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These include deeply applied procedures, such as an injection of a local anaesthetic into MTrPs and deep dry needling (DDN), and superficially applied ones, including an injection of saline into the skin and superficial dry needling (SDN) at MTrP sites. Reasons are given for believing that DDN should be employed in cases where there is severe muscle spasm due to an underlying radiculopathy. For all other patients SDN is the treatment of choice. Following MTrP deactivation, correction of any postural disorder likely to cause MTrP reactivation is essential, as is the need to teach the patient how to carry out appropriate muscle stretching exercises. It is also important that the practitioner excludes certain biochemical disorders.<\/jats:p>","DOI":"10.1136\/aim.20.1.2","type":"journal-article","created":{"date-parts":[[2009,4,8]],"date-time":"2009-04-08T12:51:29Z","timestamp":1239195089000},"page":"2-10","source":"Crossref","is-referenced-by-count":70,"title":["Management of Myofascial Trigger Point Pain"],"prefix":"10.1177","volume":"20","author":[{"given":"Peter","family":"Baldry","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2002,3,1]]},"reference":[{"key":"bibr1-aim.20.1.2","unstructured":"LewisT(Sir). Pain. 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