improvement in the treated areas.
Sometimes a low level of discomfort is felt for a few days following the IMS treatment procedure, though this should be followed by less soreness, increased range of movement, and better overall functioning. Upon completion of a group of sessions, many patients report a full recovery of the condition and complete relief from pain in the treated areas.
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Our Registered Massage Therapists
Maddie Hunt – Registered Massage Therapist
Treela Smith – Registered Massage Therapist
Nancy Brooks – Registered Massage Therapist
Charlene Travas – Registered Massage Therapist
Vincent Arpojia – Registered Massage Therapist
Brenda Ling – Registered Massage Therapist
Robert Small – Registered Massage Therapist
Frequently Asked Questions About IMS & Dry Needling
What procedures should you follow after IMS treatment?
It is normal to experience some soreness for 24 to 48 hours after an IMS treatment. It normally feels like you have done a hard workout at the gym. It may be helpful to continue normal physical activity and drink lots of water to help reduce soreness.
Is IMS and dry needling the same?
Both IMS and dry needling are interchangeable terms used for a treatment technique that involves using an acupuncture needle to generate a localized twitch response in an overactive muscle to treat pain of a neuropathic origin.
What happens when dry needling hits a nerve?
When a nerve is accidently struck with an acupuncture needle, the patient may experience a sharp electrical sensation at the point of entry that extends down its distribution (ex. If you strike the sciatic nerve in the buttock it is possible to experience pain down the back of the leg that extends in to the foot). Typically this discomfort only lasts for a second.
How often should dry needling be done?
Treatment frequency is normally 1-2x per week depending on patient response.
What is the difference between dry needling and acupuncture?
Dry needling is a modern science based treatment technique that targets myofascial trigger points for the treatment of pain and movement disorders. Acupuncture is an element of traditional Chinese medicine that focuses on Chi flow, or energy, along meridians in the body. Dry needling is a dynamic technique that incorporates the use of a single needle to stimulate affected tissues, while acupuncture typically involves several needles that are left in place for up to 20 minutes.
How long do the benefits of dry needling last?
The purpose of dry needling intervention is to modify nervous system patterns that drive complex movements. Treatment tends to have a cumulative effect, becoming most impactful after 3-6 sessions. You may experience relief for weeks afterwards. In order to have permanent change, a specific graduated exercise program is required to normalize the movement patterns that caused the issue in the first place.
What are the risks for dry needling?
The most common risks associated with dry needling are temporarily increased pain or discomfort that lasts for 24-48 hours, bruising or bleeding at the treatment site, skin reactions, fainting and fatigue. The more serious, but very rare risks include infection and pneumothorax (collapsing of a lung due to needle puncture).
Bryce Lee
13 September 2023
Adam was super. Always positive and very encouraging thru my rehab.
Marcello Sapienza
10 August 2023
Excellent service . I highly recommend this clinic. Teresa the receptionist is very helpful and nice . Adam is a knowledgeable physiotherapist. And Fatima is a very good acupuncturist .
Samantha Duncan
25 July 2023
Excellent experience with Adam - thorough and very personable.
Kristin Patterson
26 June 2023
Marshall was very helpful and professional and worked with me on a very painful knee injury. i began a few months ago barely able to bend it or walk up and down stairs and have improved greatly with his program. i am now able to run up and downstairs with no problems and am almost back to 100%. the receptionists are also accommodating and professional and were easily able to process insurance claims, answer questions, and reschedule appts when i was sick or something came up. i was very impressed by my experience here and would recommend it wholeheartedly to anyone looking for a new physio!
Adriano Trapani
13 June 2023
Great experience. I had foot pain that wouldn’t go away so I came here and found so much assistance in regaining my mobility.
Kartik Uppal
8 June 2023
Went to the Pape and Danforth clinic for a massage with Robert. Customer service from initial onset was with Therese. Was very patient with me when it came to form filling and billing. Robert was also extremely good at working on my pain points and being thorough with his explanations. Overall great massage, experience and education!
AD
26 March 2023
Everyone at this clinic is very kind and professional- Would recommend!
Efficient Sense
7 January 2023
Trevor is great! He has guided me on my road to recovery. Staff is also friendly and knowledgeable. Nachi is also great!
Lucy Barron
5 December 2022
I would highly recommend the services of Trevor - he provided excellent care. I received a thorough assessment and a clear treatment plan. Trevor is knowledgeable, friendly and is a good communicator. The office is well-equipped and Mina at the front desk was always very welcoming.
Sabrina Oliver
15 November 2022
I have seen Trevor for several different problems over the years and he has always done an amazing job helping me with my recovery. He is knowledgeable in many areas and always happy to answer questions and explain what he is doing. He is thorough with assessment and treatment so you always feel like you are in good hands. He is also very honest and won't push you to keep coming if he doesn't feel you need it. Mina at the front desk is really welcoming and the clinic is very clean and comfortable. Overall a great physio experience and would highly recommend to anyone!