The Myofascial Mystery

“There is nothing more deceptive than an obvious fact.”   -S. Holmes

For years, a patient might have presented with a painful trigger point in their muscle, and I would poke it, prod it and push on it. My patients would often feel better afterward, and it was obvious to me that I was making the muscle relax. It was something that I could obviously palpate.

Over the last 7 months I have read considerable debate on the presence and importance of trigger points, and am now wondering what it was that had been so obvious to me after all. If ever circumstantial evidence pointed to a reasoning for treatment, it had done so here, but, as Sherlock Holmes said:

“Circumstantial evidence is a very tricky thing.  It may seem to point very straight to one thing, but if you shift your own point of view a little, you may find it pointing in an equally uncompromising manner to something entirely different.” 

Quotes from The Boscombe Valley Mystery


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