Inclusion Criteria:  Being over the age of 18 Have at least one active trigger point Have not previously undergone local injectable anesthetic blockage or acupuncture, Complaining of pain for the last three months Getting a diagnosis of MPS  Exclusion Criteria:  Patients with infectious skin disease, Using analgesic and antidepressant medication, A history of major trauma or surgical intervention, Mini Mental State Examination (MMSE) score ≤ 24 according