Effects of Dry Needling and Strain Counter Strain Technique in Myofascial Trigger Points of Upper Trapezius

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