The first part of the textbook discusses current aspects of myofascial pain provoked by myofascial trigger points and the relevance of muscle pain to different musculoskeletal chronic pain conditions. The introductory chapter reviews commonalities and differences with other needling techniques, including traditional acupuncture. In addition, a comprehensive review of neuro-physiological mechanisms, fascial aspects of needling therapies, and safety guidelines of dry needling/intramuscular manual therapy is also covered. The second and main part of the textbook is focused on clinical applications of deep dry needling/intramuscular manual therapy targeted at inactivating myofascial trigger points located in muscles from the head and neck to the feet. This part is a unique feature, as no previous text has covered the application of deep dry needling/intramuscular manual therapy of myofascial trigger points from a clinical point of view. The third part of the textbook includes other needling approaches - traditional acpuncture, Western medical acupuncture, Intramuscular Stimulation, Fu's Subcutaneous Needling - which may be applied to myofascial trigger points or other painful locations. First book of its kind to include different needling approaches (in the context of evidence) for the management of neuromuscular pain conditions. Includes Western Medical acupuncture and Fu Highlights both current evidence and clinicians' expertise and experience Multi-contributed by a team of top international experts Over 400 photographs demonstrating the different techniques