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Last Updated: Dec 10, 2019
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Why Do I Get Knots in Muscles in Neck and Back ?

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Dr. Vishwas VirmaniPhysiotherapist • 27 Years Exp.MPT, BPT
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What are muscle knots?
Muscle knots are points within a muscle where contracted fibers are unable to release, or, as the dictionary puts it: highly irritable localized spots of exquisite tenderness in a nodule in palpable taunt bands of muscle tissue.

A common problem for active people, muscle knots technically called myofascial trigger points, or mtps feel like a small knot to your fingertips. These knots can range from the size of a pinhead in smaller muscles to the size of your thumb in larger muscles. 2

Muscle knots can cause pain in two ways: (1) latent trigger points, which are knots that only hurt when you put pressure on them, and (2) active trigger points, which are knots that actively refer pain along your neural pathways, causing it in non-localized areas.

Trigger points in a constant state of contraction have excess metabolic waste and oxygen use because blood flow to this area stops this sends pain signals to the brain. Because your brain wants to stop the pain, it commands the muscle to rest, which leads to under-usage of the muscle. This is what makes the muscle shorten and tighten up.

What causes muscle knots?
The most common causes of muscle knots are:

1) accidents acute trauma, such as bad falls sports injuries that strain you joints and muscles

2) postural stress sitting too long with poor posture, sitting with no support, lifting improperly

3) overstimulation

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