The purpose of this study is to determine the effect of ischemic compression with stretching on pain related parameters including pain intensity, pressure pain threshold, anxiety, cervical range of motion and patient satisfaction in patients with scapular pain associated with myofascial trigger point.

Inclusion Criteria:

• The participants have experienced spontaneous upper back pain for longer than 12 weeks (chronic) and that at least one trigger point will be present in the s trapezius muscles. Trigger points will be diagnosed as the presence of focal tenderness in a taut band and with pain recognition.
• The participants will be able to follow instructions.
• Good communication and cooperation.

Exclusion Criteria:

• Fibromyalgia syndrome
• Cervical radiculopathy or myelopathy)
• Cervical spine surgery