![]() ![]() Over the last 50 years, we also have evolved more interventions to treat TPs. What has changed over time is our understanding of the importance that TPs play in myriad conditions affecting the muscles, joints, and skeleton. ![]() From a descriptive sense, TPs have been characterized rather well right from the start. Surprisingly, the early descriptions of TPs do not look much different than today’s versions. ![]() In preparation for this report I reviewed or, more accurately, scoured the literature for a complete historical perspective on TPs. 1 The emergence of TPs as both a primary and secondary form of muscle pathology has been a gradual one, culminating in today’s more complete understanding. David Simons and Janet Travell, who are credited with pioneering the importance of trigger points (TPs) in many of the pathologies we see in the clinic. Most clinicians who practice pain management are familiar with the contributions of Drs. ![]()
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