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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.
Depending on the grade, pulled muscles can take one to eight weeks to heal. For the first 72 hours, apply ice, use elevation and, in consultation with a doctor, take anti-inflammatory medication. After 72 hours, use hot packs to bring blood into the muscle and provide nourishment, which accelerates healing.