Have we missed the point? Myofascial trigger points, dry needling and a case for a bidirectional reframe
J Man Manip Ther. 2026 Apr 24:1-7. doi: 10.1080/10669817.2026.2665282. Online ahead of print. ABSTRACT OBJECTIVES: Myofascial trigger points (MTrPs) have long been framed as local tissue abnormalities that initiate peripheral nociceptive input through a predominantly bottom-up cascade. This clinical commentary proposes a bidirectional, patient-centered lens for interpreting myofascial sensitivity that extends beyond isolated tissue pathology […]
