I have several questions. 1. I saw my primary care doctor yesterday, and he said I have a lot of trigger points, but I don't have the ropy bands or knots. Maybe he's using the term in a way that's different from the CMP usage, but he said it's not necessary to have the ropy bands or knots to have tigger points. He's *not* a fibro or CMP specialist. In fact, I really think I know more about it than he does. But he's very nice and usually willing to give me whatever referrals or meds I request. So I'm not eager to get another primary doctor. I belong to Kaiser, so my referral choices are limited to Kaiser docs, unless I pay out of pocket, which I'm already doing for far too much stuff! (My plan doesn't even pay for prescription drugs.) Anyway, I'd really appreciate some clarification from the experts on this board about whether you can have trigger points without the ropy bands or knots. 2. I've received suggestions about "trigger-point release therapy" and "active release therapy." Are those different names for the same thing? Or are they different treatments? If they're different, how are they different? Thanks to all who have answered my questions in the past, as well as to any who can help me with these questions. --Laura R.M.