How to identify those muscles and treat them is fully explained in the Trigger Point Manuals, volume 1 & 2 1, 9. Patients deserve and need to be examined for myofascial trigger points that are common and likely to be causing their LBP. I am referring here to the clear and rather complete presentation of the cause of LBP on pages 804–809 of the 1999 edition of the Trigger Point Manual 1 and the seven references of published articles provided below 2 – 8 that describe its successful treatment by addressing skillfully the myofascial trigger point cause of the pain and dysfunction. Travell, Simons & Simons Myofascial Pain and Dysfunction(3rd Edition) The Trigger. 15#2 starting on page 111 by Pinto et al on “Management of Low Back Pain.” Their discussion started with the statement, “The origin of low back pain (LBP) is difficult to establish.” That is so true if you do as they did and base thinking only on symptoms with no regard or concern for the literature that clearly identifies its treatable cause, i.e., myofascial trigger points. The Trigger Point Manual, The Upper Extremities by Janet G. This letter is concerning the article in Vol.
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