Tag Archives: Physio

Gunn IMS

By Jacqueline Render, PT

We are excited to announce that we are now offering Gunn IMS at BodyTech Physiotherapy!

Gunn IMS is a dry needling treatment technique for the treatment of chronic myofascial or neuropathic pain.

Myofascial pain is felt as tight, sensitive musculature with muscle banding, often felt as “knots” or “trigger points.” You may experience pain from the shortened muscles directly, or from chronic pain on the tendons or compression of the joints the muscles pass over. Often, people with myofascial pain find that they are unable to stretch to relieve the muscle tightness. It is often made worse by activity or exercise. People with myofascial or neuropathic pain will often describe deep aching, burning or shooting/stabbing pain or sensitivity to pain beyond what would be considered normal for that situation. The affected area may feel heavy or different compared to the other side or other areas of the body. There may also be changes to the hair or skin around the affected regions.

Chronic myofascial pain often has sensory, motor (movement) or autonomic changes that indicate problems with the function of the peripheral nervous system. Many chronic pain problems fit into the myofascial pain spectrum, some examples include: achilles tendinitis, bursitis, tennis elbow, shin splints, plantar fasciitis and piriformis syndrome.

Gunn IMS can be very effective for chronic pain that is not resolving with traditional approaches to treatment. [1] The goal of IMS treatment is to stimulate the nervous system and release muscle shortening caused by dysfunction, to allow a “reset” to the nervous system, and create an environment at a cellular and nervous system level to promote healing. This “reset” to the system stimulates the nervous system, which calms it, improves movement patterns and relieves pain associated with dysfunctional muscle tension. It creates an opportunity for you and your therapist to progress rehabilitation.

What is dry needling?

Dry needling is a class of treatments that use fine, solid needles to penetrate the body’s tissues.  Any form of needling that does not inject a substance into the body is considered “dry needling.” Acupuncture and IMS are considered dry needling.

Is it painful?

IMS needles are inserted into a patient’s tight bands of muscle. The insertion of the needle is not painful and often not even felt by the patient. When the needle penetrates the tight band of muscle, a sensation of heaviness or cramping occurs. This is necessary for the therapeutic effect, but it is short lived, usually only lasting for seconds. Patients may feel some heaviness or aching in the treated muscles for a day or two after treatment, much like the feeling of muscles after a workout.

How does it work?

There are a few ways that IMS works. The first is that it creates a local reflex to the nervous system that allows the muscle to relax. The second is that is creates a small amount of local inflammation, which activates the body’s healing responses. A third is that if applied to tight muscles that cross the spine or an irritated joint, it reduces compression through the joint or on the nerves as they exit from the spine

Is it safe?

Our physiotherapists have been extensively trained in the safety of this treatment both in application of the treatment and in screening patients for this treatment. Your therapist will discuss the risks and potential benefits of treatment with you before determining if this is an appropriate treatment option for you.


Please note, this treatment is not appropriate for those with bleeding disorders or who are currently pregnant.

Who would benefit from this treatment?

Gunn IMS is possibly indicated for:

– Individuals with chronic pain that lasts beyond normal healing timelines for an injury, or pain that may have occurred without any specific injury

  • Individuals who have recurrent pain
  • Individuals with syndromes that are long-lasting and failing to progress (e.g. Tennis elbow, achilles tendinitis)
  • Individuals who have plateaued with other treatments
  • Individuals with symptoms of nerve dysfunction (a ‘wiring problem’)
    • Sensations of heaviness or aching in one or multiple limbs
    • Sensation that their limb feels ‘different’
    • Individuals who are unable to strengthen a muscle no matter how hard they work it
    • Individuals who are unable to stretch a muscle no matter how much you try to stretch it

Your physiotherapist will ask you questions and assess you to determine whether this is a treatment that could possibly benefit you.

What to expect?

Your physiotherapist will perform a full examination including your personal report of your pain, medical history and goals for treatment. They will perform a full musculoskeletal examination to determine the treatment most appropriate for you. This assessment may look different than other physiotherapy examination, as they are looking for signs of nervous system sensitization or dysfunction. Points for needling will be chosen based on the location of your pain, and the sensitivity of your nervous system.

Gunn IMS can be applied as a standalone treatment, but it is often combined with manual therapy and a home exercise program geared towards the individual patient.

How do I prepare for this treatment?

You can prepare like any other physiotherapy appointment. It will be important for your physiotherapist to access the skin of the areas being treated. Bring a pair of shorts with you, and for women, a tank top or bra/sports bra (that opens at the back) that you are comfortable wearing. Your physiotherapist can also provide you with shorts or a gown, if you prefer.

I am interested in Gunn IMS treatment, how do I book?

If you would like to book a physiotherapy appointment, call or email our clinic. When booking, mention that you are interested in IMS and you will be booked with a practitioner that is certified in Gunn IMS.


Physiotherapy really does work!

BodyTech Physiotherapy

How many times have you heard friends or family say they had physiotherapy and it did not work for them? Or that they went to physiotherapy and all they got was a hot pack and a machine?

All physiotherapists and physiotherapy clinics are different. Just because you or someone you know had a bad experience at one clinic, does not mean you should not try another clinic. Why not check out BodyTech Physiotherapy? It was created out of a desire to  improve the quality of physiotherapy care in the city of Kitchener.

