Hi quorthon, would you have those references for Quintner specific to TrP's? Limited journal access and keep getting the 1994 article and responses to same.

Another problem with the effectiveness of TrP therapy i feel can be the inability of some practitioners to identify TrP's correctly, and not just push the "tender" spot and expect something to happen. I do agree that referred pain from neural structures can activate TrP's in the referral area however "in my own little experience" i certainly do not think this is the only way they are activated. Also i've noted quicker responses to mobilisation of joints after releasing TrP's with ischaemic pressure or dry needling.