Dry Needling and Therapeutic Exercise on Sleep in Individuals With Chronic Neck Pain and Sleep Disturbance

Inclusion Criteria: * Neck pain lasting greater than 3 months 28,29 * Age: 18-75 years * Presence of sleep disturbance - to be defined as a score ≥ 8 on the Insomnia Severity Index * Ability to understand study procedures and to comply with them for the entire length of the study Exclusion Criteria: * Previous surgery to the neck or thoracic spine * Central nervous system disorders * Systemic joint disease (e.g. rheumatoid arthritis) * Infection * Cancer * Raynaud's disease * Pregnancy * Immunocompromised disease (e.g., diabetes mellitus, HIV, AIDS, lupus) * Insufficient English-language skills to complete all questionnaires. * Contraindications to dry needling: * Presence of needle phobia * History of abnormal reaction to needling or injection * History of bleeding disorder (e.g., current anticoagulant therapy or known thrombocytopenia)