What Exactly are Muscle Knots?

health wellness

The phenomenon of muscle knots is not uncommon. Essentially, muscle knots are sections within the various muscles of the body that have constricted and create pain that is consistent. The condition is common enough to merit the application of a scientific name, which is myofascial trigger points. While there is not currently a definitive medical explanation as to why muscle knots form, several theories are undergoing testing. Here is some information about the nature of the muscle knot, as well as some of the treatment methods that are in use today.

The generally accepted answer to why muscle knots form is that something triggers a reaction where the muscle never relaxes. In effect, the muscle is always in a state where it appears to be actively rather than passively in use. This is unusual, since even with such activities as weight lifting, running, or any type of heavy lifting the muscle goes through a series of off and on cycles. The constant active condition of the muscle leads to muscle spasms, which in turn acts as the root cause the muscle knot.

Surgically removing a portion of muscle knots has led to the discovery of the presence of unusual deposits of protein within the tissue. There is also a theory that an excessive amount of connective tissue surrounding the muscle may also contribute to the development of muscle knots. However, very little research has been done on the matter of connective tissue, so most doctors do not recognize that as a contributing factor in the development of a myofascial trigger point.

There are several recommended treatments for muscle knots. Some involve the application of massage therapy to calm the knots. While massaging the knot may be somewhat painful during the process, there are reports of a temporary easing of the muscle spasm process. Other treatments involve the application of hot or cold packs to the muscle knots, as a means of helping the muscle to relax. Electrical stimulation, as well as ultrasound treatments are also common ways to deal with muscle knots.

At present, there does not seem to be any one effective means of eliminating the presence of muscle knots, although different people respond to one or more of these treatments over time. While it is rare, there are reports of muscle knots disappearing during treatments. However, in most cases, treatments are more focused on managing the condition, rather than eliminating the presence of the muscle knots.

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New: Discuss this Article

Posted by: anon14850
Yes this pain is very common and I have read information which states that this pain is autoimmune. The problem is very common and when I went to the doctor they wanted to do surgery.

So I said goodbye and went home to stretch and followed the advice of the web site and I got better. I gave up my health insurance and for 100 dollars a year I am under the care of a remote consultant at the web site.

Posted by: anon14300
I have those "crunchy" spots too. They almost feel like stringy tendons when you rub across them, although I know I have no tendons there. I have had them in various spots on my back. The only thing that seems to help is a deep tissue massage. I don't know if anything is causing them, except that they do coincide with some stress I've been going through. Have you guys had stress lately as well?

Posted by: anon13990
I have the crunchy knots by my shoulder blades too. I bought a Iknead from brookstone and that beast does some real damage to it. I can also rotate my shoulder backwards and if I angle it just right I'll crunch that knot right out. Now I have to figure out how to get rid of the pain i have near my tailbone. I kinda want to hang upside down and let my weight drop from my feet I bet that would work. I'll let you know!
Posted by: anon13611
I've been a practicing Massage Therapist for 3 years now. Many times these "knots" are just latent trigger points. They can stimulated by sudden unexpected exertion, excessive heat/cold, lack of or over use, over stretching or over contraction, and to a lesser extent- stress and dehydration. If it is in your abdomen, I wouldn't be too alarmed. You may just want to try a different method of abdominal work. I will always and forever suggest pilates. It works the core to create balance through the body. The AbGlide that you are using is actually a very advanced technique that TV commercials have managed to make easy for everyone. Hope this helps.
Posted by: jayqboy
I have had an issue with a very sore spot in my muscle in my back, just over the shoulder blade. When I rub it, it feels for lack of a better term, "crunchy". It's like a spot of muscle is very hard and cracks and pops under your fingers as you rub. If someone intensely and deeply rubs it (very painful but with the aid of a hard rubber ball works very well) it will relax a bit, but always comes back in a few days. I just started working out last January and about a week ago I strained the area below my neck, right next to the spot. Now I'm getting concerned that I'm not going to be able to work out like I normally do because my back has been sore for about a week now. The "Crunchy" spot still causes the most issues. Has anyone ever had this or heard of it before?
Posted by: pwc1234
If you have a specific muscle problem like in the piriformis, you should try Active Release Technique (A.R.T.). Its very well known in the sports world. Its a hands on treatment method, somewhat like massage, but involves movement and is far for effective in treating muscle knots. Many chiropractors do A.R.T. but its not limited to chiropractic and some massage therapists are certified in it as well.
Posted by: anon9992
First off, i'm a 27 yr old male. I have had a muscle knot in the left thoracic portion of my back since sept of '07. The injury originated from painting a ceiling for 4 hours. I have had an xray and MRI done on my spine and found nothing thus far. The only medication/s i've found to work are 1000mg of aspirin, 2x daily and recently i've found 1mg clonazepam daily to work wonders. I must have this in order to do my job and all I do is accounting work at a desk all day! I took the aspirin for 3 straight months daily and it tore me up inside. My doc told me it was "ok" to take that much. The clonazepam has been working great for two weeks so far. If you can get your doc to prescribe it, it works great for me, but does have side effects. My insurance through my company is just going to start next week, thus far i've been paying out of pocket so maybe I can find out more down the road and update. This has been a horrible problem for me and i've just started to believe that it is an active trigger point. Good luck and feel better.
Posted by: mdt
Massage therapy seems to be the main course of treatment other than surgery. Keep in mind the massage therapy can take several forms, including use tools such as tennis balls or massage sticks as part of the treatment. If massage or electrical stimulation therapy to relax the knots does not work, surgery may be the best option. Discuss with your doctor.
Posted by: anon9009
I have stress knots on both sides of my neck. They get smaller by massage but never completely go away. Sometimes they hurt really bad and my neck feels tense. Taking a warm bath and getting a massage helps sometimes. Is there a permanent cure?
Posted by: anon7910
i get muscle knots in my back. i usually get them after i sleep in a wrong spot or walking home carrying a heavy bookbag. i am only 16 and i get them all the time. i usually have my mom press real hard on the muscle knot over and over and it eases it away but it hurts really bad while she is doing it.
Posted by: anon5344
I have a muscle knot/spasm in my gluteal region. At first I thought it was a bump and had gone through and MRI and Ultrasound to diagnosis and nothing was found. I had a pelvic exam and they discovered my Piriformis muscle is in a knot. I have gone through PT, Acupuncture and now getting massages and it is like I am sitting on a rock. It is so stubborn. the last Masseuse was so shocked at the size of the knot. I just don’t know if it will go away. Any suggestions?
Posted by: anon4180
I have got the muscle knot in the middle area of stomach by overdoing he AbSlider machine. It is not painful though but its been there now for a while?

What should I do?


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