Comparison Between Deep Dry Needling and Muscle Energy Technique on Chronic Non-specific Neck Pain Patients.

Deep Dry Needling Versus Muscle Energy Technique on Chronic Non-specific Neck Pain; a Randomized Controlled Trial.

The goal of this clinical trial is to compare between applying deep dry needling and muscle energy technique in chronic non-specific neck pain patients. Researchers will compare between deep dry needling group, muscle energy technique group and control group to see if there are change in pain, range of motion or function.

Inclusion Criteria:

1. Age 18 and 40 years.
2. Current neck pain.
3. Presence of at least one or two trigger points .
4. Patients are diagnosed and referred from orthopedist complaining from chronic neck pain for at least 12 weeks.
5. No clinical treatment for neck pain within the past month.
6. lacked a history of neck and shoulder myopathy, neuropathy, myelopathy and neck, torso and shoulder surgery.
7. Patients with body mass index less than 30 kg/m2.

Exclusion Criteria:

1. Patients outside the target range.
2. Neck pain associated with vertigo.
3. Osteoporosis.
4. Diagnosed psychological disorders.
5. Fibromyalgia syndrome.
6. Vertebral fractures.
7. Spinal stenosis.
8. Tumors.
9. Previous neck surgery.
10. Red flags (night pain, severe muscle spasm, loss of involuntary weight, symptom mismatch).
11. Physiotherapeutic treatment continued in the last 3 months. Any contraindications for deep dry needling such as anticoagulants, infections and bleeding.