Inclusion Criteria:  60 women aged 20-50 years with a diagnosis of myofascial pain syndrome  Exclusion Criteria:  Cervical radiculopathy, cervical degeneration, neck surgery or trauma in the last year, injection history for myofascial pain syndrome in the last 6 months, cognitive impairment and fibromyalgia, rheumatoid arthritis, hypothyroidism, diabetes mellitus