Effectiveness of Myofascial Release for Upper Trapezius Myofascial Pain: A Systematic Literature Review
DOI:
https://doi.org/10.23917/fisiomu.v7i3.20440Keywords:
Myofascial release, Myofascial pain syndrome, Upper trapezius, Myofascial trigger point, Neck pain, Pressure pain thresholdAbstract
Introduction: Myofascial pain in the upper trapezius is one of the causes of neck pain, often associated with myofascial trigger points, tenderness, stiffness, restricted cervical movement and reduced function. Myofascial release (MFR) is a physiotherapy intervention aimed at reducing soft tissue restrictions and modulating pain; however, its effectiveness still varies due to differences in technique, intervention dosage, population characteristics, and comparison groups. This review aims to analyse the effectiveness of MFR on pain, pressure pain threshold (PPT), cervical range of motion (CROM), neck disability, and function in individuals with upper trapezius myofascial pain. Methods: A literature review was conducted via a structured search of publications from 2021 to 2026, adhering to the PRISMA principles, through PubMed/PMC, Google Scholar, publishers’ websites, and a search of relevant references. A total of ten core publications, comprising clinical trials, randomised controlled trials, and systematic reviews/meta-analyses, were narratively synthesised as the primary basis for the analysis, whilst additional sources were used to strengthen the methodological context and discussion. Results: The results of the synthesis indicate that MFR is generally associated with a reduction in pain intensity, an increase in PPT, improvements in CROM, neck disability, and several aspects of function, particularly in the short term. However, the evidence regarding the superiority of MFR over other interventions such as IASTM, trigger point release, dry needling, or stretching remains inconsistent. Variations in MFR techniques, therapeutic dosage, the use of co-interventions, subject characteristics, follow-up duration, and differences in measurement instruments have led to study heterogeneity, which limits the certainty and generalisability of the results. Conclusion: MFR may be considered as one of the non-invasive interventions within a multimodal rehabilitation approach; however, further research is required with more standardised protocols, clearly defined comparison groups, and longer follow-up periods.
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Agarwal, S., Bedekar, N., Shyam, A., & Sancheti, P. (2024). Comparison between the effects of instrument-assisted soft tissue mobilisation and manual myofascial release on pain, range of motion and function in myofascial pain syndrome of the upper trapezius – A randomised controlled trial. Hong Kong Physiotherapy Journal, 44 (1), 57–67. https://doi.org/10.1142/S1013702524500069
Bagheri, R., Taghizadeh Delkhoush, C., Mirmohammadkhani, M., Safavi Farokhi, Z., & Bakhshi, S. (2022). Comparison of dry needling and inhibitory Kinesio taping in the treatment of myofascial pain syndrome of the upper trapezius muscle: A randomised controlled trial. Journal of Chiropractic Medicine, 21 (1), 23–31. https://doi.org/10.1016/j.jcm.2022.01.003
Bali, F., & Aras Bayram, G. (2024). Effects of myofascial release technique in patients with unilateral cervical radiculopathy: A single-blind randomised clinical trial. Explore, 20 (5), 102981. https://doi.org/10.1016/j.explore.2024.01.007
Chen, Y., Sun, Y., Ai, S., & Wang, Q. (2025). Comparison of dry needling with physical modalities for myofascial trigger points in patients with neck pain: A systematic review and meta-analysis. Journal of Bodywork and Movement Therapies, 45 , 493–501. https://doi.org/10.1016/j.jbmt.2025.08.015
Creswell, J. W. (2014). Research design: qualitative, quantitative, and mixed methods approaches. SAGE Publications.
Cumpston, M. S., Brennan, S. E., & McKenzie, J. E. (2021). The use of ‘PICO for synthesis’ and methods for synthesis without meta-analysis: protocol for a survey of current practice in systematic reviews of health interventions [version 2; peer review: 2 approved]. 1–26.
