Shoulder impingement syndrome can be defined as a collection of symptoms and signs in the shoulder caused by pathology within the intrinsic or extrinsic that cause pinching in the narrowed space between the acromion and the head of the humerus. Myofascial pain yndrome can occur because of shoulder impingement syndrome. We report a 66-year-old male patient who presented with complaints of limited motion in the right shoulder area accompanied by pain to a medical acupuncture clinic in Jakarta, Indonesia, in 2024. Leopard spot technique manual acupuncture was performed at the palpable myofascial trigger point area in each therapy session. After multiple sessions, the patient experienced a reduction in the NRS scale, improvement in range of motion in shoulder, increased pressure using an algometer and improvement in Shoulder Pain and Disability Index scores without side effects. Therefore, manual acupuncture using Leopard spot technique may effectively improve shoulder motion limitations in shoulder impingement syndrome accompanied by myofascial pain syndrome. © 2025 Published by Sultan Qaboos University Sultan Qaboos University Medical Journal.