Intramuscular Stimulation (IMS a.k.a Dry Needling): What It Is and How It Helps Persistent Pain
- Southeast Physiotherapy
- 4 days ago
- 3 min read
We are excited to share that Jollyn is now accepting clients for IMS treatment. Chronic muscle pain can be frustrating—especially when stretching, strengthening, massage, or rest only provide temporary relief. One treatment approach that is often used in these situations is Intramuscular Stimulation (IMS).
At Southeast Physiotherapy, IMS is one of the tools we may use as part of a broader, individualised rehabilitation plan when symptoms suggest that nerves and muscles are not communicating efficiently.
What is IMS
Intramuscular Stimulation (IMS), widely known as Dry Needling, is a specialised technique that uses very fine, sterile needles to target tight, shortened bands within muscles.
Unlike traditional acupuncture, IMS is grounded in modern neurophysiology. It focuses on the relationship between the nervous system and the muscular system—particularly when a nerve has become sensitised or “irritated,” leading to persistent muscle tightness and pain.
The goal is not simply to “relax a muscle,” but to help reset abnormal nerve-muscle communication so the tissue can function more normally again.
How does IMS work?
When a nerve supplying a muscle becomes sensitized—often after injury, overuse, or postural strain—the muscle may stay in a shortened, guarded state. This can lead to:
Persistent tightness or stiffness
Local or referred pain
Reduced flexibility
Recurring “knots” that don’t fully resolve
IMS uses a fine needle to gently stimulate the affected muscle. This creates a small, controlled response in the tissue that can:
Reduce abnormal muscle contraction patterns
Improve blood flow and tissue recovery
Help calm overactive nerve input
Restore more normal muscle length and function
Some patients feel a quick “twitch” response in the muscle during treatment, which is often a sign that the targeted area has been reached.
IMS vs. Acupuncture
While IMS and acupuncture may look similar (both use fine needles), they are based on different principles and treatment goals.
Acupuncture (Traditional Chinese Medicine) is based on Traditional Chinese Medicine principles aimed at balancing the body's energy. In contrast, in our clinic, MSK Acupuncture focuses primarily on musculoskeletal conditions involving muscles, tendons, ligaments, fascia, and joints rather than internal medicine conditions. It is commonly used to help reduce pain, decrease muscle tension, improve mobility, and support your body’s natural healing response.
IMS (Western Medical Approach)
Focuses on nerve irritation and muscle dysfunction
Targets specific muscles involved in pain patterns
Used in combination with rehabilitation and exercise
Musculoskeletal (MSK) Acupuncture
Based on Traditional Chinese Medicine principles
For musculoskeletal conditions (muscles, tendons, ligaments, fascia, and joints)
Commonly used to reduce pain, decrease muscle tension, improve mobility, and support the body’s natural healing response
Often integrated with exercise-based rehabilitation
Both approaches can be valuable depending on the patient, and your physiotherapist will help determine which is most appropriate for your condition.
What conditions may benefit from IMS?
IMS is commonly considered when pain has become persistent or recurring, especially when there is a strong muscular component. Examples include:
Neck and shoulder tension
Low back pain
Hip or gluteal pain
Tendon-related pain patterns
Post-injury muscle guarding
Repetitive strain conditions
It is often most effective when combined with active rehabilitation such as strengthening, mobility work, and movement retraining.
What does a session feel like?
During an IMS session, a physiotherapist will first assess the area of concern. The needle is then inserted into specific muscle points.
You may experience:
A brief twitch or cramp-like sensation
Mild discomfort during the treatment
Temporary soreness afterwards (similar to a deep workout feeling)
Most people are able to return to normal activities immediately after treatment, though hydration and light movement are often recommended.
Why is IMS used alongside physiotherapy?
IMS is not a standalone solution—it works best as part of a comprehensive rehab plan. At Southeast Physiotherapy, it may be combined with:
Corrective exercise programs
Manual therapy
Movement assessment and retraining
Education on posture and load management
The goal is not just symptom relief, but addressing the underlying movement or loading patterns that contributed to the issue in the first place.
Is IMS right for everyone?
IMS is not necessary for every musculoskeletal condition. It is typically considered when:
Symptoms have persisted despite other treatments
Muscle tightness is recurring or resistant to stretching
There is a clear nerve-related component to pain
A physiotherapy assessment is always recommended to determine whether IMS is appropriate.
Final thoughts
MS can be a valuable tool for individuals dealing with persistent muscle pain that hasn’t fully responded to traditional approaches. By targeting the connection between nerves and muscles, it aims to restore more normal function and support long-term recovery.
If you’re curious whether IMS could be part of your treatment plan, a physiotherapy assessment is the best place to start.
Book Your No-Cost Discovery Appointment Today!
We’re confident Jollyn will positively impact your health. Reach out to discover how she can help you or your loved ones achieve the best outcomes.
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