What is Intramuscular Stimulation (IMS)

[vc_row][vc_column width="1/1"][vc_column_text]By: Active Sports Therapy

Intramuscular Stimulation (IMS) is an effective treatment for chronic pain of neuropathic origin. This technique uses needles similar to the needles used in acupuncture to find and diagnose muscle shortening in deep muscles. This technique is great because it has very few side effects.

IMS was developed by Dr. Chan Gunn while he was a clinic physician at the Worker’s Compensation Board of British Columbia in the 1970’s. He is presently President of iSTOP and clinical professor at the University of Washington’s Multi Disciplinary Pain Center in Seattle. Dr. Gunn has been awarded The Order of British Columbia as well as The Order of Canada, the nation’s highest honor, for his contributions towards solving chronic pain. He has also been elected Honorary Fellow of Peterhouse Cambridge University. Although IMS uses implements adapted from traditional acupuncture, it is based on scientific, neurophysiological principles. The acupuncture needles used are very thin (much thinner that the hollow needle used to inject medicine or take blood samples). You may not even feel it penetrating the skin, and if your muscle is normal, the needle is painless. However, if your muscle is supersensitive and shortened, you’ll feel a peculiar sensation – like a muscle cramp or Charlie Horse. This is a distinctive type of discomfort caused by the muscle grasping the needles. Patients soon learn to recognize and welcome this sensation. They call it a “good” or positive pain because it soon disappears and is followed by a wonderful feeling of relief no longer tight, you no longer feel it. What has happened is that the needling has caused your abnormal muscle shortening to intensity and then release. It is important that you experience this sensation in order to gain lasting relief.

“Neuropathy”- or- what happens when nerves start to go wrong…

Doctors usually have no difficulty in treating pain caused by injury (a fracture, for example) or inflammation (such as rheumatoid arthritis). But they are perplexed by pain that shows no sign of tissue damage or inflammation, such as headaches, “whiplash”, backache, tennis elbow or frozen shoulder.

Dr. Gunn had introduced “neuropathic pain”, to describe this type of pain. Typically this occurs when nerves malfunction following minor irritation. Nerves and nerve-endings become extremely sensitive and cause innocent, harmless signals to be exaggerated and misperceived as painful ones. (This characteristic is known medically as supersensitivity). The result is pain, even when extensive medical tests show there is “nothing wrong”. Until recently, supersensitivity has received little attention in medical circles.

The Effects of IMS

The effects of IMS are cumulative – needling stimulates a certain amount of healing, until eventually, the condition is healed and the pain disappears. Some patients treated with IMS have remained pain-free for over 20 years.

Frequency of Treatments

Treatments are usually once a week (but can be spread out to two weeks) to allow time between treatments for the body to heal itself. The number of treatments you require will depend on several factors such as the duration and extent of your condition, how much scar tissue there is (usually increased after previous surgery) and how quickly your body can heal, the rate of healing depends on the condition of your nerves (young people usually heal more quickly, although older is not necessarily slower). If the pain is of recent origin, one treatment may be all that is necessary. In published studies of patients with low back pain, the average number of IMS treatments required was 8.2.

Treating Neuropathic Pain

Supersensitivity and muscle shortening cannot be operated on and “cut away”. “Pain killers” and other analgesic pills only masks the pain. The goal of treatment is to release muscle shortening which presses on and irritates the nerve. Supersensitive areas can be desensitized and the persistent pull of shortened muscles released.

If you think IMS could be the right treatment for you, please book in for an assessment.

*This blog is not intended to officially establish a physician-patient relationship, to replace the services of a trained physician, naturopathic doctor, physical therapist or chiropractor or otherwise to be a substitute for professional medical advice, diagnosis, or treatment.  




IMS and Acupuncture - What's the Difference?

[vc_row][vc_column width="1/1"][vc_column_text]If you’ve heard of IMS and acupuncture, you may find yourself wondering what the difference is. After all, they both involve needles! Although the two have the ‘needle’ in common, the techniques and aims of the treatments are quite  different.

Let’s take a look at both of these treatments.  IMS or Intramuscular Stimulation is a technique that uses needles to find and diagnose muscle shortening and tightening in deep muscles. The goal of the IMS needling technique is to release this deep muscle tension. It works by putting a thin needle into a muscle that is tight. The muscle will then twitch, or cramp, and then it go into a state of relaxation which can help the patient have improved mobility, relaxation of the muscle, and a reduction in pain.

As an example, if you have muscle pain that always seems to be there and if it’s the type of pain that feels better for a short time, let’s say, after a massage, but then tenses back up again then you could be a good candidate for IMS. IMS will use only one needle at a time which will be inserted and removed after a few quick seconds.

Traditional acupuncture on the other hand has been practiced for centuries and can help with everything from pain relief, to sleep, digestion, and more. It works on the philosophy that a person is healthiest when they have enough of, and well circulating vital energy. The aim is to help improve your body’s function and healing processes by stimulating specific points on the body.

An acupuncturist will use several very thin needles at the same time, which will remain on the chosen acupoints for several minutes (often 15-20 minutes). Most people report feeling mild or even no discomfort with the needles. The purpose of leaving the needles in for this length of time is to help stimulate the body’s release of endorphins and anti-inflammatories. This can help alleviate pain, bring balance to the body, and treat various health conditions. An acupuncture point, may not be near the site of complaint as opposed to IMS which goes directly to the point of pain.

You can receive both of the treatments here at Active Sports Therapy. Call or email to learn more![/vc_column_text][/vc_column][/vc_row]