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IMS - Intramuscular stimulation
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IMS - Intramuscular stimulation - March 16, 2006 8:19:00 PM
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ronafit
Posts: 7
Joined: March 8, 2006
From: British Columbia, Canada
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I am posting to get opinions regarding IMS. How many of you perform it... are aware of current research regarding it (benefits/risks involved). I am a personal trainer so it's not my department, obviously, but am so interested in it. I have had a few treatments on myself and feel it works wonders!
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Rhonda
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Re: IMS - Intramuscular stimulation - March 16, 2006 9:58:00 PM
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goodlooks58
Posts: 421
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From: CA
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I went on the website and seems like it is like acupuncture? Can it work for chronic platar fasciitis?
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Re: IMS - Intramuscular stimulation - March 17, 2006 5:39:00 AM
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ronafit
Posts: 7
Joined: March 8, 2006
From: British Columbia, Canada
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Ya, it is like acupuncture. I just like to know as much as possible about things... I haven't ran into any negative research regarding it and was wondering if anyone else knew of any. The physio I see for it does an amazing job! I swear by it! There only seems to be a handful of physios that do it in my area so I'm just wondering why more don't include it?
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Rhonda
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Re: IMS - Intramuscular stimulation - March 17, 2006 7:34:00 AM
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Shill
Posts: 1078
Joined: February 13, 2003
From: Madison WI USA
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I think that IMS is yet another TLA (three letter acronym) that is used to make things sound really cool, so that people will pay to have them done. You put a flashy name or TLA on anything, and it will become a trendy new treatment, well before any sort of evidence that it is helpful is found. Use it for LBP, FMS, TRP, RCS, RSD, combined with MFR, STM, IFC, and you might still end up SOL.
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Steve Hill PT
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Re: IMS - Intramuscular stimulation - March 17, 2006 10:15:00 AM
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nari
Posts: 1568
Joined: November 14, 2003
From: Australia
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Anything new used by a PT is bound to come along with enthusiasm and anticipation by both parties; it always works better..odd how it tends not to work so well after a while...
another acronym...DUNK. Diagnosis UnKnown.
Nari
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Re: IMS - Intramuscular stimulation - March 17, 2006 6:35:00 PM
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ronafit
Posts: 7
Joined: March 8, 2006
From: British Columbia, Canada
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Thanks for the posts everyone. My understanding is that IMS has been around for some time??? maybe I'm wrong. I guess it's like everything, what works for someone may not work for another. Am I jumping the gun by thinking it works great??... the response doesn't sound positive regarding it but I love it..lol! Thanks again.
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Rhonda
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Re: IMS - Intramuscular stimulation - March 19, 2006 6:27:00 AM
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Bournephysio
Posts: 579
Joined: April 25, 2002
From: Calgary
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IMS has been around a while and it is a form of acupuncture. More accurately it is a form of dry needling. It can be very aggressive. I once saw one of Chan Gunn's (the originator) patients who said he needed someone to drive him home after treatments.
I personally do a mixture of anatomical acupuncture and dry needling very similar to IMS. It appears to be much more popular in Alberta and BC than anywhere else.
While there is a lot of research on acupuncture I'm not aware of any research on IMS but I haven't gone looking either. I believe that Chan Gunn worked with the WCB for a while. I'm not sure if they published any research.
Doug
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Re: IMS - Intramuscular stimulation - March 19, 2006 11:00:00 AM
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james097
Posts: 178
Joined: January 27, 2005
From: West Vancouver BC
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Shill, Nice to have an open mind, I wonder what you base your assumptions on that Intramuscular Stimulation is something that is cool enough sounding to make people spend good money on it. Perhaps it is not as popular in America as here as the PTs in the USA will, like manipulation, if you can use it at all, have to get a medical doctors permission or to have insurance pay. It's hardly a new treatment, I have been doing it for about 30 years and many PTs in Canada are qualified to practice it. It is nothing like the mystical acupuncture with it's QI and meridians and pulses but a comprehensive system for the diagnosis of the cause of musculoskeletal pain. It is based on anatomy, neuroanatomy, neurophysiology,and neurobiology, physiology and pathology, something PTs are most knowledgable about. In fact IMS belongs much more to Western medicine than Oriental. It is one of the ways of producing relief of chronic pain. Helen Travell MD was the person who introduced the phrase dry needling many years ago when she discovered that a dry needle was just as efficient in many cases as injecting a substance. So IMS cannot be comparted to acupuncture, needles are inserted not as indicated by charts and models but by what is indicated at examination using neuroanatomic points found in radicular or segmental patterns. Also unlike acupuncture both subjective and objective effects should be expected immediatly after treatment. If you click on to the orthopadic section in RehabEdge and read 'segmental facilitation' you would immediatly look for futher clues as to the patients peripheral neurological status. Cannon and Rosenblueth's Law of Denervation explains the autonomic and trophic manifestations of neuropathy and denervation sensitivity.
Professor Emeritus the late Patrick D.Wall FRS said of IMS "I would strongly object if anyone labelled this procedure as being complementary or alternative to traditional medicine...it requires a meticulous hands-on clinical examination of the individual patient. This initself is becoming a lost art in favour of supposedly effective high-tech methods".
Dr Chan Gunn has been teaching IMS in Vancouver and around the world including China and Korea for many many years. I did a refresher course a few years ago and most Americans attending were physicians the lecturers were PTs and Physicans including an American anaesthesiologist from the Multidisciplinary pain Center Washington School of Medicine. It is interesting to note that most PTs and others that I know who were educated in acupuncture eventually use IMS.
Doug, I would hardly be surprised if a patient had to be driven home after being needled, it isn't the most pleasant of treatments and not for all that are faint of heart!
Gunn CC, Milbrant WE, produced randomized trials and Gunn has written many papers and books.
If anyone has access to Bonica's Text Book on Pain you will be able to read of Gunn and IMS.
On the web seek Chan Gunn or istop.
Nari, what do you think?
Doug, see your house prices are rocketing up, the cheapest lots in West Vancouver are now aout the $950,000!
Jim McGregor
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Re: IMS - Intramuscular stimulation - March 19, 2006 11:24:00 AM
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nari
Posts: 1568
Joined: November 14, 2003
From: Australia
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Jim
I cannot see the point of administering nociceptive "treatment" under any name or style.
Sure, the results may be good...but so are the results when one stops banging one's head on a wall of spikes. When there are other alternatives around..why choose a nasty one?
That's the point I am making.
I checked out the site; the sensitivity of the PNS is acknowledged by the author; it is the methodology I wonder about. Average number of visits : 8.2. Not bad, but if it is really targeting the origin of pain and its manifestations..the average should be a bit less than that. Surely.
Nari
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Re: IMS - Intramuscular stimulation - March 19, 2006 1:29:00 PM
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Randy Dixon
Posts: 744
Joined: August 6, 2004
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IMS is similar to dry needling of trigger points, isn't it? This appears to be a real Canadian-US difference. In Canada it seems to be an accepted and trusted treatment while in the US most practice acts don't even allow it. Perhaps this is the difference. The PT's I know that use it, swear by it.
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Re: IMS - Intramuscular stimulation - March 19, 2006 2:46:00 PM
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Shill
Posts: 1078
Joined: February 13, 2003
From: Madison WI USA
Status: offline
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Jim,
I am encouraging critical, reflective thinking.
Have a nice day.
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Steve Hill PT
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