Fajriah, K., Amallia, F. R., & Handayani, D. R. S. (2024). Effect of Upper Trapezius Myofascial Release Therapy on Neck Functional Ability in Teachers Aged 30–60 Years at SMPN 41 Bekasi City in 2024. Journal of Resilient and Sustainability for Health, 1 (1), 30–39. https://ejournal.upnvj.ac.id/jrsh/article/view/9593
Geri, T., Botticchio, A., Rossettini, G., Pournajaf, S., Pellicciari, L., Di Antonio, S., & Castaldo, M. (2022). Pressure Pain Threshold of the Upper Trapezius Trigger Point: A Systematic Review with Meta-Analysis of Baseline Values and Their Modification after Physical Therapy. Journal of Clinical Medicine, 11 (23), 7243. https://doi.org/10.3390/jcm11237243
Guo, Y., Lv, X., Zhou, Y., Li, Z., She, H., Bai, L., & Bao, J. (2023). Myofascial release for the treatment of pain and dysfunction in patients with chronic mechanical neck pain: Systematic review and meta-analysis of randomised controlled trials. Clinical Rehabilitation, 37 (4), 478–493. https://doi.org/10.1177/02692155221136108
Hidayati, N. P. N., & Wardana, A. P. (2023). Myofascial Pain Syndrome of the Upper Trapezius Muscle: Different Effects of Myofascial Release and Stretching on Pain. Journal of Nursing and Physiotherapy (JKF), 5 (2), 287–294. https://doi.org/10.35451/jkf.v5i2.1576
Iakovidis, P., Lytras, D., Kasimis, K., Koutras, G., Kottaras, A., Chasapis, G., Ntinou, S. R., Kostoglou, A., & Kotsi, E. (2023). Efficacy of Myofascial Release With Transcutaneous Electrical Nerve Stimulation Conductive Glove for Neck Myofascial Syndrome: A Randomised Clinical Trial Study. Journal of Manipulative and Physiological Therapeutics, 46 (5–9), 254–270. https://doi.org/10.1016/j.jmpt.2024.02.008
Joshi, A., Jawade, S., & Chitale, N. (2022). Effectiveness of Myofascial Release (MFR) versus High-Frequency Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Relief and Functional Improvement in University Students with Trapezius Myalgia. Cureus, 14 (10), e29898. https://doi.org/10.7759/cureus.29898
Khan, N., Ghai, T., Kashyap, R., Bhat, P., Ahmad, F., Iqbal, A., Alghadir, T., Alghadir, F., Anwer, S., & Alghadir, A. H. (2026). Comparative efficacy of myofascial release versus stretching combined with high-powered pulsed therapeutic ultrasound in amateur overhead athletes with active trapezius trigger point pain: a randomised clinical trial. BMC Sports Science, Medicine and Rehabilitation, 18 , 89. https://doi.org/10.1186/s13102-025-01474-y
Khan, Z. K., Ahmed, S. I., Baig, A. A. M., & Farooqui, W. A. (2022). Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, ROM and QoL in the management of non-specific neck pain: a randomised controlled trial. BMC Musculoskeletal Disorders, 23 (1), 567. https://doi.org/10.1186/s12891-022-05516-1
Lew, J., Kim, J., & Nair, P. (2021). Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome: a systematic review and meta-analysis. Journal of Manual & Manipulative Therapy, 29 (3), 136–146. https://doi.org/10.1080/10669817.2020.1822618
Martín-Sacristán, L., Calvo-Lobo, C., Pecos-Martín, D., Fernández-Carnero, J., & Alonso-Pérez, J. L. (2022). Dry needling of active or latent trigger points in patients with neck pain: a randomised clinical trial. Scientific Reports, 12 (1), 3188. https://doi.org/10.1038/s41598-022-07063-0
Mittal, S., & Sharma, S. (2024). Effect of myofascial release and muscle energy technique on patients with chronic neck pain: a scoping review. Physical Activity and Nutrition, 28 (1), 45–51. https://doi.org/10.20463/pan.2024.0007
