A musculoskeletal ailment known as myofascial pain is characterised by discomfort in the region of a muscle in the body as well as the fascia, or surrounding connective tissue. In addition to being local or regional, the pain may have several trigger locations. Trigger points are extremely sensitive, touch-sensitive muscle foci that radiate pain throughout the surrounding tissue.                                 

   These are tiny, sensitive spots in the muscle that, either on their own or in reaction to compression, produce a local twitch response and pain in a distant area known as the “referred pain zone”.                                                                                                                                                            

             The muscles in the neck, shoulders —such as the trapezius, scalene, sternocleidomastoid, levator scapulae, —are frequently impacted. The cause of the discomfort, which can be either acute or chronic, is either muscle injuries, postural abnormalities, or overuse.

              A patient with myofascial pain syndrome mainly attended in clinics with:-

      1.Severe discomfort in certain muscle locations

      2. Pain that increases with stretching or straining the injured muscle

      3.  Pain that worsens over time or does not go better with the presence of excruciating knots in    the muscles                                                                                      

      4. When pressed, cause excruciating localised or referred pain weak, stiff, inflexible,                     

       5. with a reduced range of motion of the affected joint, mood or sleep disturbances

              Palpation is the basic method of diagnosis . Therefore, history and clinical examination play an important role in identifying trigger points in MPS.