To determine the effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

It is Randomized Controlled trail will be conduct in Mayo Hospital Lahore and Alnoor Hospital Awan town Lahore. Non probability consecutive sampling technique will be used to collect the data. Each group contain the 14 patients, Patient will be divided into two groups. Group A will be experimental group treated by Dry needling and strain counter strain with baseline treatment and Group B will be control group treated by Strain counter strain with baseline treatment(Hot pack 10 mints,stretching,Neck isometrics). Neck Disability index (NDI) ,visual analogue scale(VAS) and goniometer will be used as data collecting tools.

Inclusion Criteria:

• Patients with non-specific neck pain, having active myofascial trigger points in upper trapezius muscle.
• Patient of both gender under the age of 20-40 year
• bilateral pain involving the upper trapezius
• a duration of pain of at least 3 months
• pain localized in the cervical and occipital regions but not in the orofacial region.
• restricted cervical range of motion(side flexion)

Exclusion Criteria:

• history of traumatic injuries (e.g., contusion, fracture, and whiplash injury)
• needle phobia patients.
• systemic diseases such as blood coagula tion disorders, chronic pain syndrome, cancer,allergies fibromyalgia, systemic lupus erythematous, and psoriatic arthritis.
• cervical spine surgery patients.
• orofacial pain and temporomandibular disorders
• neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia)
• medical diagnosis of any primary headache (tension type or migraine) clinical diagnosis of cervical radiculopathy or myelopathy
• history of previous physical therapy intervention for the cervical region in last 6 month
• use of anticoagulants, opioids or antiepileptic medications

Outcome Assessor will be binded