Rhomboid Muscles myofascial pain syndrome is a regional pain syndrome wherein pain originates over the neck area and radiates down to the arm. this condition may present as primary or secondary to underlying cervical pathology. Although Rhomboid Muscles myofascial pain syndrome is a well-known medical entity, it is often misdiagnosed as being some other neck pain associated with radiculopathy, such as cervical disc prolapse, cervical spinal stenosis and thoracic outlet syndrome. because Rhomboids Muscles myofascial pain syndrome mimics cervical radiculopathy, this condition often leads to mismanagement, which can, in turn, result in persistent pain and suffering. in the worst-case scenarios, patients may be subjected to unjustiftable surgical intervention. because the clinical findings in rhomboids muscles myofascial pain syndrome are “pathognomonic”, clinicians should be aware of ways to recognize this disorder and be able to differentiate it from other conditions that present with neck pain and rediculopathy. We present unilateral rhomboids muscles myofascial pain syndrome that signiftcantly impaired the patients’ functioning and quality of life. This research serves to create awareness about the existence of the syndrome and to highlight the potential morbidity due to clinical misdiagnosis.