Etobicoke Intramuscular Stimulation (IMS) is an advanced electrotherapeutic technique designed to treat chronic muscle pain by applying precise electrical currents via fine needle electrodes directly into tight, shortened muscle bands. IMS combines the benefits of dry needling with low-frequency electrical stimulation to promote neuromuscular re-education, relieve pain, and restore normal muscle length and function.
At Rapha Rehab, our trained physiotherapists integrate IMS into comprehensive treatment plans that include manual therapy, therapeutic exercise, and education for long-term pain relief and functional recovery.
IMS is particularly effective for chronic myofascial pain syndromes, sciatica, tension-type headaches, fibromyalgia, chronic neck and back pain, piriformis syndrome, plantar fasciitis, tennis elbow, patellofemoral pain, and pain resulting from nerve entrapments. It can also complement rehabilitation for post-surgical muscle dysfunction and chronic overuse injuries.
Our physiotherapists typically recommend IMS sessions 1-2 times per week over 4-8 weeks, depending on symptom severity and chronicity. Maintenance sessions every 4-6 weeks may be advised for individuals with persistent myofascial issues or for athletic performance support. Treatment frequency is tailored to your specific needs and response to therapy.
An IMS session lasts 30-45 minutes. After a comprehensive assessment, the therapist identifies hypertonic muscle bands and trigger points. Using sterile, single-use needle electrodes, they insert needles into the muscle, connecting them to a low-frequency electrical stimulator. You may experience a brief twitch sensation as the electrical current stimulates muscle relaxation and neuromuscular reset.
Following stimulation, gentle manual stretching and therapeutic exercises are performed to reinforce new muscle length and function. Your comfort is monitored throughout, and treatment intensity is adjusted as needed.
During your initial appointment, the therapist reviews your pain history and conducts a physical exam to locate tight muscle bands. We’ll explain the IMS procedure, expected sensations, and safety protocols. After electrode placement, you’ll feel a gentle pulsing as the stimulator activates the muscle. Post-treatment, you may experience mild soreness that typically resolves within 24 - 48 hours. You’ll receive aftercare guidance—such as icing techniques, gentle stretching, and activity modifications—to support lasting relief and functional improvement.