The correct answer is that it is not well understood. Trigger points, collagen build up, and other alternative explanations given on this thread are working hypotheses at best and pseudoscience at worst. There is no scientific consensus to what causes and what relieves these kinds of focal myositis.
Decent reference: [https://en.wikipedia.org/wiki/Myofascial_trigger_point](https://en.wikipedia.org/wiki/Myofascial_trigger_point) Check out the controversy section
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