Myotherapy is a form of manual therapy which focuses on the assessment, treatment and rehabilitation of musculoskeletal pain and associated pathologies. The term myotherapy was originally coined by Bonnie Prudden to describe a specific type of trigger point therapy which she developed in the 1970s based on the earlier work of Drs Travell and Simons who conducted extensive research into the cause and treatment of pain arising from myofascial trigger points. Over the ensuing 40 years, myotherapy has evolved to become an allied health discipline which is practiced in many countries across the world including Australia,[1] UK,[2][3][4][5][6][7] USA, Canada, Malaysia,[8] Thailand[9] and Hong Kong.[10] Myotherapy incorporates not only the trigger point therapy, but also a wide range of soft tissue massage and manipulation including among others: muscle energy technique, dry needling, joint mobilization etc. Myotherapists also utilitise therapeutic stretching, nutritional advice, exercise prescription, postural advice and education, and use of thermal (heat/cold) and electro-mechanical therapies, e.g. ultrasound, TENS, as necessary. Definition Myotherapy is a branch of manual medicine which focuses on the treatment and rehabilitation of musculoskeletal pain and associated conditions. This involves an extensive physical evaluation and an integrated therapeutic approach to affected muscles, joints, nerves, and associated viscera (organs) and is used in the treatment of acute or chronic conditions and in the area of preventative management. Myotherapy is an effective form of manual therapy treatment with a high range of success for most common musculoskeletal conditions that result from improper posture, poor biomechanics and injury.[citation needed] Myotherapy is defined as: "the comprehensive assessment, treatment and management of neuromusculoskeletal disorders and conditions caused by improper biomechanical functioning" Myotherapists take into account all aspects of health and wellness to treat patients from a completely holistic perspective - this includes not only physical, but psychological and occupational aspects of the individual. Myotherapists are trained manual therapy professionals in the field of myofascial pain and dysfunction (pain that arises from the muscles and surrounding connective tissue).[citation needed] Myotherapists assess and treat the connective tissue (muscle, tendons, ligaments, joint capsules, tissue coverings) using mostly direct 'hands-on' techniques. Some myotherapists are also trained in the use of TENS machines, lasers, ultrasound, rehabilitation aids, taping, dry needling and exercise prescription for rehabilitation. Myotherapists assess, treat and manage myofascial pain syndromes. Myotherapy treatments incorporate the following: i) a thorough patient history, ii) observations of tissues, movement, and gait, iii) postural assessment, iv) palpation of spine, peripheral joints, musculature, connective tissue and associated viscera, v) clinical orthopaedic and neurological tests. Myotherapy plays an important role in manual medicine as a single mode of treatment or used in conjunction with treatment provided by both medical and other allied-health practitioners such as Physiotherapy, Podiatry, Chiropractic, Osteopathy, and Acupuncture/TCM.