nd depth of needle insertion have not yet been found to possess accurate diagnostic validity or acceptable intra- or inter-examiner reliability for muscles in the foot or lower leg. Therefore, the results of the study by Cotchett et al,1 including the reported frequency counts of myofascial trigger points in specific foot intrinsic and lower leg muscles, should be questioned, or at least viewed cautiously. There are several original trials, literature reviews, and meta-analyses that support our contention on this issue