Intramuscular Stimulation (IMS) or Dry Needling

Intramuscular Stimulation (IMS) or Dry Needling

Introduction

Intramuscular Stimulation (IMS), also known as dry needling, is a therapeutic technique used to treat muscle pain and dysfunction. It involves the insertion of fine, sterile needles, the same ones used with acupuncture, into specific points in the muscles, known as trigger points, to alleviate pain and improve muscle function.

History and Development

Dry needling has its roots in traditional Chinese medicine, particularly in the practice of acupuncture. However, in the mid-20th century, Dr. Janet Travell and Dr. David Simons, pioneers in the field of pain management, identified and mapped out trigger points in the muscles. Based on their work, Dr. Chan Gunn, a Canadian physician, developed IMS as a specific technique to target these trigger points using needles without any medication or injection, hence the term “dry” needling.

The Science Behind IMS

Trigger Points

Trigger points are hyperirritable spots within a muscle that can cause pain, stiffness, and restricted movement. They are often palpable as taut bands or knots within the muscle tissue. These points can often refer pain to other areas of the body.

Mechanisms of Action

The insertion of needles into trigger points during IMS can lead to several beneficial effects:

  • Neurophysiological Response: The needle insertion stimulates sensory nerves, which sends signals to the brain, promoting the release of pain-relieving chemicals such as endorphins.
  • Mechanical Disruption: The needle physically disrupts the contracted muscle fibres, helping to release the tight knots and reduce muscle tension.
  • Improved Blood Flow: The needling process increases local blood flow to the affected area, promoting healing and reducing inflammation.

Procedure

During an IMS session, the practitioner conducts a thorough assessment to identify the trigger points and areas of muscle dysfunction. The patient is then positioned comfortably, and the skin is cleaned to maintain sterility. Fine, sterile needles are inserted into the identified trigger points. The depth of needle insertion varies depending on the location of the trigger points and the muscle being treated.

Patients may feel a slight pinch or a muscle twitch during needle insertion, which is a positive sign indicating that the needle has reached the trigger point. The needles are often removed once the twitch has occurred, or they can be left in place for a few minutes to further encourage the muscle to relax.

Conditions Treated with IMS

Intramuscular stimulation is used to treat a wide range of musculoskeletal conditions, including but not limited to:

  • Myofascial Pain Syndrome: Chronic pain caused by trigger points in the muscles.
  • Back and Neck Pain: Common conditions often associated with muscle tension and trigger points.
  • Tendinitis and Tendinopathy: Inflammation or degeneration of tendons often accompanied by muscle dysfunction.
  • Sports Injuries: Including muscle strains, sprains, and overuse injuries.
  • Headaches and Migraines: Often linked to muscle tension and trigger points in the neck and shoulder region.
  • Post-Surgical Pain: Pain and muscle dysfunction following surgical procedures.

Benefits of IMS

The benefits of intramuscular stimulation extend beyond pain relief. Some of the key advantages include:

  • Non-Pharmacological: IMS does not involve the use of medications, making it a safe option for individuals who may have contraindications to pharmaceuticals.
  • Minimally Invasive: The use of fine needles minimizes tissue damage and promotes quicker recovery compared to more invasive procedures.
  • Targeted Treatment: IMS specifically targets the trigger points and dysfunctional muscles, providing localized relief.
  • Improved Functionality: By reducing muscle tension and pain, IMS can enhance overall muscle function and range of motion. Muscles will contract more efficiently and stretch more easily without taut bands or triggers points in the muscle.

Risks and Considerations

While IMS is generally considered safe, there are some potential risks and side effects to be aware of:

  • Temporary Discomfort: Patients may experience mild discomfort or soreness at needle insertion sites.
  • Bruising: Minor bruising can occur at the needling sites.
  • Infection: Although rare, there is a slight risk of infection if proper sterile techniques are not followed.
  • Miscarriage: Needling can stimulate a sympathetic response in the body. Hence, IMS is typically not done during pregnancy

Patients should always seek treatment from qualified and experienced practitioners to minimize these risks.

