Advanced technology

Percutaneous Neuromodulation

Percutaneous neuromodulation is an advanced, ultrasound-guided technique that uses fine needles connected to an electrotherapy device to stimulate specific nerves. Its goal is to modulate neural activity, reduce pain and improve muscle function in a precise and well-tolerated way.

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What it is and how it works

Guided by ultrasound, a fine needle is placed close to a peripheral nerve or at a muscle motor point. Short, controlled electrical impulses are delivered to modulate neural excitability and facilitate a more efficient, coordinated muscle response.
This targeted approach allows brief movement practice immediately after the stimulation, helping the new pattern “stick” while symptoms settle.
Dosing is individualised: intensity, frequency and duration depend on your presentation and tolerance. We integrate education, graded loading and simple home strategies so improvements translate to daily life and sport.

Good to know: Sensations are usually mild (a tap, twitch or dull ache) and fade quickly after the dose.

Therapeutic effects

Neural modulation

Dampens hypersensitivity and reduces peripheral nociceptive input.

Improves comfort at rest and with movement.

Supports better pacing and load tolerance.

Motor control

Facilitates activation of inhibited muscles.

Improves timing, coordination and endurance.

Pairs well with graded exposure and task practice.

Rehab integration

Enables earlier, comfortable movement.

Combines with strength, mobility and manual therapy when appropriate.

Focus on meaningful, sustainable change.

Clinical indications

Musculoskeletal pain

Neck, shoulder and low-back pain with protective tone.

Myofascial pain and trigger points.

Persistent post-injury sensitivity.

Motor inhibition

Quadriceps inhibition post knee injury/surgery.

Scapular control deficits.

Gluteal activation and pelvic control.

Neuropathic features

Peripheral nerve irritation (adjunct).

Entrapment-related pain patterns (adjunct).

Sensorimotor dysfunction syndromes.

Safety & contraindications

We screen carefully for suitability. The technique is performed with sterile material and continuous ultrasound guidance. Typical transient effects may include a brief twitch response or mild post-session soreness.
We avoid or adapt in cases such as implanted electronic devices, non-optimised anticoagulation or bleeding disorders, local infection, unhealed wounds, pregnancy over certain regions, or when you prefer a non-needle approach.

What a session looks like

Assessment & plan. We clarify goals, examine movement and identify neural or motor targets.

Ultrasound guidance. We locate the region precisely and confirm safety landmarks.

Neuromodulation dose. Short, targeted stimulation near the nerve or motor point.

Movement integration. We immediately practice simple, graded tasks to consolidate the effect.

Percutaneous Neuromodulation — FAQs

Here we answer the most common questions about ultrasound-guided percutaneous neuromodulation at Weheal.

What is percutaneous neuromodulation and how does it work?

Percutaneous neuromodulation is an advanced technique that uses fine needles connected to an electrotherapy device to stimulate specific nerves, with the goal of reducing pain and improving muscle function.
This stimulation is performed in a guided manner, targeting the affected areas directly and providing fast and long-lasting relief.

How many sessions of percutaneous neuromodulation are needed?

The number of sessions can vary depending on the nature and severity of the condition, as well as how your body responds. Many patients notice meaningful improvement after the first few sessions, while others progress gradually over a short treatment block.
At Weheal, each plan is fully individualised. Your physiotherapist will assess your response and recommend the number and spacing of sessions best suited to your goals.

How long does the effect of percutaneous neuromodulation last?

Some people experience relief or easier movement right after the first session, while others need a few sessions for the benefits to consolidate.
In most cases, the results can last from several weeks to months, depending on the type of injury and individual response. At Weheal, progress is monitored every session to fine-tune parameters safely.

What types of injuries or conditions are treated with percutaneous neuromodulation?

We commonly treat tendinopathies, low back pain, neck pain, sciatica and muscle contractures. It is also valuable for sports injuries and chronic pain, helping release muscle tension, improve nerve function and restore a more balanced movement pattern.

Is percutaneous neuromodulation suitable for sports injuries?

Yes. It allows precise stimulation of affected muscles and nerves, helping speed up recovery in muscle tears, contractures and common tendinopathies. We combine it with exercise therapy, load management and manual techniques to optimise outcomes and reduce recurrence.

Is percutaneous neuromodulation painful?

Most people find it well tolerated. You might feel a slight pinch when the needle is inserted or a brief tingling when the current is applied, but any discomfort is usually minimal and short-lived. Sessions are adjusted to your comfort level.
Many patients report that the relief afterwards far outweighs the mild sensations during treatment.

Can it help prevent the need for more invasive treatments in athletes?

When used within a preventive and personalised physiotherapy plan, it helps maintain healthy neuromuscular control, improves tissue recovery and reduces the risk of recurrent or severe injuries — lowering the likelihood of needing surgery or more invasive procedures.

Is percutaneous neuromodulation right for you?

Tell us about your situation and we’ll guide you clearly. If it fits your case, we’ll integrate it with movement and education so the benefits translate to daily life and sport.

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