Inclusion Criteria:  Patients diagnosed with acute myofascial pain syndrome Patients between the ages of 20-50 Patients with pain for up to 5 days  Exclusion Criteria:  Patients diagnosed with fibromyalgia Patients with systemic disease Patients with prominent cervical disc herniation Patients with cervical arthrosis Patients with cervical radiculopathy and myelopathy Patients with myofascial trigger point injection in the past 6 months Patients who received physical therapy in the past 6 months Patients undergoing shoulder and neck surgery Patients with drug allergies