1st Edition

The Manual of Trigger Point and Myofascial Therapy

    The Manual of Trigger Point and Myofascial Therapy offers the reader a comprehensive therapeutic approach for the evaluation and treatment of Myofascial pain and musculoskeletal dysfunction. This user-friendly manual will serve as a quick reference for clinically relevant items that pertain to the identification and management of trigger points.

    The first section of the book covers the theory and current research regarding the Myofascial Trigger Point Syndrome. The research is the most current and up-to-date available on the pathogenesis of Myofascial dysfunction, clinical symptoms, physical findings as well as diagnostic criteria. Treatment methods and techniques are also covered in a comprehensive and step-by-step format.

    The second section includes the most important muscles that tend to have a higher incidence of the Myofascial involvement. Each muscle is supplemented by two pages of text and illustrations to better aid the student or clinician in an institutional or practicing setting. The muscle page contains a plethora of information for the reader including muscle origin, insertion, location of trigger points, referenced pain patterns, myofascial stretching exercises, positive stretch signs, and biomechanics of injury. Extensive full-color illustrations and pictures include treatment techniques, therapeutic interventions and patient home exercise programs.

    This innovative and concise new clinical reference guide is perfect for the student learning about the diagnosis and treatment of the Myofascial Trigger Point Syndrome or therapist interested learning or applying this successful and effective method of treatment.


    Part A. Theory

    Chapter 1. Myofascial Trigger Points: A Historical Perspective

    Chapter 2. Acupuncture versus Trigger Point Therapy

    Chapter 3. Muscle-Nerve Physiology and Contraction

    Chapter 4. Pathogenesis of Myofascial Trigger Points

    Chapter 5. Clinical Symptoms and Physical Findings

    Chapter 6. Referred Pain Pattern Mechanisms

    Chapter 7. Classification of Myofascial Trigger Points

    Chapter 8. Biomechanics of Injury

    Chapter 9. Myofascial Diagnosis

    Chapter 10. Myofascial Treatment

    Chapter 11. Perpetuating Factors in Myofascial Trigger Points

    Chapter 12. Trigger Point Dry Needling

    Chapter 13. Trigger Point and Myofascial Therapy Contraindications

    Chapter 14. Part A Review Questions Answer Key

    Part B. Muscle Regions

    Cervical Spine Region

    Temporomandibular Joint Region

    Upper Extremity Region

    Abdominal Region

    Thoracolumbar Spine Region

    Lumbar Spine Region

    Lower Extremity Region



    Dimitrios Kostopoulos, PT, PhD is the cofounder of Hands-On Physical Therapy. He earned his doc-torate and master's degrees at New York University and is actively pursuing his second doctorate of sci-ence degree in clinical electrophysiology at Rocky Mountain University, Provo, Utah. Dr. Kostopouloshas extensive training and teaching experience in different areas of manual therapy with emphasis intrigger point, myofascial, and neurofascial therapy, as well as manipulation. He is a past faculty mem-ber at Mercy College, Dobbs Ferry, NY, a diplomate of the American Academy of Pain Management, and an active member of the American Physical Therapy Association (APTA).

    Konstantine Rizopoulos, PT, FABS is the cofounder of Hands-On Physical Therapy. He earned hisundergraduate degree from the University of Athens, Greece and has completed extensive postgraduate studies in manual therapy. Mr. Rizopoulos has extensive experience in the area of manual therapy, particularly in myofascial and trigger point therapies and their application to neurologic and pediatricpopulations. He is an active member of the APTA, a fellow member of the American Back Society, and a member of the Hellenic Medical Society.

    Dimitrios Kostopoulos and Konstantine Rizopoulos are the developers of a comprehensive therapeutic approach thatintegrates trigger point, myofascial, neurofascial, and proprioceptive therapy techniques, and they teach continuingeducation courses in the United States and Europe. For more information on the authors’ continuing education.

    “Clinicians and students can easily use this book to enhance their understanding of trigger point therapy theory and technique. I highly recommend this book.”

        — Mary Delaney, PT, Journal of the Section on Women’s Health

    “The manual would be useful for any practicing physical therapy clinician or student who has an interest in evaluating and treating myofascial trigger points.”