Inclusion Criteria:  Diagnosed cervical MPS Have cervical MPS for at least 6 months. Patients who has at least one trigger points on their cervical, back and shoulder muscles.  Exclusion Criteria:  Fibromyalgia diagnosed patients in reference to 1990 ACR criteria. Patients who has characteristic cervical disc degeneration, radiculopathy, myelopathy. Patients who has cervical fracture, tumor, infection, malign, psychiatric and systemic illness. Patients who had an operation because of cervical problem. Patients who is treated with another treatment technique at the same time. Being pregnant