others., and/or clinician repositioning is vital to attain the ideal perspective to locate/efficaciously stimulate the mtrp with ds. To attain ache remedy, KNEE AND SPINE LASER CENTER minimum grade 2 force is critical. Grade three-five forces in crmp will now not occur until many professional hours of consecutive treatments. Such twitches are elicitable at acute mtrps with ds within non-tight muscle tissues. Stimulus parameters used for evoking twitches are much like the ones used in electrodiagnostic medicine for peripheral nerve conduction studies. Repetitive stimulation at 2-three hz exams stability of neuromuscular transmission .