Thomas Cleveland
Owner and Founder of Advanced PT and Fitness

Trigger Point Dry Needling AKA Intramuscular Stimulation (IMS) Or Intramuscular Manual Therapy (IMT)

Advanced Physical Therapy & Fitness provides individual, personalized, one-on-one treatment every session. To start out, there is a comprehensive neuromusculoskeletal evaluation conducted in order to determine the cause of your symptoms. This will also provide the necessary information needed for your therapist to determine the cause of your symptoms. This will also provide the necessary information needed to create you plan of treatment WITH you.

basic benefits of tdn

what is tdn?

TDN is a technique that is only taught to, and utilized by, experienced orthopedic physical therapists. TDN is an advanced treatment for musculoskeletal pain. TDN is performed by placing a small, thin, solid, dry filament needle into a muscle to release the trigger point(s). TDN speeds the restoration of physical performance by reducing pain and optimizing muscular function.

why have it done?

TDN will help you move better and have less pain! TDN or IMS (intramuscular stimulation), is an advanced treatment for muscular tightness, spasms, poor flexibility, tendonitis, arthritis, sports injuries, headaches, and chronic pain. These conditions commonly follow injuries and often accompany the degenerative processes. Muscular tightness and banding causes compression and irritation of the nerves exiting the spine. When the nerves are irritated, they cause a protective spasm of all the muscles to which they are connected. This may lead to diagnoses such as, carpal tunnel, tendonitis, osteoarthritis, decreased mobility, and chronic pain, just to name a few! The thin needle is inserted into the muscle tissue, releasing the trigger point and immediately helping to restore normal pain free motion patterns.

what can i expect after a treatment with tdn?

It is not uncommon to have bruising after treatment; some areas are more likely to bruise than others. Some common areas are shoulders, base of neck, head and face, arms and legs. Large bruising rarely occurs, but can. Use ice to help decrease the bruising and if you feel concern please call your treating therapist.

It is not uncommon to feel tired, nauseous, emotional, giggly or “loopy”, and/or somewhat “out of it” after treatment. This is a normal response that can last up to an hour or two after treatment. If this lasts beyond a day contact your treating therapist as a precaution.

There are times when treatment may actually make your typical symptoms worse. This is normal. If this continues past the 24 hour – 48 hour window, keep note of it, as this is helpful information and your treating therapist will then adjust your treatment plan based on your report if needed. This does not mean TDN cannot help your condition.

what should i do after treatment, what can i do, and what should i avoid?

It is highly recommended that you increase your water intake for the next 24 hours after treatment to help avoid soreness.

It is recommended that you soak in a hot bath or hot tub to help avoid post treatment soreness.

After treatment you may do the following based on your comfort level, if it hurts or exacerbates your symptoms then stop;

What Other People Just Like You Are Saying About Advanced Physical Therapy & Fitness In Greeley...

30+ 5-Star Reviews!

- Ardis S.


“I have found Tom to be very professional and he has really helped me with a number of challenges. What I like best is that he not only treats the problem but the source of the problem–he understand how our bodies are put together and how one area effects another. I appreciate that. I highly recommend him to anyone.

- Kathryn C.


“Tom always takes the time to listen and then thoroughly explains his treatment plan for you. His genuine caring and compassion is what makes him such a great PT. I highly recommend him to anyone who needs a PT, whether for short or long term issues.”

- Marsha G.


“Professional, knowledgeable, and a problem solver. Through various exercises, adjustments and needling, Dr. Cleveland has kept me moving. Very instrumental in helping recover from a rotator cuff surgery and an achilles tendon issue. Highly recommend.”