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Response to the Letter by Weisman et al on: Twenty Thousand Needles Under the Sea: Trigger Point Dry Needling Aboard an Israeli Navy Submarine. A Case Report.

Our colleagues state categorically that the hypothesis of myofascial pain arising from trigger points has been comprehensively refuted. This is, in fact, an inaccurate and unfounded appraisal of the literature, as this hypothesis has been discussed pro and con and is still in controversy. There are many explanations for the occurrence of myofascial pain, trigger points still being the prominent concept.