Impact of Integrating Dry Needling and Myofascial Release for Upper Trapezius in Idiopathic Mechanical Neck Pain
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Abstract
Mechanical neck pain (MNP), frequently linked to upper trapezius trigger points, causes pain and functional limitations. Dry needling (DN) and myofascial release (MFR) are effective interventions, yet their relative and combined efficacy require clarification. To evaluate the effects of DN, MFR, and their combination on pain, function, and cervical range of motion (ROM) in patients with MNP. Sixty participants (aged 21–35 years) with chronic MNP were randomized into three groups: DN + MFR (n = 20), DN (n = 20), and MFR (n = 20). Interventions were applied twice weekly for four weeks. Pain intensity (Visual Analog Scale – VAS), functional disability (Neck Disability Index – NDI), and cervical ROM were measured at baseline, two weeks, and four weeks. All groups showed significant improvements over time (p < 0.05). DN achieved the most rapid pain reduction by Week 2, whereas MFR produced greater ROM gains by Week 4. Functional disability decreased significantly across groups, with DN showing faster early recovery and MFR sustaining long-term benefits. The combination group demonstrated balanced outcomes, yielding both effective pain relief and improved mobility. DN provides early pain relief, MFR enhances long-term flexibility, and their combination offers complementary benefits. Integrating DN with MFR may optimize treatment outcomes in mechanical neck pain
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