疼痛問題的處理是針灸療法的強項，不僅收效迅速，且隨病程階段的不同，而有不一樣的取穴方式。在取穴部位而言，不外乎是局部取穴、鄰近取穴、遠處取穴等三類，而其各有優缺點。頸肩部肌筋膜炎其臨床表現與落枕十分相似，都有肌肉疼痛、活動障礙、保護性僵直的情形，因此常被施以推拿或復位的手法，導致出現病情加劇或遷延不癒的狀況。本病患頸肩部肌筋膜炎患者,在不增加局部活動刺激的原則下，治療上先以遠處取穴為主，得到令人滿意的療效。

Acupuncture treatment is good at pain management. Not only does effectively and efficiently reducing pain, but also has the dissimilar acupoint selection way along with different course stage. The location of acupoints only can be made through local point selection、nearby point selection or distant point selection, but each have different functions.
The clinical manifestation of neck-shoulder myofascitis is similar with stiff neck,has muscle pain in neck and shoulder、activity controlled and protecting stiffness. It is often served with the tuina or the replacement technique, therefore. And the ailment of patient wound become more serious, with delayed or relapsed effect.This is a neck-shoulder myofascitis patient. In order not to increase the local ailment stimulation, the treatment primary for the patient is distant acupoint selection.And it obtains the satisfying curative effect first.