Application of trigger point dry needling can induce post-dry needling soreness. This is not a negative experience, but sometimes some patients want to reduce it as much as possible. Manual therapies and exercise strategies targeting to decrease post-dry needling soreness need to be investigated.

Inclusion Criteria:

• Unilateral non-traumatic shoulder pain
• Shoulder pain from at least 6 months
• Shoulder pain of more than 3 points on a NPRS
• Presence of active trigger point in the infraspinatus muscle

Exclusion Criteria:

• bilateral shoulder pain
• younger than 18 or older than 65 years
• shoulder injury
• upper extremity surgery
• fibromyalgia syndrome
• neck or shoulder surgery
• cervical radiculopathy
• whiplash
• any type of intervention for the neck-shoulder the previous year