Comparing Efficacy of Dry Needling Combined with Passive Stretching and Muscle Energy Technique on Myofascial Trigger Points
Trial Parameters
Brief Summary
The goal of this clinical trial is to assess and compare the efficacy of dry needling (minimally invasive treatment by using a tiny needle) combined with two types of stretching techniques in patients with neck pain for more than 3 months. The main questions it aims to answer are: Which combination of treatment will 1.give faster relief of pain? 2.improve neck range of motion? and 3.improve disability level of a person with neck pain. Participants who are interested will be selected according to eligibility criteria. Participants will be divided into two groups. Initially researcher will assess and interview the participants. Two groups will receive two different combinations of interventions. Pre and post measurements will be obtained and then treatment efficacy will be assessed.
Eligibility Criteria
Inclusion Criteria: * Presence of neck pain for at least 3 months or more * Presence of trigger points in the upper trapezius muscle, either unilaterally or bilaterally * Age between 18 and 60 years Exclusion Criteria: * Having an ongoing infection or fever * Presence of shoulder pathology, such as tendinopathy, impingement syndrome, capsulitis, or bursitis * History of direct trauma to the shoulder or neck * Immunosuppressed individuals (e.g., those with cancer) * Pregnant or recently delivered * Diagnosis of fibromyalgia * History of previous neck or shoulder surgery * Previous local steroid injection or acupuncture * Any abnormality that restricts cervical range of motion (e.g., degenerative changes, cervical spine spondylolisthesis, disc protrusion, extrusion, or sequestration observed in MRI) * Uncontrolled diabetes mellitus * Needle phobia * Metal allergies * Cervical instability * Presence of local skin lesions or infections * Significant cognitive impairment or uncooperative be