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Intramuscular stimulation (IMS), also commonly referred to as "dry needling," is a therapy technique where thin needles are inserted directly into a muscle to stimulate trigger points, aiming to relieve pain and improve muscle function by causing a local twitch response, essentially releasing tight muscles and improving blood flow to the area; it is often performed by physical therapists and considered a form of needling that does not inject any substance into the muscle (hence "dry"). Key points about IMS/dry needling: Mechanism: When the needle hits a trigger point, it can cause a localized muscle twitch, which is believed to help release muscle tension and promote healing. Benefits: Can be used to treat various musculoskeletal pain conditions like back pain, neck pain, shoulder pain, headaches, muscle strains, and more.