Effectiveness Taif University P. O. Box 11099 Taif 21944 Effectiveness of Dry Needling in Management of Myofacial Trigger Point

Inclusion Criteria: * Clinically active trigger point and expression of symptoms of neck pain in trapezius which had lasted for at least 3 months. * Having a pain level higher than 4 and lower than 8 on Visual Analogue Scale ( VAS ) * Did not receive any other form of neck treatment during the previous month. Exclusion Criteria: * Presence of cardiopulmonary disease , the application process requires the subject to be in prone position to expose the area of treatment, this position is un-preferable for cardiopulmonary patients * History of neck surgery * Trigger point treatment in the last 30 days * Any contraindications for dry needling such as local infection, skin disease ,severe postural disorder , tumor , rheumatoid arthritis, cervical spine stenosis and bilateral upper extremity symptoms * pregnancy