Hi, thanks for sharing your health concerns with HCM! Well, If I were your treating Doctor for this case of neck knots, I would come up with three possibilities, these include: 1. lymph nodes due to some chronic disorder like chronic medication, head, neck, nose, ear, throat, mouth or axillary infection, low grade fever, viral fevers, tuberculosis, lymphoma or even malignant diseases in elderly people! 2. The second possibility is of benign and simple conditions like lipoma or neurofibroma or dermatofibroma; there is nothing to worry about these! 3. The last possibility is of sebaceous cyst or some other cysts like parasitic cyst! Could be some muscular or stromal nodules also... A prescription of Valium would not help the anxiety and the muscle spasms! I suggest you to go for an FNAC of the knots for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.