Dry Needling and Intramuscular Stimulation (IMS)
Dry needling and intramuscular stimulation (IMS) are advanced manual therapy techniques provided by licensed physical therapists. These treatments use a very fine, solid filament needle to penetrate the skin and target underlying myofascial trigger points, muscular dysfunction, or connective tissues that may be contributing to pain and movement restrictions. Unlike injections, the needle used in dry needling is “dry,” meaning no medication or fluid is injected into the tissue.
When the needle is inserted into a trigger point or tight band of muscle, it elicits a local twitch response, which is a brief contraction of the muscle. This response helps reduce muscle tension, improve blood flow, and initiate a healing cascade. The procedure stimulates a local inflammatory response, releasing neurochemicals such as endorphins and promoting circulation to the affected region. This physiological effect can continue to provide benefits for up to 72 hours post-treatment.
This technique can be especially helpful for individuals dealing with musculoskeletal injuries, postural dysfunctions, or chronic pain conditions. Conditions that often respond well to dry needling include muscle and ligament strains, joint pain, restricted scar tissue, chronic tightness, myofascial pain syndrome, arthritis, and joint dysfunction. Dry needling is also beneficial for decreasing localized swelling and improving range of motion.
At OrthoRehab Physical Therapy, dry needling is always integrated into a broader treatment approach. We believe that while dry needling can provide significant pain relief and tissue release, it should never be used as a standalone solution. It works best when paired with targeted strengthening, neuromuscular reeducation, joint mobilizations, and patient-specific exercise prescriptions. Our physical therapists assess each patient individually to determine whether this intervention is appropriate and how it will fit into a comprehensive plan of care.
Dry needling can be performed on nearly every major muscle group of the body. Common treatment areas include the cervical spine (neck), upper trapezius and scapular stabilizers, thoracic spine, lumbar spine (low back), hips, glutes, hamstrings, quads, calves, shoulders, elbows, forearms, wrists, hands, and the feet. The versatility of the technique makes it a valuable tool for athletes, active adults, and individuals with complex pain patterns.
Dry needling with IMS can also support improved proprioception and muscle activation, especially when muscles have become inhibited due to long-standing dysfunction or injury. By reducing muscular guarding and improving motor control, patients often find they can move more freely and perform daily tasks with greater ease. Many patients report a noticeable improvement in pain, stiffness, and functional movement even after a single session, though results may vary based on individual factors and diagnosis.
One of the most valuable aspects of dry needling is its ability to address both acute and chronic pain. For example, individuals experiencing recent muscle injuries may benefit from early intervention with needling to minimize compensatory patterns and reduce inflammation. Conversely, patients with long-standing pain conditions can experience relief as dry needling helps disrupt persistent pain signals and retrain proper neuromuscular responses.
We also utilize dry needling as part of our post-surgical rehabilitation protocols. Following surgeries like total knee replacements, rotator cuff repairs, or spinal procedures, certain muscles may become inhibited or guarded. Targeted needling can assist in reactivating those muscles while promoting tissue repair and reducing stiffness. This leads to faster progress through rehabilitation phases and a more complete return to functional activities.
Dry needling has also shown benefits for patients with neurological conditions, including those recovering from strokes or managing symptoms of multiple sclerosis. In these cases, the intervention is used carefully and under close supervision to support motor recovery and reduce spasticity. When used appropriately, dry needling can complement other neurorehabilitation methods by targeting hypertonic muscles and improving neuromuscular coordination.
Patients in physically demanding professions or high-performance sports often incorporate dry needling into their regular maintenance routines. It can help manage overuse symptoms, improve tissue quality, and support performance recovery. Our team collaborates with athletic trainers, coaches, and performance specialists to ensure each plan aligns with training cycles and competition demands.
In addition, our clinic provides detailed education after each dry needling session to help patients maximize their results. We often recommend hydration, light movement, and stretching exercises that complement the neuromuscular reset triggered by the session. We also monitor progress closely and adjust follow-up treatments based on your response and evolving needs.
Dry needling is particularly effective when combined with other therapeutic interventions available at OrthoRehab, such as manual therapy, therapeutic exercise, Pilates-based rehab, and vestibular rehabilitation. A tailored plan may involve transitioning between these modalities to achieve lasting results and improve patient engagement throughout the recovery process.
Patients considering this treatment should note that dry needling is a cash-based service and is not currently covered by insurance. This allows us to provide extended time and flexibility during sessions to ensure that the intervention is delivered safely, effectively, and in alignment with your goals. Our providers are specially trained and certified in dry needling techniques, ensuring high-quality care that aligns with the latest evidence-based standards.
We understand that some patients may feel hesitant or uncertain about needles. At your first session, your physical therapist will take time to answer your questions, explain what to expect, and ensure that you’re comfortable with the process. Needling sessions are always voluntary, and we respect your preferences when building your care plan.
If you’re dealing with persistent tightness, muscle pain, or movement limitations, dry needling could be a valuable tool in your recovery. Visit our Services page to learn more about our integrated treatment offerings, or contact us to schedule an evaluation and find out if this treatment is right for you. For additional patient resources, check out our blog where we explore a wide range of rehabilitation techniques, success stories, and wellness tips.
Still unsure whether dry needling is right for your condition? We encourage new patients to schedule a consultation with one of our experienced therapists to discuss your concerns. Our team will conduct a thorough evaluation, provide education, and answer your questions to help you make an informed decision about your care.
Whether you’re recovering from a sports injury, managing chronic discomfort, or simply looking to optimize physical performance, dry needling can help restore balance and mobility. Reach out to us today and take the next step in your recovery journey with OrthoRehab Physical Therapy.
