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Travell and Simons (J. G. Travell & Simons, 1983, 1992) and Cyriax (Cyriax, 1977) advocate the use of trigger point injection as an effective method of treatment, but this treatment is neither appropriate nor legal for rehabilitation clinicians. Trigger point treatments using Travell and Simons’ techniques are direct methods. Travell and Simons (J. G. Travell & Simons, 1983) indicated that this technique of applying ice or vapocoolant followed by a stretch was the most effective technique ...
