Background Suboccipital myofascial trigger points are a common cause of neck pain, muscle tightness, tenderness, and functional discomfort. Prolonged poor posture, repetitive activities, and muscular strain contribute to the development of trigger points in the suboccipital muscles. Various physiotherapy interventions are used for the management of myofascial trigger points, among which Hold Relax Technique is considered effective in reducing muscle spasm and improving muscle flexibility.