Why does pain from trigger points keep coming back? It's simple- the trigger points usually never actually go. So called "evidence based" treatments are based upon clinical trials that measure their success by whether they "de-activate" trigger points. De-activate merely means revert them back to a state where they do not spontaneously cause pain, but of course are still there. They will still shoot pain if pressed upon, then re-activate becoming painful when aggravated again. This is analagous to resetting a circuit breaker and leaving the fault.
In this article we discuss this practice, then offer a practical alternative.