Why do trigger points keep coming back Why do trigger points keep coming back

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According to the scientific literature the goal of treating (myofascial) trigger points is to deactivate them. This is merely changing them from a state where they spontaneously cause pain to where they do so when palpated. This helps relieve symptoms, but they are still there, still causing considerable detriment, and are just one aggravation away from becoming spontaneously painful again.
The main reasons trigger points keep coming back is because courses of trigger point therapy are only designed to temporarily relieve their pain, not eliminate them. Trigger points start as small lumps that are only noticed when a therapist presses upon them, but if untreated they slowly develop and can get to the stage where they cause pain spontaneously. The clinical trials that trigger point therapy treatments are based upon typically only evaluate whether a course of treatments can diminish the trigger points enough that they stop shooting pain. Patients feel better, but the trigger points are still there. Further treatment is needed to diminish them further and eliminate them.