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Answer Wiki. Some knots can come out within a couple minutes. Others never come out. I've had extreme back and neck pain for the past year and a half, most of it just tension in my muscles. I've had numerous massages, taken other treatment, all to no avail.
Thatâs your muscle knot right there, and the effect can be anything from mild discomfort to intense pain. Even if we arenât 100% sure what causes muscle knots, we do know for sure how to identify them. Muscle knots are: Pain that occurs in the fascia or skeletal muscle.