Purpose: The aim of this study was to find the immediate effect acelofenac  gel  on pain threshold and range of motion which follows a single treatment of tender points in the upper trapezius muscle. Methods: 30 subjects presenting with upper trapezius muscles spasm, aged 20-30 years old, participated in this study. Subjects underwent a screening process to establish the presence of tender points in upper trapezius muscle. Subjects were divided randomly into 2 groups.

Group A = Acelofenac  gel and ultrasonic gel as coupling medium
Group B =  ultrasonic gel as coupling medium

Visual Analogue Scale and Range of Motion is assessed pre treatment and immediately post treatment.
Result: The p value of VAS (post treatment) and ROM (post treatment) in Group A 0.000. Conclusion:  ultrasound with acelofenac gel was better for immediate pain relive as compared to aqua sonic gel only

Keywords: Tender point; Phonophoresis; Ultrasound; Acelofenac gel.