Mechanical neck pain is one of the most common musculoskeletal disorders among adults. It is characterized by pain and stiffness in the cervical region, often related to poor posture, repetitive movements, or prolonged sitting. The condition can lead to functional limitations and decreased quality of life.
This randomized controlled clinical trial aims to evaluate the effectiveness of dry needling therapy on pain intensity, cervical range of motion, and functional ability in patients with mechanical neck pain. Forty participants aged 25 - 65 years will be randomly assigned to two groups. Group A will receive dry needling combined with neck exercises, while Group B will receive transcutaneous electrical nerve stimulation (TENS), ultrasound, and the same neck exercise program. Both groups will undergo treatment three times per week for four weeks.
Primary outcomes include changes in the Neck Disability Index (NDI), pressure pain threshold (PPT) measured by algometer, and cervical range of motion (CROM). The study will determine whether dry needling provides superior clinical improvement compared with conventional electrotherapy and exercise.
Who can participate
Age range
25 Years – 65 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Medically stable individuals who provide written informed consent to participate in the study.
* Age between 25 and 65 years.
* Both male and female participants.
* Patients diagnosed with mechanical neck pain lasting more than three months.
* Presence of myofascial trigger points in the upper trapezius or cervical muscles confirmed by palpation.
* Ability to follow treatment instructions and attend all scheduled sessions.
Exclusion Criteria:
* History of neck surgery or cervical spine fracture.
* Previous dry needling or invasive therapy for neck pain in the past six months.
* History of neurological disorders (e.g., cervical radiculopathy, myelopathy).
* Current acute infection, skin disease, or open wound in the neck or shoulder region.
* Use of anticoagulant medication or any bleeding disorder.
* Pregnancy or suspected pregnancy.
* Any systemic illness (e.g., diabetes mellitus, rheumatoid arthritis) that may affect healing or pain perception.
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Change in Neck Disability Index (NDI)
Timeframe: Baseline and after 4 weeks of treatment
2
Change in Pressure Pain Threshold (PPT)
Timeframe: Baseline and after 4 weeks of treatment
3
Change in Cervical Range of Motion (CROM)
Timeframe: Baseline and after 4 weeks of treatment