Background: Hypertension is a health problem that can cause various complaints, including neck pain. Neck pain can reduce comfort and interfere with daily activities. Chinese pepper (Peperomia pellucida) can be used as a complementary therapy to help reduce pain. Objective: This study aimed to determine the effectiveness of Chinese pepper (Peperomia pellucida) topical application in reducing neck pain among patients with hypertension in the working area of UPTD Puskesmas Tabanan III. Methods: This study used a pre-experimental design with a one group pretest-posttest design. The sample consisted of 52 patients with hypertension who experienced neck pain and were selected using purposive sampling. Pain intensity was measured using the Numeric Rating Scale (NRS). Chinese pepper topical application was applied to the painful neck area for 20 minutes and administered for 2 consecutive days. Results: The results showed that the mean pain intensity decreased from 5.35 before the intervention to 2.94 after the intervention. The median decreased from 5.00 to 3.00, while the mode decreased from 5 to 3. The Wilcoxon test showed a p-value of 0.000 (p < 0.05) with a Z value of -6.105. These results indicate a significant difference in neck pain intensity before and after the administration of Chinese pepper topical application. Conclusion: Chinese pepper (Peperomia pellucida) topical application was effective in reducing neck pain intensity among patients with hypertension in the working area of UPTD Puskesmas Tabanan III.
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