I’ve got a right knot in this muscle and the only way to get it out is to dig right into it! So what this would be called is a myofascial pain syndrome, which is when “knots” or painful tension are present in muscle tissue. These can be caused through postural strain, overuse or even from unknown causes such as Fibromyalgia. Now you can ease these trigger points with various techniques but how effective is exercise in relieving myofascial trigger points?