Brief Answer: An anti inflammatory and some massage theapy neede Detailed Answer: Hi XXXXXX ! Good evening. I am Dr Shareef answering your query. The feeling of knots are usually due to overworked muscles in our body. If I were your treating doctor, I would do a general physical examination to rule out any organic problem for your symptoms including a blood pressure measurement. Once I am sure about no serious condition, I would prescribe you with an anti inflammatory drug along with some kind of massage and hot fomentation by a physiotherapist. This should be able to relieve your symptoms. However, considering the nausea, lightheaded feeling and a feeling of flutter in the chest, I would also advise you to go for a routine cardiological check up as a base line although no such cardiac condition is normally expected in your age group. I hope this clears your query and doubt on your present condition.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

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