The Institute for the Study and Treatment of Pain


The Immediate Effects of Dry Needling on Post-concussion Syndrome


In about 15% of adult concussion cases, symptoms last longer than 2 weeks and can largely impact the individual's ability to work, be physically active and participate in everyday life. These symptoms are often partially related to unresolved neck muscle tightness and other neck-related symptoms. Dry needling is a technique that uses acupuncture needles to release muscle knots, decrease neck muscle tightness and decrease neck pain. As far as the investigators are aware, there have been no studies looking at the effects of dry needling on symptoms of chronic concussion. This study will compare the effects of dry needling to traditional hands-on physiotherapy treatment of the neck for concussion-related symptoms.

Participants with chronic concussion symptoms will receive either dry needling, hands-on manual physiotherapy or both. Concussion symptoms, symptom severity, neck range of motion and pain with pressure over neck muscles will be compared before and after treatment, and the day after treatment. The investigators expect that the greatest improvement in all of these will be seen in the group receiving both interventions, both immediately after treatment and the following day. If dry needling can immediately improve concussion symptoms, patients may better tolerate therapeutic exercise and experience quicker resolution of chronic symptoms.

Study Type  : Interventional  (Clinical Trial)
Estimated Enrollment  : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: The Immediate Effects of Dry Needling on Post-concussion Syndrome
Actual Study Start Date  : May 15, 2019
Estimated Primary Completion Date  : December 30, 2019
Estimated Study Completion Date  : December 30, 2019

Get most up to date information on Clinical Trials website
Identifier: NCT03949998


Device: Dry Needling

Comparison between dry needling and/or manual therapy of the cervical region.

Other Names:

  • Intramuscular Stimulation (Gunn IMS)
  • Integrated Dry Needling (IDN)
Other: Manual Therapy

soft tissue release, cervical traction and/or cervical mobilization

Intramuscular stimulation and eccentric exercise versus eccentric exercise plus sham needling for the treatment of chronic midportion Achilles tendinopathy

Start Date: 30/08/2012

This study is no longer recruiting participants.

Status: Completed

Publication status: Results overdue
Last edited: 06/12/2019

Study Aims 
Can Achilles tendon pain (tendinopathy) be treated more effectively if we add a form of treatment called IMS (intramuscular stimulation) to the current standard treatment programme? 

Contact 1

Paul Drexler - Research Assistant - Profile

email -

Contact 2

Alex Scott - Profile
University of British Columbia
772-2635 Wesbrook Mall
Vancouver, BC V5Z1M9 


Sponsor / Funding

University of British Columbia

Chan Gunn IMS / Neuropathic Pain Research Fund (Canada)
Alan McGavin Sports Medicine
3055 Wesbrook Mall
Vancouver, BC V6T1Z3
+1 604 822 6755

Related Links

Another Success for a Clinician and Research Partnership Project - July 16, 2014

New Release September 19, 2016

ISRCTN Registry Number: 70177540 

DOI 10.1186/ISRCTN70177540

Access Online for most up to date information

ISRCTN registry

Whiplash Associated Disorders - Needling Treatments - Pilot Study

Official Title:A Pilot Case Randomized Control Study Analysing the Effectiveness of 3 Needling Techniques: Intramuscular Stimulation, Neural Prolotherapy, and Myofascial Release in the Treatment of Chronic Whiplash Associated Disorder.

This study is currently recruiting participants.

Status:  OPEN

This pilot study is being conducted to provide proof of concept for three needling treatments, in the treatment of whiplash associated disorder type 2 (WAD-II).
These techniques are Intramuscular stimulation (IMS), neural prolotherapy (NPT), and myoActivation (mA).

Estimated Enrollment: 32
Study Start Date: June 2013
Estimated Primary
Completion Date:

December 2015
Final data collection date for primary outcome measure

Contact:   Krista B Friesen, MSc
   ph. 604-566-9101

Sponsor: University of British Columbia Identifier: NCT01824810


Intramuscular Stimulation myoActivation
Neural Prolotherapy
Whiplash-Associated Disorders
myofascial pain

Related Links:            
Treating Whiplash: Associated Disorders
with Intramuscular Stimulation: 
A Retrospective Review 43 Patients
with Long-Term Follow-up, Case Report



CC Gunn
D Byrne
A Lam
MK Leung
J McBrinn
A Nixon
K Wong

Journal of





"Gunn IMS"

current     UBC Faculty of Medicine

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