Review question / Objective: There are multiple interventions for management or prevention of myofascial pain syndrome including nonsteroidal anti-inflammatory drugs, meditation, stretching, massage, acupuncture.Transcutaneous electrical nerve stimulation (TENS) is a noninvasive, safe, and costeffective modality suitable for relieving myofascial pain.However, the systematic review concerning TENS on myofascial pain syndrome was few and containing too old literatures.However, there were several RCTs concerning this topic recent years.Therefore, this study was designed to analyze the effect of TENS on myofascial pain syndrome.Condition being studied: Myofascial pain syndrome is characterized by trigger points in the muscles, causing pain and decreased range of motion.Myofascial pain syndrome appears to be initiated by trauma, tension, inflammation, coldness, and other unknown factors.Myofascial pain syndrome is related to motor dysfunction, fatigue, weakness of the affected muscle, and restricted range of mobility.