At Adelaide West Physiotherapy, we specialize in evidence-based, advanced treatments for chronic musculoskeletal pain. One of our most effective solutions is Gunn Intramuscular Stimulation (IMS)—a modern, targeted approach to neuromuscular therapy that helps restore normal function and eliminate pain at its root. Whether you’re experiencing long-standing back pain, repetitive strain, or nerve-related dysfunction, IMS therapy may provide the long-term relief you’ve been searching for.


Gunn IMS is a needling technique developed by Dr. Chan Gunn in British Columbia. It targets tight or shortened muscles that are compressing or irritating nerves. Unlike traditional acupuncture, which is based on Eastern medicine principles, Gunn IMS is rooted in Western medical science and focuses on diagnosing and treating the underlying cause of pain—usually nerve dysfunction resulting from muscle shortening.
During a session, fine, sterile needles are inserted into affected muscles. This causes a twitch or cramping response, which helps relax the muscle, desensitize the nerve, and restore normal function. No medication is injected, and the treatment is highly individualized based on your specific condition and response.
At our Downtown Toronto clinic, IMS therapy is provided by experienced, credentialed physiotherapists with advanced training in manual and neurofunctional techniques. We combine IMS with tailored rehabilitation programs to help patients regain strength, function, and confidence.
Here’s what sets us apart:
IMS therapy is particularly effective for chronic pain that doesn’t respond well to standard physiotherapy treatments. It addresses conditions where nerve irritation and muscle shortening coexist—a common root cause of persistent pain.
Many of these conditions are diagnosed as “non-specific” in nature. IMS provides a way to identify and treat the actual underlying dysfunction rather than just managing symptoms.
Gunn IMS is a proudly Canadian innovation. Developed in Vancouver and now used internationally, the technique is built on the foundation of neuropathic pain—pain caused by a malfunction in the nervous system rather than direct injury.
According to data from the Canadian Pain Task Force, 1 in 5 Canadians lives with chronic pain, often without a clear medical explanation. IMS offers a new perspective on treatment by focusing on nerve-muscle imbalances that traditional scans and diagnostics may miss.
By releasing shortened muscles and restoring nerve function, IMS helps re-establish healthy movement patterns—something particularly vital in our modern, sedentary lifestyles where postural strain is increasingly common.
Every IMS session at Adelaide West Physiotherapy starts with a comprehensive assessment. Your physiotherapist will evaluate your posture, movement, pain patterns, and medical history before proceeding.
You may feel muscle soreness or heaviness for 24–48 hours post-treatment—similar to a workout. Most patients report feeling looser and lighter shortly after treatment.
For optimal results, IMS is typically performed once per week over several weeks, depending on your progress.
While IMS and dry needling are often used interchangeably, not all dry needling techniques are the same.
| Technique | Approach | Basis |
|---|---|---|
| IMS | Treats nerve-related muscle shortening | Western medicine |
| Dry Needling | Targets trigger points | May vary by practitioner |
| Acupuncture | Based on meridian energy lines | Traditional Chinese medicine |
At Adelaide West Physiotherapy, our therapists are trained in Gunn IMS, which follows a medical model and is supported by rigorous research and safety protocols.
We believe that IMS therapy works best as part of a broader treatment plan. Our team of manual therapists and rehab specialists collaborate to ensure your recovery is comprehensive and lasting.
Your treatment is always coordinated, goal-oriented, and backed by both clinical expertise and compassion.

Located in the heart of the city, Adelaide West Physiotherapy is proud to serve patients from Toronto’s Entertainment District, Queen West, City Hall, Kensington Market, and beyond.
We are easily accessible by TTC and within walking distance of St. Andrew Station and Osgoode Station, making consistent care convenient for busy professionals, students, and residents alike.
With the rising prevalence of desk-bound work and tech-related postures, IMS therapy is increasingly relevant to the health of Downtown Toronto’s working population.
Yes, when performed by a trained and certified physiotherapist, IMS therapy is considered very safe. All needles are sterile and single-use, and the technique is minimally invasive with no medication involved.
It varies depending on your condition. Some patients feel relief after just 1–2 sessions, while others may need 6–10 treatments over several weeks to see lasting results.
You may feel a sharp twitch or cramp in the muscle being treated, followed by a feeling of relief. Most people describe it as momentarily uncomfortable but tolerable.
IMS is provided by licensed physiotherapists and is typically covered under extended health care plans in Ontario. Check with your provider for specific coverage.
If you’re struggling with chronic pain, tension, or unexplained movement dysfunction, it may be time to try something that addresses the root cause. Gunn Intramuscular Stimulation at Adelaide West Physiotherapy offers a research-supported, Canadian-developed solution for long-term relief.
Our Downtown Toronto location makes it easy to integrate care into your routine. Let’s work together to restore your movement, reduce pain, and help you live fully.
Schedule your IMS assessment today and take the first step toward feeling better.