This study was conducted to investigate the effect of Graston technique versus Kinesiotaping on myofascial pain syndrome after neck dissection surgery.

Fifty two patients from both genders who had cervical Myofascial pain syndrome following a neck dissection surgery participated in this Study. Their ages ranged from 30 to 50 years. They had been selected from the National Cancer Institute, Cairo University. They were assigned randomly into two groups (A) and (B), equal in number. Group (A) received Graston technique (IASTM), in addition to traditional treatment (range of motion exercises, stretching exercises and strengthening exercises) for 12 Sessions performed in a period of 4 weeks (three times weekly). While Group (B) Received kinesiotaping, in addition to traditional treatment (range of motion exercises, stretching exercises and strengthening exercises) for 8 sessions performed in a period of 4 weeks (twice weekly). Pressure pain threshold, visual analogue scale and cervical lateral flexion and rotation were measured pre and post 4 weeks of treatment.

Inclusion Criteria:

• The subjects were selected according to the following criteria:

The patient's ages ranged from 30 to 50 years participated in this study. Both genders participated in this study. All patients had a history of MPS at UTM from 3 to 5 months. All patients had moderate to severe pain (VAS score >4). Informed consent was obtained from every patient enrolled in the trial. All patients had myofascial pain syndrome after unilateral modified radical neck dissection surgery.

Exclusion Criteria:

• The potential participants were excluded if they meet one of the following criteria:

A wound in the affected area A cervical disk lesion Myelopathy or radiculopathy Cervical spine fracture or spondylolisthesis Rheumatoid arthritis Epilepsy or any psychological disorders Contraindications to IASTM. Contraindications to Kinesiotaping. Coagulopathy. Hemophilia or other clotting disorders.