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If you have been working with an area and are not seeing improvements it would be beneficial to see someone.
There could be more going on with it.
You need to identify what is causing the knot happen.
Addressing the knot is one part of it, but if you don’t address the cause of the knot it will continue to show up.
It will improve for some time after addressing the symptom (the knot).
Look upstream and downstream of the knot to identify where issue originates.
As Kelly has noted “Remember, you are a system of systems. Don’t stop hunting till you find the problem”
Mobilize long enough to make change,
Work on an area until you stop seeing change.