The Trigger Point Debate – continued.

OPEN ACCESS has been granted by Elsevier to the Dommerholt/Gerwin paper that critiques the Quintner/Bove/Cohen paper (Rheumatology 2014) that attempts to debunk the model developed by Travell (& Simons relating to myofascial pain/trigger points.

This has been accepted for publication in JBMT where – in its unedited proof form (known as “In Press”) – it is available to read/download on JBMTs website.

The new paper is titled:

A Critical Evaluation of Quintner et al: Missing the Point
….Journal of Bodywork and Movement Therapies…
The objective of this article is to critically analyze a recent publication by Quinter, Bove and Cohen, published in Rheumatology, about myofascial pain syndrome and trigger points (Quintner et al 2014).


Normally access to articles is restricted to those whose institutions subscribe to JBMT, or to ScienceDirect (such as members of the Fascia Research Society), Elsevier’s web platform for all of its thousands of journals – or for a fee.

However Elsevier have arranged for this article to be ‘Open Access’ – freely available to everyone – for a period of six months – if accessed via JBMTs website – but not on ScienceDirect, where a fee still applies.

I urge everyone interested in this topic to read the article and to decide for themselves whether the position taken by Quintner et al is a more reliable one, or whether you agree with the arguments and evidence supplied by Dommerholt & Gerwin.

For more information on The Journal of Bodywork & Movement Therapies go to JBMTs webpage:



For the record:
My own preference relating to management of musculoskeletal/myofascial pain is to address the causes of the problem – focusing on enhancing posture, ergonomics, patterns-of-use, breathing function, exercise and lifestyle habits etc etc….
and to use manual and movement methods to rehabilitate local and global dysfunction……
I do not personally utilise dry needling – mainly because results from manual approaches seem adequate, and the inevitable local tissue trauma associated with needling does not seem an appropriate approach…..however …. I have colleagues who do use such methods, and who also have excellent patient outcomes

Further reading on this subject from earlier blog posts can be found here: