“…There are a variety of modalities purported to relieve or diminish the symptoms associated with MTrPs, including ischemic compression Travell and Simons, 1989), massage (Cantu and Grodin, 1992;Ebel and Wisham, 1952;Fernandez-de-las-Penas et al, 2006;Pemberton, 1939;Prentice, 1982;Sjolund and Eriksson, 1976;Tappon, 1988;Travell and Simons, 1989), needling (Hammeroff et al, 1981;Hong and Simons, 1998;Jaeger and Skootsky, 1987;Lewit, 1979;Melzack and Wall, 1965;Melzack et al, 1977;Rantanen et al, 1999;Sjolund and Eriksson, 1976;Tappon, 1988;Travell and Simons, 1989), vapocoolant spray and stretch (Kostopoulos and Rizopoulos, 2008;Melzack, 1981;Simons, 1996;Travell and Simons, 1989), electrical stimulation (Castel, 1982;ClementJones, 1980;Hooker, 1998;Hsueh et al, 1997;Malizia, 1979), laser therapy (Castel, 1982;Cheng, 1987;Laakso et al, 1967;Saliba and Foreman, 1998;Snyder-Mackler and Bork, 1988), ultrasound (Aguilera et al, 2009;Draper and Prentice, 1998;Draper, 1996;Gam et al, 1998;Gulick et al, 2001;…”