A Systematic Analysis Comparing the Efficacy of Deep Tissue Massage and Dry Needling Therapy for Patients with Upper Trapezius Trigger Points Linked to Neck Pain.

Abstract

Background: Neck pain is a common musculoskeletal issue, often caused by myofascial trigger points in the upper trapezius muscle. These trigger points lead to discomfort, reduced function, and can greatly affect daily activities.

Objective: This review examines how effective deep tissue massage (DTM) and dry needling therapy (DNT) are in relieving pain (measured by VAS and PPT) and improving function (measured by NDI) in patients with upper trapezius trigger points and neck pain related to myofascial pain syndrome (MPS).

Methodology: A thorough search of databases like PubMed, Scopus, Cochrane Library, and PEDro was conducted for studies published between January 2014 and December 2024. Only studies comparing DNT and DTM in adults (18-65) with upper trapezius trigger points and neck pain were included. Two reviewers assessed study quality using the PEDro scale and Cochrane Risk of Bias tool.

Results: According to the findings DTM was better at managing pain over the long term and gradually enhancing function, whereas DNT offered substantial pain reduction over the first 24 to 72 hours.

Conclusion: In summary, both treatment methods provide benefits, but dry needling has been shown to be more effective than deep tissue massage in treating myofascial pain syndrome.