Inclusion Criteria:  diagnosed with myofascial pain syndrome according to the criteria defined by Simons et al. aged between18-65 having typical myofascial pain symptoms for at least 3 months  Exclusion Criteria:  presence of cervical radiculopathy, cervical myelopathy, severe dyscal or bony degeneration presence of a history of neck trauma or surgery in the last year presence of trigger point injection for myofascial pain syndrome treatment in the last 3 months presence of cognitive impairment, malignant hypertension, G6PDH (Glucose 6- Phosphate Dehydrogenase) deficiency, Graves' disease, chronic recurrent pancreatitis attack, severe thrombocytopenia (platelet value <50,000 / microliter), cerebrovascular disease in which bleeding is active presence of systemic diseases such as fibromyalgia, inflammatory diseases such as rheumatoid arthritis, polyneuropathy, coagulopathy. presence of pregnancy and breastfeeding