What causes my muscles to knot?

What are knots:

  • Muscle knots are points within a muscle where contracted fibers are unable to relax.
  • The dictionary is: “highly irritable localized spots of exquisite tenderness in a nodule in palpable taunt bands of muscle tissue.”
  • The medical term for muscle knots is myofascial trigger points.

Knots are thought to be caused by the building up of protein after the release of lactic acid.

Knots cause pain in two ways:

  • Active
    An active trigger point or knot is one that actively refers pain either locally or via nerve pathways to another location in the body.  Active trigger points are the one that clients are aware of and cause them to book to see a masseur.
  • Latent
    A latent trigger point is one that isn’t painful until pressure is applied to it.  This is when clients come to me and they find that during the massage they feel pain that they hadn’t felt before the treatment.

How can I prevent knots?

Occasional knots are inevitable, but if you get a lot of them it is worth considering the following

  • Your posture
  • Your potassium and calcium levels as both help to prevent knots
  • Being dehydrated doesn’t help
  • Your posture
  • Stretching may help release knots

How can I release knots?

If you didn’t manage to prevent knots you then need to consider how to release them.

  • To self-treat a muscular knot put a tennis ball in a sock (it makes it easier to hold on to the ball), simply place the tennis ball in the sock against either a wall or the floor and then press the part of your body with the knot on to it and move your body up and down.
  • As an alternative, you could apply a deep, stroking massage directly to the muscle knot.
  • The alternative is to visit a masseur.

 

Related Posts

  • How to increase the chances of a natural birth…

    Interventions during labour and childbirth are on the rise but a large proportion of pregnant women would like a natural birth but are concerned about pain relief.  Against this back drop, a recent randomised control trial looked at the effectiveness of a two day birth preparation course  in supporting natural birth. The birth preparation course attended by both the pregnant women and their birthing partners, covered the standard medical advice and self-administered complementary therapies including

    • visualisation, breathing, massage and yoga to enhance relaxation
    • yoga and acupressure to facilitate labour progression
    • breathing, yoga and acupressure to aid pain relief
    Those in the control group received the standard medical care advice.  In total 176 women took part in the trail. The results showed a reduction in the use of epidurals and caesarean section in the intervention group when compared to the control group. This trail shows clear evidence of the benefits of complementary therapies to support natural childbirth. Reference Levett KM, Smith CA, Bensoussan A, et al (2016). Complementary Therapies for Labour and birth study: a randomised control trial of antenatale integrative medicine for pain management in labour, BMJ Open 2016
  • How does NMT work?

    I previously explain what NMT or Neuromuscular Technique is.  In this blog post I want to focus on how NMT works. With NMT when the static pressure is applied to the muscle, a message is sent from the muscles (via the golgi tendons & the muscles spindles both of which are part of the nervous system) to the brain and then the muscle relaxes.  Within the muscles

    • Golgi tendons respond to load or force on the muscle
    • Muscle spindles respond to the length of the muscle
    The Golgi tendon operates as a protective feedback mechanism to control the tension of an active muscle by causing relaxation before the tendon tension becomes high enough to cause damage. As the muscle relaxes it may cause a change in length which causes the muscle spindles to be reset. There is a variety of ways that massage therapists utilise these mechanisms within a massage to trigger the body's self protection system to relax muscles.
  • The Impact of Sitting All Day – Part 1

    For most people know they sit all day as part of their job.  Recently there has been a spate of article in the press about the impact of sitting all day, so I wanted to take some time to look at the impact of sitting all day.

    Sit up Straight

    I want to start this series of articles on a positive note, as most of my clients have to sit to work, the negative impact of sitting is minimised if you sit correctly. As your Mum always said, "Sit up straight", i.e.
    • Not leaning forward
    • Shoulders relaxed
    • Arms close to sides
    • Elbows bent 90°
    • Lower back should be supported
    • Feet flat on floor

    So what happens if you don't sit up straight?

    As you would expect from a masseur I am going to start by looking at the impact on your muscles.

    Strained Neck & Sore Shoulders

    If most of your sitting occurs at a desk at work, craning your neck forward toward a keyboard or tilting your head to cradle a phone while typing can strain the cervical vertebrae and lead to permanent imbalances.  The neck doesn't slouch alone. Slumping forward overextends the shoulder and back muscles as well, particularly the trapezius, which connects the neck and shoulders. Here at Vitality Therapy we offer Seated Acupressure Massage to directly address these issues.

    Bad back

    When we move around, soft discs between vertebrae expand and contract like sponges, soaking up fresh blood and nutrients. But when we sit for a long time, discs are squashed unevenly. Collagen hardens around supporting tendons and ligaments.  So people who sit more are at greater risk of slipped disks or herniated disks.

    I recommend the Yoga position cat-cow for increasing your spinal flexibility. (Click here for guidelines on how to do cat-cow.)

    When you sit for a long time, a muscle called the psoas travels through the abdominal cavity and, when it tightens, pulls the upper lumbar spine forward. Upper-body weight rests entirely on the ischial tuberosity (sitting bones) instead of being distributed along the arch of the spine.  A sports massage or a deep tissue massage can release a tight psoas muscle.  

    Mushy abs

    When you stand, move or even sit up straight, abdominal muscles keep you upright. But when you slump in a chair, they go unused. Tight back muscles and wimpy abs form a posture-wrecking alliance that can exaggerate the spine's natural arch, a condition called hyperlordosis, or swayback.  So sitting up straight is the first step to good abs!

    Tight hips

    Flexible hips help keep you balanced, but chronic sitters so rarely extend the hip flexor muscles in front that they become short and tight, limiting range of motion and stride length. Studies have found that decreased hip mobility is a main reason elderly people tend to fall.  So when you are in the gym remember tohttp://vitalitytherapy.co.uk/wp-admin/post-new.php stretch your hip flexors.

    Limp glutes

    Sitting requires your glutes to do absolutely nothing, and they get used to it. Soft glutes hurt your stability, your ability to push off and your ability to maintain a powerful stride when walking.  They can impact your performance when you run, as all powerful glutes are the key to increasing your speed and powering you up hills.