Myofascial pain is often caused by trigger points, areas in the soft tissue which have become ‘stuck’ together.
Trigger points can only be affected by PHYSICAL intervention. They will not respond to meditation, relaxation or positive thinking. Stretching muscles will not be specific enough to affect trigger points without a physical intervention first, such as a form of deep tissue massage or acupuncture. Hot and cold applications also, despite temporarily reducing pain, are not enough by themselves to bring about a change.
For dependable results, therapy needs to be applied directly to the trigger point. If it is long-term chronic muscular pain, the affected muscles and fascia may require several treatments before a change is brought about.