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In addition, failure to determine which anatomical structure is primarily responsible for the pain, what pathological process is occurring within that structure, and which contributing factors are maintaining the pain is a key reason why symptoms persist despite treatment

Local Twitch Response When the needle penetrates the trigger point, the patient often experiences a brief, involuntary muscle twitch

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That includes deductibles, copayments, and coinsurance

What Safe Really Looks Like in Clinical Practice Patients often want a simple yes or no