Conclusion

Intramuscular stimulation, or dry needling, is an effective and versatile technique for treating muscle pain and dysfunction. By targeting trigger points with fine needles, IMS can provide relief from various musculoskeletal conditions, promote healing, and improve muscle function.

If you are interested in learning more about IMS and seeing if is right for you, Janice Bealer, a physiotherapist at our Sun City Lower Mission location, has incorporated IMS into her practice for almost 20 years now. Give us a call or book online to try it out!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
What Our Kinesiologists Say About Stretching

What Our Kinesiologists Say About Stretching

What Our Kinesiologists Say About Stretching

It is one of the most important ways to avoid injury and to promote overall health. Here are some of the reasons everyone, active or not, should stretch:

  • improves range of motion and flexibility
  • promotes muscle balance
  • prepares your body for activity
  • helps your body recover from activity
  • decreases joint stresses/compression
  • minimizes unwanted muscle tightness and knots
  • promotes circulation
  • develops body awareness
  • enhances performance by improving overall speed, balance, endurance, agility, and strength

Stretching Tips from our Experts

  • Stretch only what is tight. This helps to reduce the number of stretches you’ll do!
  • Ensure your stretching targets the area intended.
  • Stretch when warm – after activities or later in the day – to improve range of motion.  
  • Practice dynamic stretches before your activity, and static stretching after the activity.
  • Feel tension in the muscle as you hold the stretch. Avoid pain, overstretching, bouncing or rocking.
  • Relax. Stretch in a quiet, comfortable area; on a matted area in the gym; on the warm soft grass; or on the carpet while watching TV.
  • Make stretching a habit. Progress is the accumulation of many efforts.
  • A kinesiologist can guide your exercise planning and lead you to healthier daily living, faster recovery, less pain, and enhanced sport performance.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Gardening Tips

Gardening Tips

Gardening Tips

Proper movements and tools will extend your gardening season. The secret to a healthy garden is a healthy gardener. To get the most of your gardening season, the Canadian Physiotherapy Association (CPA) recommends the following tips and techniques. A “warm up” before you start your gardening helps to reduce muscle strain, injury and fatigue. Do some shoulder circles, trunk rotations, and heel / toe standing. Take a few minutes to stretch your neck, wrists, shoulders, lower back and legs. Repeat them again at the end of your gardening activity. If you begin to feel a bit stiff while gardening, pause and do more stretches.

RAKING OR HOEING – keep your tools close to your body and your back straight to reduce strain. Use your arms and avoid twisting your trunk. Use long-handled tools suited to your height. 

  • If you tend to bend over or reach too far while raking, consider using an ergonomic rake (available at garden centres). It will make the job easier and reduce strain to your back.

WEEDING OR PLANTING – do not bend from the waist. Squat or kneel on a kneeling pad. If you have difficulty getting up, use a kneeling pad / bench with a support handle for assistance. 

  • Give your back, legs and knees a break from stooping and kneeling by using tools with long handles to help with the weeding; 
  • Squat or sit on the ground to trowel, rather than bending over. 

DIGGING OR SHOVELLING – insert the head of the shovel vertically into the ground and step on the blade. Lift small amounts at a time. Keep your back straight and bend at the knees. Avoid twisting. Use a wheelbarrow to move big or heavy loads. 

  • Choose a shovel with a weight and handle length that is appropriate for your size and for the job you are doing; 
  • Give your back a break by using a smaller shovel, reducing the temptation to lift large amounts of soil; 
  • Spread heavy lifting and digging tasks over a week rather than a weekend, and spread major projects throughout the seasons. Take time to recover between them.

LIFTING OR CARRYING – know your limits and lift properly: bend your knees, not your back. Keep the load close to your body. Don’t lift items that are too heavy for you to handle – get help! Use a wagon or wheelbarrow to transport supplies and / or to move or carry heavy items. 

