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• 12:29, 19 April 2026 Yatreyu talk contribs created page Concept:Perpetuating Factors (Created page with "'''Perpetuating factors''' are the systemic, structural, metabolic, and psychological conditions that keep myofascial trigger points (TrPs) active and prevent them from resolving spontaneously or with specific local treatment. Recognition and correction of perpetuating factors is, according to Travell and Simons, '''the most important single aspect''' of myofascial pain management, and the most neglected. The clinical importance of this concept is illustrated by the apo...")