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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.
Such a postural imbalance may lead to the formation of muscle knots or tension knots in the neck or upper back. Given below is some information on what causes knots in neck along with the treatment options.