A Study of the Combination of Electrical Stimulation and Dysport® in Myofascial Pain Syndrome.

Inclusion Criteria

• •Chronic neck and shoulder pain for at least 6 months, refractory with other conservative treatments
• •Presents at baseline with pain score greater than 50mm on 100mm length VAS. Pain score will be measured as overall pain over the 7 days preceding the visit during activities
• •Active trigger point (TrP) defined as a tender spot localised in a taut band of muscle fibres associated with tenderness AND referred pain recognised by the patient into well-defined areas that are remote from the TrP area at palpation AND preferably local twitch response at palpation AND/OR jump sign at palpation