Inclusion Criteria:  diagnosed with neck and / or back pain diagnosed with MPS had a taut band on the trapezius muscle and at least one active trigger point  Exclusion Criteria:  Diagnosed with fibromyalgia, had systemic disease, significant cervical disc lesion / radiculopathy / myelopathy, had trigger point injection in the last 6 months, had neck or shoulder surgery in the year before being included in the study, was pregnant, received anticoagulant therapy, used aspirin in the last three days, and with the cognitive dysfunction patients