Ask a PT Response: "An injection by itself will more than likely not be enough to help with "breaking up the knot". The addition of physical therapy with her treatment could prove more beneficial. Participation in physical therapy could include ultrasound/modalities, soft tissue mobilization, stretching, strengthening, postural training, joint mobilization, etc. The PT will conduct an evaluation and assesment and determine what may be the best plan of care specific to her needs. If she is able to see a PT, she really doesn't have much to lose and a lot to gain. Best of luck to your mother."