Effectively treated trigger points should not come back. However, it's important to remember that for some patients, it is a recurring problem and treatment will not prevent new ones from forming if lifestyle and diet modifications are not initiated. Therefore, to help prevent the formation of new trigger points, regular exercise has been found to decrease stress, which is often a source of muscle tension and trigger points. Additionally, practicing good posture when sitting or walking can also prevent uneven muscle tone as well as the onset of muscle spasm and trigger points in the shoulder & neck muscles. Sitting improperly or slouching, for example in front of a computer terminal, can create muscle tension and shorten the muscles in your neck, triggering a muscle tension headache!