  • A four-wheeled cart is sturdier and easier to use than a wheelbarrow; 
  • Lift with your knees slightly bent and your back straight. Avoid twisting or reaching. 

PRUNING OR TRIMMING – get as close to your work as possible. Don’t stretch beyond your reach or past your stable footing.

  • Match the size of the gardening tool handle to the size of your hand. Choose tools that you can hold so that your hand remains positioned in line with your forearm; 
  • Hold your tools in a loose comfortable grip. Holding too tightly may cause injury; 
  • Be creative! Adapt or create your tools for ease and comfort;
  • Pad the handles of your gardening tools; 
  • Use knee pads or a foam pad for kneeling;
  • Wrap a slippery handle with tape to improve your grip (hockey stick tape will do). 

ADDITIONAL TIPS FOR THE GARDENER:

  • Tools with larger, padded handles are more comfortable for gardeners with painful or arthritic hands. Enlarge tool handles with grip-tape or foam tubing purchased at a hardware store. 
  • Tools with tubular steel rather than wood are more lightweight and may be easier to use.
  • Where possible, use a potting bench or a counter top to prevent unnecessary bending. 
  • Wear a gardening apron with several pockets for carrying frequently used tools, or keep them close at hand, to avoid reaching or twisting for the tool you need. 
  • Wear gardening gloves to protect your hands and joints. 
  • Keep tools (such as your pruners) sharp to make cutting easier. 

Talk to a physiotherapist: Most of the aches and pains gardeners experience can be prevented. Enjoy the fruits of your labour. Don’t be limited by the aches and pains!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Seasons of Mental Health

Seasons of Mental Health

Seasons of Mental Health

If you’re like me and many others, you may feel affected as the seasons change throughout the year.  It is not uncommon to notice mild or more severe changes in how you feel and function in the midst of smoky, brown heat domes and cloudy, grey cold snaps.

Some people experience noticeable changes in themselves as fall and winter approach. For me, I feel affected as soon as the time changes in November and we lose an hour of daylight. Other people notice changes when the real first cold and snow comes, or after 6 or 8 weeks of winter have passed. Some common seasonal side effects:

  • Anxiety or feeling stressed;
  • Less energy, motivation and interest in usual activities;
  • Lethargy (sluggishness) and apathy (an emotional numbness)
  • Changes in appetite, sexual interest, eating habits and sleeping habits;
  • Inflammatory response – resulting in pain, stiffness and/or exacerbation of other health conditions.

Some people experience enough of the above that they can be diagnosed with, or may identify with, Seasonal Affective Disorder. We can understand this to be like an episodical seasonal depression and/or anxiety. Some people experience this every year. People can also experience seasonal side effects from ongoing rain and persistent summertime forest fire smoke, droughts, and heat domes.

We can understand these seasonal side effects to be contributed to by the following:

Changes in our routine/schedules: self-care like sleep, rituals, exercise, diet, activities, socializing and work are all affected by the seasons and their weather. They can be thrown off balance. And we have to adapt – or try to! This can cause stress and less than hoped for outcomes in our wellness.

  • Daylight: there is a direct connection between daylight – or better yet, sunlight – and mood.
  • Weather, temperature and moisture: having our bodies and minds manage extreme temperatures and weather events takes a toll. It can be exhausting, and even scary! Additionally, moisture, humidity, and pressure can all affect inflammation.

So what can we do to mitigate the impact or even prevent, these seasonal side effects?

  • As much as possible, maintain your wellness or self-care routine: continue your exercise, sleep hygiene, hobbies and other activities, and get creative and resourceful in finding ways to adapt while still pursuing a semblance of structure or stability. You may have to let go of some rigidity – which is great for our mental health in the long run, as we will have to respond to other adversities in the future.
  • Seek out support or connection: you are not the only one facing the current season/weather!
  • Talk to your doctor and/or other health care providers who may have suggestions within the context of your unique health situation.
  • Practice mindfulness: this can help us take our experiences one day at a time, and manage dwelling or worry.

