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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.
1 What causes knots in your back. 2  How trigger points cause knots - and what they are. 3  How to relieve your knots naturally with steps you can start taking right away. 4  Why your back muscles are complaining.  How muscles in your neck can cause knots in your back.