Algoritma Tata Laksana Cervical Myofascial Pain Syndrome dengan obesitas
Cervical MPS
                                      Confirmed by Anamnesis and Physical Examination
                                    MTrPs Regional Pain + Obesity dan Forward Head Posture
                               Chronic MPS                                                                           Acute MPS
     Mild Pain (VAS 1 -3)                            Moderate to Severe Pain (VAS 4 - 10)
                                                                                                              Education (Postural Correction
                                                                                                              Therapy)
  Education (Postural Correction                   Education (Postural Control)
   Therapy)                                        Exercise                                                  Exercise
                                                                                                              o Neck Exercise (strengthening
 Exercise                                         o Neck Exercise (stretching to relieve pain)
                                                   o Aerobic Exercise                                            and stretching)
  o Neck Exercise (strengthening
                                                  Massage                                                    o Aerobic Exercise (Weight
     and stretching)
                                                                                                                 Control exercise)
  o Aerobic Exercise (Weight                      Modality Treatment (LLLT, US, and TENS)
                                                                                                              Massage
     Control exercise)                            Pharmacotherapy (muscle relaxant, NSAID,
 Massage                                           benzodiazepine, TPI with corticosteroid,                  Pharmacotherapy (VAS > 4)
 Refer to nutritionist                             lidocaine patch)                                          Refer to nutritionist
        Pain Relieved
                                                Pain Improvement           Pain Did Not Improve
     *Evaluation of TrP and Pain                                            Deep Dry Needling
     3 weeks post dry needling
                                                                           Pain Improvement*