Moist heat therapy versus ultrasound therapy as a post dry needling modality of the gluteus medius muscle

M.Tech.The term „myofascial‟ is derived from the word „myo‟ meaning muscle and „fascia‟ meaning connective tissue. Myofascial pain syndrome is a regional pain syndrome characterized by the presence of myofascial trigger points (Mense and Simons, 2001). The most crucial component of myofascial pain is muscle shortening from contracture (or „spasm‟). In fact, myofascial pain does not exist without muscle shortening. Prolonged shortening not only causes pain in the muscle but also physically pulls on tendons, thereby straining them and distressing the bone and joints they insert into and act upon (Gunn, 2002). Trigger points are most often discussed in the setting of myofascial pain syndromes, in which widespread or regional muscular pain is associated with hyperalgesia, psychological disturbance and significant restriction of daily activities (Huguenin, 2004)