When must I seek immediate help with trigger point pain?

Need for relief. On a scale of 1 to 10, where 10 is the worst pain how does your pain rate? Does it improve with heat, exercise, ice all or none other. Once you improve it you need exercise to maintain your muscle tone and help maintain your feeling of good. Sometimes you can massage the trigger point and relive it. You can use stretching with spraying of cooling agent Ethyl Chloride spray.