Many doctors are not familiar with myofascial pain and do not treat trigger points. This is ironic since the science of Myofascial Pain and Dysfunction, and Trigger Point treatment was first codified my Dr. Janet Travell, physician to President John F. Kennedy and Dr. David Simons. They pulled together the research of doctors from three continents conducted throughout much of the 20th century in their landmark books Myofascial Pain and Dysfunction: The Trigger Point Manual. These books were written by doctors, for doctors.
Why, despite this, don't more doctors diagnose and treat trigger points? Although recognition of the field is growing, some of the reasons include:
• A lack of training in Trigger Point Therapy is due to the immense amount of material a physician must learn during undergraduate, medical school, internship and residency. Specialists will spend additional years of study.
• There is a general lack of time available for the doctor to spend with the patient. The practice of medicine is both an art and a business. The time demand of physicians is immense. Comprehensive assessment, including range of motion assessment, palpation for taut bands and trigger points takes more time than is available in most physician practices.
• Currently, there is a lack of a mechanism for compensation a physician’s time, given their training and experience. Trigger point therapy is as expensive as conventional medical care and is often not covered by insurance.