I look forward to supporting you in further understanding how seasonal or other life changes or factors may impact your mental health, and finding ways towards meaningful experiencing and functioning amidst them.

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info
Pain Is Not Just a Body Problem!

Pain Is Not Just a Body Problem!

Pain Is Not Just a Body Problem!

“Pain is not just a ‘body’ problem, it is a whole systems problem”

– Jon Kabat Zinn

 

Earlier this month, we recognized National Pain Awareness Week. Additionally, this colder, wetter, darker time of year is a common time for increased pain for many people. It sounds like a time to talk about pain!

Understanding and managing pain as a holistic priority versus an issue that impacts only one localized area of the body, can actually help us meet our needs in a comprehensive way.

Our whole selves – including our whole body – encompass multiple subsystems working together to keep us alive, safe and healthy, such as the nervous system and the musculoskeletal system. Each function as one part of the bigger system, with the shared role of maintaining homeostasis – the “status quo”. If we become too hot, we get cooled down. When we are hungry, we are prompted to find food. Upon feeling scared, we feel sweaty and nauseous as our whole self prepares to focus on a threat. There are parts of ourselves whose sole job is to monitor for stimulus, either inside or outside the body, that may impact homeostasis. There are other parts that respond to the stimulus in a way that mitigates the impact on the rest of the system.

Let’s apply this to the example of accidentally touching the hot handle of a pot on the stove. When we touch that handle, our peripheral sensory nerves pick up on the stimulus of heat and send this information along, up our spinal cord, and to our central nervous system – the brain stem and brain. There, the stimulus is processed: what is this, and what does it mean? A plan is then created for how to respond. Peripheral motor nerves send this plan back through the body, and we move our hand away from the hot handle. Chemicals may be released to manage pain and to allow us to move quickly. This all happens in a matter of seconds. 

But this cascade of events is not the only thing happening within our whole system. While some subsystems work together automatically to mitigate, such as the threat of a burn on our hand, another part of our brain remembers a time when we burned ourselves and what we did to take care of it. And so we find a tap and run cold water over the area that touched the hot handle. And either the persistent or reduced sensation of the burn tells us to keep running the water or not.

Let’s add another component. Perhaps when we’re running the water, we notice that we did not get to the burn in time, and it has begun to blister. We know we have to use that hand for an important task coming up; this will now be near impossible with this injury. We start experiencing worries about what to do and what will happen. We start to feel anxious. We may experience self-talk, saying that we’re clumsy and slow. We may feel ashamed. At this point, we do have some options for how to respond. Just like choosing whether or not to recognize a forming burn and run cold water over it, we can also choose to recognize the emotions, thoughts and beliefs we are experiencing and take care of them in a compassionate way. If we decide not to, we may experience a build-up or even an overwhelming load of neglected emotions, thoughts and beliefs; much like a burn that is left blistering under the skin, causing more pain and maybe even damage. And an ironic thing is we have learned that mental and emotional stress that is not taken care of places an extra load on our nervous system. This activates or exacerbates pain and chronic health conditions. So taking care of our body pain requires more than running cold water over a burn!

Sun City Physiotherapy Locations

Downtown

1468 St. Paul Street, Kelowna, BC
Phone: 250-861-8056
reception_dt@suncityphysiotherapy.com
more info

Glenmore

103-437 Glenmore Road, Kelowna, BC
Phone: 250-762-6313
reception_gm@suncityphysiotherapy.com
more info

Lake Country

40-9522 Main St., Lake Country, BC
Phone: 250-766-2544
reception_wf@suncityphysiotherapy.com
more info

Lower Mission

3970 Lakeshore Road, Kelowna, BC
Phone: 778-699-2006
reception_lm@suncityphysiotherapy.com
more info