Intramuscular Stimulation (IMS) Dry Needling

Intramuscular Stimulation (IMS), also known as dry needling, is a therapeutic technique used by physiotherapists and other healthcare practitioners to treat myofascial pain and neuropathic dysfunction.

What is IMS Dry Needling?

IMS involves the insertion of fine, solid filiform needles into specific points within the muscle tissue, known as trigger points, to relieve pain and improve muscle function. Unlike acupuncture, which is based on traditional Chinese medicine principles, IMS is rooted in Western medical science and focuses on the musculoskeletal and nervous systems based on the myofascial pain experienced by the patient.

What to expect for my first IMS dry-needling session?

For your first Intramuscular Stimulation (IMS) or dry needling session, you can expect the following:

Before the Session

1: Initial Consultation:

– Medical History: Your physiotherapist will review your medical history, including any previous treatments, medications, and underlying conditions.

– Assessment: A thorough physical examination will be conducted to identify the areas of pain, muscle tightness, and trigger points. The physiotherapist may use palpation to locate specific trigger points and assess muscle function.

2: Discussion:

– Explanation of IMS: Your physiotherapist will explain the IMS procedure, its benefits, and any potential risks. They will also discuss how IMS fits into your overall treatment plan.

– Consent: You will be asked to provide informed consent before proceeding with the treatment.

During the Session

1: Preparation:

– Positioning: You will be positioned comfortably on a treatment table, with the target area exposed. The physiotherapist will ensure you are relaxed and in a position that allows easy access to the treatment site.

– Skin Cleaning: The skin over the target area will be cleaned with an antiseptic to reduce the risk of infection.

2: Needling Procedure:

– Needle Insertion: The physiotherapist will insert a fine, sterile needle into the identified trigger points or tight muscle bands. You might feel a slight prick as the needle enters the skin.

– Local Twitch Response: The insertion of the needle may elicit a local twitch response (a quick contraction and relaxation of the muscle). This is a positive sign that the trigger point has been effectively targeted.

– Sensation: You might experience a deep aching sensation, pressure, or mild discomfort as the needle is manipulated. These sensations are typically short-lived and indicate that the treatment is working.

3: Duration:

-Session Length: The actual needling part of the session usually lasts between 15 to 30 minutes, depending on the number of trigger points being treated and the complexity of your condition.

– Rest and Observation: After needling, you may rest for a few minutes while the physiotherapist observes your response to the treatment.

After the Session

1: Post-Treatment Care:

– Immediate Effects: It is common to experience some soreness or mild discomfort in the treated area, similar to the feeling after a deep tissue massage. This typically subsides within 24 to 48 hours.

– Hydration: Drink plenty of water to help flush out any released metabolic waste products from the muscles.

2: Activities:

– Light Activity: Engage in light activities and gentle stretching. Avoid strenuous exercise or heavy lifting for the rest of the day.

– Heat and Cold Therapy: Your physiotherapist may recommend using a warm pack or ice pack to help alleviate any soreness.

3: Monitoring Progress:

– Symptom Tracking: Keep track of any changes in your symptoms, noting any improvements or new sensations. This information will be valuable for your follow-up sessions.

– Follow-Up Appointment: Schedule your next appointment as recommended by your physiotherapist. Typically, a series of IMS sessions is needed to achieve optimal results.

How often should one be getting IMS treatments?

The frequency of Intramuscular Stimulation (IMS) or dry needling sessions can vary depending on several factors, including the severity of your condition, your response to treatment, and your overall treatment plan. Here are some general guidelines to help determine how often you should be getting IMS needling done:

Initial Phase

1:Frequency:

– Typically, during the initial phase of treatment, IMS sessions might be scheduled once or twice per week. This frequency allows your physiotherapist to closely monitor your progress and make adjustments as needed.

2: Response to Treatment:

– Your physiotherapist will assess how you respond to the initial treatments. If you experience significant relief and improvement, the frequency might be reduced. Conversely, if progress is slower, the frequency might be maintained or slightly increased.

Middle Phase

1: Adjustments Based on Progress:

– As you begin to show consistent improvement and your symptoms decrease, the frequency of IMS sessions may be reduced. This could mean sessions every two to four weeks.

2: Complementary Therapies:

– During this phase, IMS might be combined with other physiotherapy modalities such as stretching, strengthening exercises, manual therapy, and ergonomic adjustments to enhance overall recovery and prevent recurrence.

Maintenance Phase

1: Maintenance and Prevention:

– Once your symptoms are well-managed, and you have regained normal function, IMS sessions may be scheduled on a maintenance basis. This could be once a month or every few months, depending on your needs and the recommendations of your physiotherapist.

2: Self-Management:

– Alongside maintenance IMS sessions, you will likely be encouraged to continue with home exercises, proper ergonomics, and other self-management strategies to maintain the benefits achieved and prevent future issues.

Factors Influencing Frequency

1: Severity and Chronicity:

– More severe or chronic conditions may require more frequent treatments initially compared to milder or more acute conditions.

2: Individual Response:

– Individual variation in response to IMS can influence how often sessions are needed. Some patients may respond quickly, while others may require a more extended treatment period.

3: Overall Treatment Plan:

– The frequency of IMS sessions will be integrated into your overall treatment plan, which may include other therapies and interventions.