BodyTech Physiotherapy is an orthopaedic manual therapy and sports injury clinic. The clinic is owned and operated by highly qualified physiotherapists. We offer expert, hands-on care and individualized treatment for all conditions that cause pain or dysfunction.

What is orthopaedic physiotherapy/manual therapy?

Orthopaedic physiotherapy or manual therapy is physiotherapy that uses specific skilled, hands-on techniques administered by a physiotherapist to diagnose and treat soft tissue and joints. The physiotherapist uses their hands to mobilize (specific technique to improve movement) the joints to reduce stiffness, relieve pain, increase movement, improve muscle length and strength, and restore function. It combines an individualized exercise program with hands-on manual therapy to achieve pain-free function. Our physiotherapists at BodyTech Physiotherapy have undergone extensive, advanced-level post-graduate training to enhance their physiotherapy education, assessment and treatment skills. They have received their Advanced Diploma in Manual and Manipulative Therapy and have a combined 15 years of experience in a private practice clinical setting. Our assessments focus on identifying the underlying causes and contributing factors of your injury or condition. This comprehensive approach enables us to treat your condition or injury in the most effective way with an evidence based approach. A combination of exercise, manual therapy and education will improve your course of recovery and assist with further injury prevention.

Our approach to physiotherapy is individualized to focus on you – Physiotherapy really does work at BodyTech Physiotherapy!BodyTech Physiotherapy

Comprehensive and Evidence-Based Approaches to Pain/Injury Treatment & Prevention

BodyTech Physiotherapy
Registered physiotherapists and clinic owners Cheryl Reid Ralph and Vanessa Rampersad have successfully realized a vision when they launched BodyTech Physiotherapy this past September in Kitchener: to offer first-rate orthopaedic manual therapy and sports-injury rehabilitation. With their post-graduate training, continuing advanced education and combined 15 years’ experience, they also provide expert hands-on manual therapy for any musculoskeletal and orthopaedic injuries from head to toe and for all ages, including infants and young children. “We don’t just look at localized pain, but the whole picture of what’s happening to the client,” Vanessa says. They are excited to announce that they will be adding a registered massage therapist to their team in the new year.

When you first arrive at the clinic, expect to be given a generous one-hour assessment. “Our approach is completely individualized, comprehensive and evidence-based,” Cheryl says. “We focus on identifying the cause and contributing factors that led the client to seek us out for help.” Cheryl and Vanessa take a full, subjective history from the patient and, then, provide thorough analyses on movement and strength, ligaments and joints, including a walking gait analysis. If more in-depth diagnostic testing is required, they follow up with your family physician.

Once the testing and results are established, your physiotherapist provides advanced treatment techniques that will include a blend of exercise and manual therapy, and may include pain-relieving modalities, such as Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound, heat/cold packs, acupuncture, and postural or corrective taping to help you recover from and prevent re-injury. The 30-minute treatment sessions may also incorporate western medical acupuncture based on Chinese acupuncture if needed at no extra cost. Acupuncture is applied to treat musculoskeletal pain, post-operative pain, myofascial trigger-point pain, nerve pain, and swelling. “Acupuncture stimulates the natural release of the body’s pain killers and anti-inflammatories to promote natural healing,” the duo explains.

Do you have a work- or accident-related injury? Come and see what BodyTech Physiotherapy can recommend for you. Know also that whether you suffer from chronic or acute injuries or pain, the team provides a complete evaluation and customized course of rehabilitation for osteoarthritis, post-operative and post-fracture, concussions, TMJ, and more.

Vanessa and Cheryl believe strongly in educating their patients. “We explain the issues and the individualized treatment plan clearly,” the twosome concurs. “We welcome questions at any time during the process. Clients can also call the clinic if they have concerns. The more a client understands how their body works, the better they, too, can aid in a speedier recovery and participate fully in their exercise program.”

    Sports physiotherapy for athletes and beginners alike at any age is a vibrant clinical strength. You will be given a targeted treatment and prevention program to optimize your recovery and safe return to your activity. “Our primary acute-care focus is pain relief, but getting rid of pain doesn’t necessarily indicate complete recovery,” Cheryl notes. “Our complete approach includes flexibility and strength to maximize that gradual and safe return to one’s physical activity,” Vanessa adds.

CANINE Rehabilitation

    One unique service that BodyTech Physiotherapy will be offering in the near future is Canine Rehabilitation.  The hope is to offer this service as home visits or at a local veterinary or animal hospital location.  “A canine that suffers from mobility issues can greatly enhance their quality of life and prolong their fitness level, especially in the case of working, sports or post-surgical dogs.”

Cheryl and Vanessa have undergone extensive, advanced level post-graduate training to enhance their physiotherapy education, assessment and treatment skills. Each has received their Advanced Diploma in Manual and Manipulative Therapy. They are Fellows of the Canadian Academy of Manipulative Physiotherapy (CAMPT), an organization of the International Federation of Manipulative Physical Therapists that is committed to providing the highest level of care.

    BodyTech Physiotherapy is located at Chicopee Park Centre, 1601 River Rd. E, Unit 30A, Kitchener. To make an appointment, call 519-954-6000, or email info@BodyTechPhysio.ca. For more information, view http://www.bodytechphysio.ca.

BodyTech Physiotherapy