Cervical myofascial pain is a common clinical condition in the daily practice of musculoskeletal physicians. Physical examination is currently the cornerstone to identify the myofascial trigger points, but the role of ultrasound examination in precisely localizing them is progressively mounting. Of note, while using ultrasound, not only the muscle tissue but also fascial and neural elements should be accurately assessed among the potential pain generators in myofascial pain syndrome. In this chapter, we briefly review the sonographic approach for cervical myofascial pain to better diagnose or guide different procedures that can be performed in clinical practice.