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... an appallingly high percentage of doctors and other practitioners are still pretty much out of the loop regarding trigger points, despite their having been written about in medical journals for over sixty years.
The daily clinical experience of thousands of massage therapists, physical therapists, and physicians strongly indicates that most of our common aches and pains - and many other puzzling physical complaints - are actually caused by trigger points, or small contraction knots, in the muscles of the body.
Only massage therapists seemed to be informed about trigger points and referred pain, and only exceptional individuals among them (in my own experience at least) were treating trigger points effectively. What's more, the burgeoning variety of unproven modalities offered by massage therpaists gave the profession such an aura of flakiness that the elegant science of myofascial pain got unfairly confused with treatments whose results could easily be attributed to the placebo effect.