Background: It is believed that the origin of trapezitis is mainly mechanical. Theories suggest poor posture, poor ergonomics as primary prevailing causes for trapezitis. So instead of releasing tension in the muscle with the help of stretching we should release the fascia 7 holding those muscles which in turns releases the muscle tension. Objective: The aim of the study was to analyse the effects of myofascial release with ultrasound and exercises v/s ultrasound with stretching in patients with trapezitis. Material and Method: The study was conducted under the guidance of Department of Physiothearpy at the Pacific Medical University in Udaipur, Rajasthan, India. A total of 30 patients of Trapezitiswere included in the study. Patients were divided into two equal groups: 15 in each group. Group A patients were treated with Myofascial Release with Ultrasound and exercise. Group B patients were treated with ultrasound with stretching. Treatment duration was 20 to 30 minutes per sitting for 12 weeks. Result:A total of 30 patients of Trapezitiswere included in the study. Results showed that over all ‘t’ value for level of thirst between the Group A & Group B was 10.733 which was highly significant at p<0.001. The group A mean of was 2.53 whereas in group B was 0.93 and their mean difference was 1.600 which had greater improvement than other parameters. It is concluded that myofascial release, ultrasound and exercises was highly effective in reducing pain among patients with upper back pain. Conclusion:In conclusion, both myofascial activation with ultrasound and exercises and ultrasound and stretching have demonstrated efficacy in treating shoulder back muscle spasm in patients with low back pain. While myofascial activation with ultrasound and exercises showed positive results, ultrasound and stretching exhibited a greater impact on pain reduction and functional improvement.