Öcalan, M. Ç., Ay, S., & Günaydın, E. B. (2025). Myofascial release therapy in patients with cervical myofascial pain syndrome: A randomised controlled trial. Turkish Journal of Physical Medicine and Rehabilitation, 71 (4), 574–586. https://doi.org/10.5606/tftrd.2025.16433
Overmann, L., Schleip, R., Anheyer, D., & Michalak, J. (2024). Effectiveness of myofascial release for adults with chronic neck pain: a meta-analysis. Physiotherapy, 123 , 56–68. https://doi.org/10.1016/j.physio.2023.12.002
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. The BMJ, 372 . https://doi.org/10.1136/bmj.n71
Shewail, F., Abdelmajeed, S., Farouk, M., & Abdelmegeed, M. (2023). Instrument-BMC Musculoskeletal Disorders, 24 , 457. https://doi.org/10.1186/s12891-023-06540-5
Stieven, F. F., Ferreira, G. E., de Araújo, F. X., Angellos, R. F., Silva, M. F., & da Rosa, L. H. T. (2021). Immediate Effects of Dry Needling and Myofascial Release on Local and Widespread Pressure Pain Thresholds in Individuals with Active Upper Trapezius Trigger Points: A Randomised Clinical Trial. Journal of Manipulative and Physiological Therapeutics, 44 (2), 95–102. https://doi.org/10.1016/j.jmpt.2020.07.003
Suresh, A., Chandra, R. L. A., & Mohan, P. (2021). A Comparative Study on the Effects of Trigger Point Release versus Myofascial Release for Myofascial Trigger Points of the Upper Trapezius in Smartphone Users. International Journal of Scientific Advances, Special Issue 1, 10–16. https://www.ijscia.com/full-text-special-issue-1-apr-2021-10-16/
Tehrani, M. R., Nazary-Moghadam, S., Zeinalzadeh, A., Moradi, A., Mehrad-Majd, H., & Sahebalam, M. (2022). Efficacy of low-level laser therapy on pain, disability, pressure pain threshold, and range of motion in patients with myofascial neck pain syndrome: a systematic review and meta-analysis of randomised controlled trials. Lasers in Medical Science, 37 (9), 3333–3341. https://doi.org/10.1007/s10103-022-03626-9
Valera-Calero, J. A., Sánchez-Jorge, S., Buffet-García, J., Varol, U., Fernández-de-las-Peñas, C., & Álvarez-González, J. (2023). Changes in stiffness at active myofascial trigger points of the upper trapezius after dry needling in patients with chronic neck pain: a randomised controlled trial. Acupuncture in Medicine, 41 (3), 121–129. https://doi.org/10.1177/09645284221104831
Xu, A., Huang, Q.-M., Rong, J.-F., Wu, X., Deng, M., & Ji, L.-J. (2023). Effectiveness of ischaemic compression on myofascial trigger points in relieving neck pain: A systematic review and meta-analysis. Journal of Back and Musculoskeletal Rehabilitation, 36 (4), 783–798. https://doi.org/10.3233/BMR-220045
Yadav, R., & Sharma, S. (2024). A Comparison of Myofascial Release and Positional Release in Conjunction with Static Stretching for the Treatment of Upper Trapezius Trigger Points among University Students: A Pilot Study. Journal of Clinical and Diagnostic Research, 18 (3), 114. https://doi.org/10.7860/JCDR/2024/75520.20031
Zutshi, K., Verma, P., & Hazari, A. (2021). Effectiveness of myofascial release in improving pain, pain pressure threshold and disability as compared with standard care in upper trapezius myofascial trigger points. Indian Journal of Physiotherapy and Occupational Therapy – An International Journal, 15 (3), 37–44. https://doi.org/10.37506/ijpot.v15i3.16161
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