“…However, pain often relapses after treatment targeting MTrPs, and it is difficult to treat completely (Graboski et al, 2005; Cummings and Baldry, 2007; Park et al, 2012). Substantial effort has been dedicated to understanding the pathophysiology of MTrPs, and different theories have been proposed, including the integrated hypothesis (Vázquez-Delgado et al, 2009; Bron and Dommertholt, 2012), the central sensitization theory (Mense, 1994; Xu et al, 2010), and the myoelectrical theory (Ge et al, 2006; Huang et al, 2013). However, whether MTrPs are a peripheral or central phenomenon remains controversial (Fernández-de-las-Peñas and Dommerholt, 2014).…”