108 myofascial pain syndrome (MPS) diagnosed patients will be randomly divided into 3 groups. To groups; exercise, exercise+high-intensity laser therapy (HILT) and exercise+dry needling will be applied. Visual anolog scale (VAS) scores and neck range of motion (ROM) of the patients before-after treatment will be recorded and will be evaluated statistically.

Myofascial pain syndrome (MPS) is a very common disease in the population that seriously affects the quality of life. Although many modalities are used in its treatment, there is still no common protocol. In this study, the investigators aim to compare the effectiveness of high-intensity laser therapy (HILT), which has been popular in recent years, with exercise and dry needling options that have been used for years.

In our study 108 myofascial pain syndrome (MPS) diagnosed patients will be randomly divided into 3 groups. To groups; exercise, exercise+high-intensity laser therapy (HILT) and exercise+dry needling will be applied. Visual anolog scale (VAS) scores and neck range of motion (ROM) of the patients before-after treatment will be recorded and will be evaluated statistically.

Inclusion Criteria:

• diagnosed with neck and / or back pain
• diagnosed with MPS
• had a taut band on the trapezius muscle and at least one active trigger point

Exclusion Criteria:

• Diagnosed with fibromyalgia,
• had systemic disease,
• significant cervical disc lesion / radiculopathy / myelopathy,
• had trigger point injection in the last 6 months,
• had neck or shoulder surgery in the year before being included in the study,
• was pregnant,
• received anticoagulant therapy,
• used aspirin in the last three days, and
• with the cognitive dysfunction patients