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Manual trigger point therapy is a manual technique to treat trigger points. It uses strong manual pressure and can be uncomfortable or somewhat painful for the patient. However, as with dry needling, this pain is usually regarded as a "good and releasing pain". There are four techniques. A distinction is made between the different manual trigger point therapy techniques that directly treat the trigger point (technique I and II) and the fascia techniques (technique III and IV). The decision to treat a certain trigger point with dry needling, Manual trigger point therapy or a combination of the two techniques, is made by the therapist and the patient. We provide valuable knowledge on these topics in our courses. Relevant contraindications have to be excluded and patients should be informed about the possible side effects.
