Effectiveness Taif University P. O. Box 11099 Taif 21944 Effectiveness of Dry Needling in Management of Myofacial Trigger Point

myofascial pain syndrome is considered to be a chronic condition due to sensitive pressure points within the muscle recognized as trigger pointsGenerally the aim of this study will be :To investigate the effectiveness of dry needling on trigger point in trapezius muscleEvaluate the pain level before and after the applications of dry needling on trigger pointscompare between the effects of dry needling and physical therapy exercise program

Inclusion Criteria:Clinically active trigger point and expression of symptoms of neck pain in trapezius which had lasted for at least 3 months.Having a pain level higher than 4 and lower than 8 on Visual Analogue Scale ( VAS )Did not receive any other form of neck treatment during the previous month.Exclusion Criteria:Presence of cardiopulmonary disease , the application process requires the subject to be in prone position to expose the area of treatment, this position is un-preferable for cardiopulmonary patientsHistory of neck surgeryTrigger point treatment in the last 30 daysAny contraindications for dry needling such as local infection, skin disease ,severe postural disorder , tumor , rheumatoid arthritis, cervical spine stenosis and bilateral upper extremity symptomspregnancy